Our fellowship-trained physicians offer a complete range of care for the management of pelvic floor disease.  This includes both surgical and conservative therapies for prolapse of the uterus and vaginal walls, urinary and fecal incontinence, chronic pelvic pain, including pain initiated in the bladder such as that caused by interstitial cystitis, abnormal uterine bleeding, and the treatment of fibroids.  For those patients requiring surgery, the majority of our procedures are completed in a minimally invasive manner involving operating either through the vagina or laparoscopically (through tiny abdominal incisions using a camera) in order to achieve maximum success and minimal discomfort.

Urodynamic Testing – This is used primarily for diagnostic purposes to obtain a better understanding of how a patient's bladder is working. It allows the physicians to determine the most appropriate course of treatment based on the conditions that are found. Some of the common types of tests performed with Urodynamics are:

• Uroflow testing
• Multichannel Cystometry
• Voiding Pressure-Flow Studies
• Urethral Pressure Profiles

Pelvic Floor Rehabilitation – This is a biofeedback treatment option that teaches patients how to strengthen the pelvic floor muscles through exercises known as "Kegel" exercises and electrical stimulation. This is a possible non-surgical alternative to urinary incontinence. This is also being used post surgically for patients who need some additional help with controlling those muscles. There may be other indications for the use of Pelvic Floor Rehabilitation, which the Division is exploring.

Routine Gynecology – Our physicians and the nurse practitioner also treat patients in need of routine gynecologic care, patients needing annual PAP tests, routine medical care, etc. Our physicians are also performing Colposcopy and LEEP procedures in follow up to an abnormal PAP result.