Urogynecology Urogynecologic issues, from urinary incontinence to pelvic organ prolapse, can have a significant impact on a woman’s confidence, health and wellbeing. Contrary to popular belief, bladder and pelvic floor conditions don’t just affect older women. In fact, 1 in 3 women will experience a urogynecologic disorder at some point during their lifetime. Though they occur more frequently in women who have given birth and older women , these conditions can develop at any age—but they don’t have to control your life. At Inspira, we understand that these topics are very personal and can be difficult to discuss. Our skilled urogynecology specialists are sensitive to patients’ needs and have years of experience diagnosing, treating and educating patients about these complex health issues. Our women’s health team is equipped to diagnose and treat a range of bladder and pelvic floor disorders, including: Pelvic organ prolapse (cystocele, rectocele, uterine or vaginal vault prolapse), when pelvic organs become weak or loose and drop or press into your vagina Urinary incontinence (female stress incontinence, urge incontinence and mixed incontinence), ranging from stress incontinence when you only lose bladder control if doing something like sneezing, coughing or laughing to a total loss of ability to control urination with urinary urgency Overactive bladder, when you feel you need to go urgently and frequently and may leak Painful bladder syndrome/interstitial cystitis, which can cause bladder pain in addition to a feeling that you need to urinate frequently Urinary tract infection (UTI), acute or recurrent Rectovaginal/vesicovaginal fistula, an abnormal connection between your vagina and bladder, urethra, or rectum Fecal incontinence, an inability to control bowel movements Urethral diverticulum, a condition in which a pocket, sac, or pouch forms in the urethra, a small tube through which urine passes to exit your body. Vulvovaginal conditions (conditions that effect female genitals) including Bartholin cyst, Skene’s gland cyst, labial hypertrophy, dyspareunia, atrophy and vulvodynia Symptoms Depending on your specific condition, signs and symptoms will vary. Some urogynecologic disorders, such as urinary incontinence, overactive bladder and pelvic organ prolapse, aren’t typically accompanied by pain, but rather general discomfort, bladder leakage, bulging and/or pressure in the pelvic region. Urinary tract infections (UTIs) and interstitial cystitis, on the other hand, can be moderately to extremely painful and require prompt medical attention. Treatment The course of treatment your urogynecologist chooses to pursue will depend largely on the type and severity of your condition, as well as your personal medical history, age and how long you’ve been experiencing symptoms. Several procedures can be performed in the office on an outpatient basis. Non-surgical tests and procedures include, but are not limited to: Urodynamic testing Cystourethroscopy Intravesical Botox injection (injecting Botox inside your bladder) Transurethral bulking agent Bladder instillation Percutaneous tibial nerve stimulation (PTNS) Peripheral nerve evaluation (PNE) Pessary fitting Medications, pelvic floor exercises, vaginal devices (pessaries) and modifying your lifestyle or diet are effective ways to reduce symptoms and restore your pelvic health. If surgery is necessary, Inspira’s urogynecologists are trained in transvaginal, laparoscopic and robotic surgery procedures to reduce discomfort and speed up recovery time. A vaginal approach is used whenever possible. This approach is the most minimally invasive and endorsed by the ACOG (American College of Obstetrics and Gynecology). If you’d like more information about your care, or to receive a second opinion about a diagnosis, call 1-800-INSPIRA. Why Choose Inspira? A Holistic Approach to Women’s Health Care Our women’s health specialists take a holistic approach to care, consulting with primary care and gynecology physicians, colorectal surgeons, urologists and other specialists to craft a comprehensive treatment plan for each patient. By working together, our clinicians function as a collaborative unit to diagnose, treat and empower women with information about their urogynecologic condition(s) so they can better understand how to take control of their health and wellbeing. Minimally Invasive Surgical Techniques Inspira’s minimally invasive surgical experts specialize in treating urogynecologic and colorectal conditions with precision. Our state-of-the-art surgical facilities are equipped with robotic technology, which expands our surgeons ability to use minimally invasive techniques that reduce pain, scarring and the risk of complications, improve surgical outcomes and speed up recovery time. Personal Attention to Address Personal Issues Urogynecologic issues that affect a woman’s ability to feel completely comfortable in her own skin are difficult enough to live with, let alone talk openly about. Our trusted practitioners are sensitive to the private nature of these conditions and do everything in their power to put you at ease during your visit or procedure. We will be with you every step of the way on your journey to recovery to answer questions and provide support.