Regional Urology – Pelvic Floor Center

Regional Urology's Pelvic Floor Center is a multi-disciplinary care team comprised of urologists, colorectal surgeons and gynecologists specializing in the management of pelvic floor disorders.

We know these conditions can be inconvenient and even embarrassing. That’s why we offer the latest treatment options performed by physicians and therapists trained specifically to treat pelvic floor disorders. Our goal is to help you regain self-confidence and quality of life.

Conditions treated

Urinary incontinence
Urinary incontinence is leaking of urine that you can’t control. It can affect emotional, psychological and social life. Many people who have urinary incontinence are afraid to do normal daily activities. They don’t want to be too far from a toilet. Urinary incontinence can keep people from enjoying life. Many people think urinary incontinence is just part of getting older. But it’s not. And it can be managed or treated.

Fecal incontinence
Fecal incontinence (also called anal or bowel incontinence) is the impaired ability to control the passage of gas or stool. This is a common problem, but often not discussed due to embarrassment. Failure to seek treatment can result in social isolation and a negative impact on quality of life.

Uterine prolapse
Uterine prolapse occurs when the uterus sags or slips from its normal position and into the vagina (birth canal). Uterine prolapse may be incomplete or complete. An incomplete prolapse occurs when the uterus is only partly sagging into the vagina. A complete prolapse occurs when the uterus falls so far down that some tissue protrudes outside of the vagina.

Pelvic organ prolapse
Pelvic organ prolapse happens when the muscles and tissues supporting the pelvic organs (the uterus, bladder, or rectum) become weak or loose. This allows one or more of the pelvic organs to drop or press into or out of the vagina. Pelvic organ prolapse is treatable.

Overactive bladder
Overactive bladder is a common condition that affects millions of Americans. Overactive bladder isn’t a disease. It’s the name of a group of urinary symptoms. The most common symptom is a sudden urge to urinate that you can’t control. Some people will leak urine when they feel the urge. Leaking urine is called “incontinence.” Having to go to the bathroom many times during the day and night is another symptom.

Stress urinary incontinence
Another common bladder problem is stress urinary incontinence, which is different from overactive bladder. People with stress urinary incontinence leak urine while sneezing, laughing or doing other physical activities.

Constipation
Constipation generally means that you have three or fewer bowel movements a week. But it can also mean straining to have bowel movements or passing stools that are small, hard, and dry. The good news is that it’s easy to treat constipation, and even easier to prevent it — as long as you know its causes.

Rectal prolapse
Rectal prolapse is a condition in which the rectum (the last part of the large intestine) loses the normal attachments that keep it fixed inside the body, allowing it to slide out through the anal opening, turning it “inside out.” Rectal prolapse affects mostly adults, but women ages 50 and older have six times the risk as men. It can be embarrassing and often has a negative effect on a patient’s quality of life. Although not always required, the most effective treatment for rectal prolapse is surgery.

In-house diagnostic testing

The Pelvic Floor Center also provides in-house diagnostic testing such as urodynamics and anorectal manometry, pelvic floor therapy with biofeedback (pelvic floor muscle training), and a full-time dietitian. Some of the treatment options we use include:

Botox for overactive bladder
Percutaneous Tibial Nerve Stimulation (PTNS)
Pessary fitting and care
Peripheral Nerve Evaluation (PNE)/InterStim Trial
InterStim reprogramming

Nurse Navigators

We recognize making healthcare decisions can be difficult and information may be confusing. That’s why we have a dedicated pelvic floor nurse navigator who will be with you every step of the way. Our specialized nurse navigator works together to ensure that you have all the resources to help you make the best decision for your care.

A Nurse Navigator provides the following services:

Serves as a liaison between provider and patient
Coordinates care between urology, colorectal and gynecology physicians to provide the full spectrum of patient’s needs
Is available to answer questions that will help guide patients in the direction for optimum care
Works in direct patient care performing specialized procedures, such as urodynamic studies, pelvic floor therapy, anal manometry, etc.
Serves as a patient educator and dedicated advocate