What is Urogynecology

What is Urogynecology

Until very recently, the pelvis has been treated by three differently trained doctors: OB/GYNs, Urologists and Proctologists. Our newest understanding is that the pelvic organs cannot be separated into individual organ systems. We know the pelvic organs all share common blood supply and nerve supply. We also know the pelvic organs all share common support from the pelvic muscles, bones and ligaments. Pelvic floor problems rarely affect just one organ system. This new recognition has lead to the formation of the subspecialty of Urogynecology. Urogynecologists are cross-trained to deal with all non cancerous conditions affecting all three organ systems in the pelvis. Our Urogynecologists are fellowship trained in Female Pelvic Medicine and Reconstructive Surgery. This means that after four years of residency, our Urogynecologists spent an additional three years specializing in the treatment of pelvic floor disorders.

Aging and childbirth complications, especially incontinence, are "closet conditions." They affect nearly 50 percent of all women. These conditions cause embarrassment, but are rarely discussed or treated. The good news is that you do not have to live that way anymore. If you have been told that incontinence or pelvic organ prolapse is a normal part of aging, then it is time for a second opinion. Our Urogynecologists are trained to offer you a full menu of treatment options ranging from conservative, non-surgical treatments up to state of the art robotic surgery.


Do you suffer from:

  • Vaginal Prolapse
  • Bowel Incontinence
  • Constipation/obstructed defecation
  • Stress urinary incontinence
  • Urge urinary incontinence
  • Overactive Bladder
  • Urinary retention/voiding dysfunction
  • Recurrent Urinary Tract Infection
  • Urogenital atrophy
  • Vaginal Fistula
  • Rectovaginal fistula
  • Urethral Diverticulum
  • Childbirth-Related Pelvic Floor Injury
  • Genitourinary symptoms of menopause (dryness, pain, recurrent infections, burning with urination, painful intercourse)
  • Complications Related to gynecologic or Vaginal Mesh Surgery


Advanced diagnostic therapies including:

  • Diagnostic cystoscopy
  • Prolapse evaluation
  • Multichannel urodynamic evaluation
  • PNE (Percutaneous Nerve Evaluation) prior to InterStim ™ bladder control stimulator implant


Urogyn Interventions offered:

  • Laser vaginal resurfacing for dryness, pain, recurrent infections
  • Minimally invasive surgery for urinary incontinence and pelvic organ prolapse
  • Vaginal hysterectomy
  • Vaginal vault suspension
  • Sacrocolpopexy/Hysteropexy
  • Rectocele repair
  • Cystocele repair
  • Enterocele repair
  • Midurethral sling for stress urinary incontinence
  • Macroplastique™ Periurethral bulking
  • Urethral reconstruction
  • Urethral diverticulectomy
  • Vesico-vaginal, urethro-vaginal fistula repair
  • Rectovaginal fistula repair
  • Urgent PC™ Percutaneous Tibial Nerve Stimulation
  • Bladder Botox™
  • Pelvic floor re-education
  • Interstim™ Sacral Neuromodulation
  • In-Tone™ patient at home pelvic floor therapy


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