Understanding Your Symptoms

Although countless women are troubled by a loss of bladder control, bowel symptoms, pelvic discomfort or sexual changes, they are often not aware that these problems have a name – and almost always a solution.  Some of the most common types of incontinence and pelvic floor disorders include:

Stress Incontinence

Leakage triggered by coughing, sneezing, laughing, exercise or physical exertion impacts up to 50 percent of women by the age of 40 - making it the most common type of female incontinence.  Unfortunately, many of them begin to abandon their fitness routines, and avoid activities they previously enjoyed, for fear of accidents.  Withdrawing from a healthy and active lifestyle is one of the most unfortunate aspects of this condition.

Whether you pursue pelvic floor exercises, office therapy or a minimally-invasive procedure, rest assured that stress incontinence is not a symptom that you need to suffer in silence. We offer the full range of options, including:

  • Pelvic floor exercise, biofeedback and physiotherapy
  • Non-surgical devices
  • Medications
  • Urethral injections and radio frequency coagulation
  • Minimally-invasive surgery - success rates up to 96%

Urge Incontinence and Overactive Bladder

Urge incontinence – also known as ‘overactive bladder’ – is a condition associated with frequent urination, nighttime voiding, urgency, and sometimes also leakage before reaching the toilet. This condition results from involuntary bladder contractions, affecting up to 17 percent of women and often severely impairing their quality of life. ‘Sensory Urge Incontinence’ is a condition in which women are overwhelmed by the sensation of needing to urinate and consequently leak urine. This problem may result from infection, inflammation, and/or lack of estrogen.

The Division of Urogynecology is a leader in our area for treatment and research providing: 

  • Dietary and behavior modification
  • Medications
  • Botox injections for bladder control
  • Pelvic floor stimulation, magnetic innervation and biofeedback
  • Interstim ‘Pacemaker’
  • Acupuncture

Urinary Retention and Complex Voiding Problems

Successful treatment for complex urinary conditions starts with an accurate diagnosis. Our Division offers the latest diagnostic technology including multichannel urodynamics, EMG testing and office endoscopy - to understand conditions such as overflow incontinence, neuromuscular abnormalities, or structural problems including urinary diverticula or fistulae.

Pelvic Prolapse

Pelvic prolapse refers to weakening around the vagina, uterus and pelvic floor. Common types include cystocele (‘dropped bladder’), rectocele (‘bulging rectum’) and uterine prolapse (‘dropped uterus’).  Repairing these supports has represented one of the most challenging aspects of Gynecologic surgery.  However, advanced surgical techniques used by our expert team allow most patients to avoid abdominal incisions while achieving optimal success rates. Patients may also find relief non-surgically, with a pessary fitting and management.

Advanced Gynecologic Surgery

We offer a variey of procedures with a focus on the most advanced, minimally invasive solutions. Successful treatment for these urinary conditions start with an accurate diagnosis. Our urogynecology team offers the latest diagnostic technology including multichannel urodyanmics, EMG testing and office video endoscopy.

Anal Incontinence

Loss of control over stool or gas affects nearly 25 percent of women by age 40, and is found in 25-50% of women with urinary incontinence. Our team evaluates a patient’s condition and offers a wide array of treatments ranging from behavioral and dietary strategies to surgical repair.

Sexual Dysfunction

Although sexual dysfunction is reported by up to 43% of women when they are asked, many others quietly accept it, viewing diminished sexual satisfaction and pleasure as an inevitable aspect of a ‘post-reproductive’ body.  Our team evaluates and treats a variety of common female sexual complaints including pain, loss of sensation and decreased libido.

Pelvic Pain and Interstitial Cystitis (IC)

Our Division of Urogynecology is a major referral center for the diagnosis and treatment of IC, vulvar pain (vulvodynia & vestibulitis), and pelvic pain.  In the vast majority of cases, both diagnostic testing and treatments are performed in the office setting.

Postpartum Rehabilitation & Symptom Relief

Pelvic rehabilitation during the postpartum months and beyond is an important, but frequently overlooked, aspect of women’s healthcare.  Pelvic floor exercise after childbirth has been shown to significantly reduce stress urinary incontinence symptoms, and may also have benefits to sexual function.  A number of ‘high tech’ treatments such as biofeedback and pelvic floor physiotherapy can also be used even during the postpartum period, for incontinence or other pelvic floor symptoms that remain a problem despite a pelvic exercise routine.  Other common post-childbirth problems are also routinely evaluated at the center – including painful episiotomy sites, sexual dysfunction and bowel problems.