You’ve most likely heard of urology and gynecology. But urogynecology is a medical specialty that many aren’t familiar with. Also known as female pelvic medicine and reconstructive surgery (FPMRS), urogynecology is a subspecialty for OB/GYNs focused on non-life-threatening pelvic floor dysfunctions.
Urogynecologic issues from urinary incontinence to pelvic organ prolapse can have a significant impact on confidence, health and wellbeing.
One in three women will experience an urogynecologic disorder at some point during their lifetime. Though they occur more frequently in older women or those who have given birth, these conditions can develop at any age—but they don’t have to control your life.
Our Approach to Urogynecology
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.
Conditions We Treat
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 of all types (female stress incontinence, urgency incontinence and mixed incontinence): these range 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/discomfort/pressure 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 affect female genitals) including Bartholin cyst, Skene’s gland cyst, labial hypertrophy (swelling), dyspareunia (painful intercourse), atrophy, lichen sclerosus (skin disorder causing vulva pain/itching/bleeding), atrophy (a decline in elasticity and increased dryness and discomfort), and vulvodynia (chronic pain or discomfort around your vulva)
Urogynecologic Treatments and Services
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
- Intravesical Botox injection (injecting Botox inside your bladder)
- Transurethral bulking agent
- Bladder instillation
- Percutaneous tibial nerve stimulation (PTNS)
- Peripheral nerve evaluation (PNE)
- Pessary fitting
- Vulvar/vaginal/endometrial biopsy
Modifying your lifestyle or diet, medications, pelvic floor exercises, and vaginal devices (pessaries) can be effective ways to reduce symptoms and restore your pelvic health.
If surgery is necessary, Inspira’s urogynecologists are trained in transvaginal, abdominal, 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).
Inspira Urogynecology Specialists
Our team of experienced, compassionate urogynecology specialists is ready to answer your questions