Female Pelvic Medicine

Many types of pelvic floor disorders are treated by our urogynecologists. These can affect the reproductive, urinary and lower digestive systems.

Pelvic Floor Dysfunction

This could cause problems with the bladder, bowel or sexual function. Common conditions include issues with the bladder, bowel and pelvic floor muscles.

Bladder problems

Incontinence, fistulas or other bladder problems may be treated.

Diverticula or Urethral cysts

May protrude towards the vagina

Urinary incontinence, (UI)

A loss of bladder control can be described as:

  • Fistulas
  • Mixed urinary incontinence is a mixture of several types of UI
  • Neurogenic bladder
  • Stress urinary Incontinence (SUI).
  • Urge urinary Incontinence (UUI), also known as overactive bladder

Bowel problems

You may be treated by your urogynecologist for:

  • Bowel tract fistulas : A connection between the bowel, the vagina/uterus
  • Incontinence and accidental bowel leakage: Loss control over the bowel

Problems with pelvic support and prolapse of the pelvic organs (POP).

Prolapse refers to the bulging of tissue into the vagina, usually caused by injuries to surrounding organs. These conditions may include:

  • Apical Prolapse: Prolapsed uterus, Cervix or Top of the Vagina
  • Cystocele – Prolapse of bladder into vagina
  • Enterocele : Hernia from the small intestine to the vagina
  • Rectocele – Prolapse of therectum into the vagina

Common reasons for PFDs

You may experience PFD due to:

  • Aging
  • Chronic conditions like chronic coughing or constipation can cause strain to the pelvic floor.
  • Weakness of connective tissue
  • Family genetics
  • Work requires heavy lifting
  • Obesity
  • Pregnancy and childbirth

Treatments and tests for PFD

One or more of the following tests or treatments may be performed to treat your condition.

  • Treatments for incontinence
  • Treatments for fecal incontinence: For the involuntary loss of stool, gas, or accidental loss thereof
  • Treatments for urinary leakage: These are treatments for urinary incontinence and involuntary urine loss
  • Treatment of fistula: There are several options for treating fistulas. These include laparoscopic, abdominal, and vaginal procedures.
  • Mesh Complication Treatment: If necessary, treatment options include estrogen cream, physical therapy or surgery.
  • Exercises to strengthen the pelvic floor muscles: These exercises may be helpful for prolapse, overactive bladder, incontinence, and other symptoms.
  • Treatments for pelvic organ prolapse: A bulging of tissues in the vagina due to an injury or disease. Both surgical and non-surgical treatments are available.
  • Pessary: A vaginal device that treats incontinence, prolapse, and overactive bladder.
  • Postpartum Healing Clinic: Focused, specialized treatment for women suffering from postpartum pelvic floor problems
  • Sacral nerve stimulation therapy: This is a nerve stimulation therapy that treats an overactive bladder.
  • Urodynamic testing: These tests are used to evaluate incontinence by examining the function of your bladder.

Iowa Women's Health Center

IWHC is an advanced women's health clinic located in Cedar Rapids, IA. We service all women through central Iowa and in neighboring states for progressive gynecological care. We provide the latest and least invasive medicine throughout Linn County.

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