What You Need To Know About Urogynecology and Pelvic Health

As a gynecologic oncologist, I’ve had the privilege of helping women navigate their unique healthcare journeys. One area I’m deeply committed to is urogynecology, a specialized field that focuses on treating pelvic floor disorders. For many women, it offers a way to restore comfort, confidence and a better quality of life. Let’s explore what urogynecology is, the conditions it addresses and the impact it can have.

What Is Urogynecology?

Urogynecology is a relatively new medical specialty that focuses on diagnosing and treating conditions affecting the pelvic floor—the group of muscles, ligaments and tissues supporting the bladder, uterus and rectum. Certified as its own field in 2011 , urogynecology has streamlined care for women, sparing them the frustration of navigating multiple specialists for conditions like pelvic organ prolapse or incontinence.

Common Conditions Treated

A urogynecologist may help with a variety of concerns, including:

• Pelvic Organ Prolapse: When organs like the uterus or bladder descend due to weakened support structures.
• Urinary and Fecal Incontinence: Difficulty controlling urination or bowel movements.
• Overactive Bladder: Frequent and urgent need to urinate.
• Interstitial Cystitis: A chronic bladder condition causing pain and pressure.
• Frequent UTIs: Recurrent urinary tract infections that disrupt daily life.

Consult your healthcare provider if you experience any of these symptoms, especially if they start to affect the quality of your life.

Treatment Options

Urogynecology offers a wide range of treatment options tailored to the patient’s condition and lifestyle:

• Pelvic Floor Exercises: These aim to strengthen the pelvic muscles and alleviate some symptoms.
• Vaginal Pessary: A device inserted into the vagina to support prolapsed organs.
• Injections: Bulking agents may help improve bladder control.
• Nerve Stimulation: Similar to acupuncture, this may help reduce symptoms of an overactive bladder.
• Surgery: When needed, minimally invasive procedures like vaginal wall repair or bladder control surgery may be considered to help provide long-term solutions.

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Frequently Asked Questions

What makes a urogynecologist different from a gynecologist or urologist?

Urogynecologists are uniquely trained in female pelvic medicine and reconstructive surgery, combining expertise in both gynecology and urology to address complex pelvic floor disorders.

Is pelvic organ prolapse a normal part of aging?

While more common with age, prolapse is not something you have to live with. Treatments may help restore comfort and prevent further complications.

How do I prepare for my first urogynecologist appointment?

Bring a detailed medical history and a list of your symptoms. Be prepared to discuss how these symptoms affect your daily life.

Can lifestyle changes help with pelvic floor disorders?

Lifestyle changes may help with pelvic floor disorders, such as maintaining a healthy weight, avoiding heavy lifting and practicing pelvic floor exercises.

Will surgery for pelvic floor issues affect intimacy?

Surgery for pelvic floor disorders may sometimes impact sexual function, but there’s no clear evidence linking specific procedures to these changes. Discussing your concerns with your urogynecologist ensures a personalized approach that prioritizes your well-being and goals.

A Compassionate Approach to Care

No two patients are the same, which is why creating a treatment plan that fits your unique needs is a key to achieving optimal results. Urogynecology is about more than treating symptoms—it’s about listening to women, understanding their concerns and providing compassionate care that restores confidence and comfort.

If you’re experiencing any of the conditions mentioned, don’t hesitate to reach out. Relief and better health are within reach. It starts with a comprehensive evaluation of your symptoms, followed by a treatment plan designed to restore normal function and improve well-being. If you have more questions or would like to learn about treatment options, I’m here to help.