Pelvic and Bladder Health

Female Pelvic Medicine and Reconstructive Surgery also known as Urogynecology is a surgical sub-specialty of gynecology that focuses on female pelvic floor disorders.  The female pelvic floor is a delicate structure that holds a woman’s internal organs (including the bowel, bladder, uterus, vagina, and rectum) in place.  The pelvic floor not only helps to prevent these organs from falling down or out, but it also plays an important role in making these organs function correctly. Women with weakness or defects of the pelvic muscles may begin to have problems controlling their bladder and bowels and may experience uterine prolapse characterized by feeling or seeing tissue or a bulge coming out of their vagina.

Urogynecologist treat numerous conditions, including (but not limited to) the following:

  • Overactive bladder (frequent urination, urinary urgency, incontinence, nocturia)
  • Pelvic organ prolapse (vaginal bulge)
  • Stress urinary incontinence
  • Difficulty emptying their bladder (voiding dysfunction)
  • Constipation
  • Birth trauma (e.g. vaginal tears during childbirth)
  • Recurrent urinary tract infections
  • Painful Bladder Syndrome or Interstitial Cystitis
  • Sexual dysfunction (desire/arousal disorders, dyspareunia, or painful intercourse)
  • Chronic pelvic pain, myofascial pelvic pain
  • Vulvodynia, vaginismus
  • Vaginal atrophy
  • Urethral abnormalities (urethral caruncle, urethral diverticulum, urethral stricture)
  • Congenital anomalies of the female reproductive tract (imperforate hymen, vaginal septums)
  • Vaginal masses/cyst (Bartholin gland abscess, Skene gland)
  • Vulvar/vaginal dermatosis (lichen sclerosus, lichen planus)
  • Fistula repair (communication between bladder and vagina)

We encourage you to contact us and learn how we can help improve your quality of life by treating your pelvic floor issues. We provide medical management and surgical correction of the pelvic floor disorders.  Depending on your condition treatment can include pelvic floor physical therapy, medication, pessary, vaginal inserts.  If surgery is indicated we provide vaginal, laparoscopic, robotic and abdominal surgical approaches.

For more information, or to make an appointment with one of our specialists, please call 718-291-3276.