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Obstetrics & Gynaecology · Sub-specialty

Urogynecology/Reconstructive Pelvic Surgery

Overview

Urogynecology/Reconstructive Pelvic Surgery is a subspecialty that focuses on treating pelvic floor disorders in women, including urinary incontinence, pelvic organ prolapse, and fecal incontinence. Urogynecologists are experts in the diagnosis and surgical and non-surgical management of these conditions, aiming to improve quality of life through restoring pelvic function and support.

Urogynecology/Reconstructive Pelvic Surgery
Our approach to care

A comprehensive evaluation will include a detailed medical history and physical examination to assess your pelvic floor function and identify any disorders. Specialized tests, such as urodynamic studies and pelvic floor imaging, might be performed to diagnose conditions like urinary incontinence and pelvic organ prolapse accurately. You may undergo a bladder diary or food and drink journaling to help identify triggers for symptoms like urgency and frequency. Pelvic floor muscle testing will be conducted to evaluate strength and functionality, guiding treatment decisions. Collaboration with other specialists may be arranged if your condition intersects with other areas of expertise, ensuring a holistic approach to your diagnosis and care plan.

Personalized therapy plans may include pelvic floor physical therapy, which focuses on strengthening and improving the control of pelvic muscles. Non-surgical options like pessaries are offered to support pelvic organs and alleviate prolapse symptoms without the need for surgery. Minimally invasive surgical treatments are available for conditions not responsive to conservative management, aiming to repair and restore normal pelvic anatomy. Advanced therapies for urinary and fecal incontinence, such as nerve stimulation devices, offer innovative solutions for symptom relief. Lifestyle and behavioral modifications will be recommended to complement your treatment plan, including dietary changes and bladder training techniques.

Adhere to your customized treatment plan, including attending all therapy sessions and following through with at-home exercises or lifestyle changes. Regularly monitor and record your symptoms to track progress and adjust treatments as needed. Stay informed about your condition and treatment options, empowering you to actively participate in your care decisions. Seek support from patient groups or counseling services to address the emotional aspects of living with pelvic floor disorders. Maintain open communication with your urogynecologist, sharing any concerns or changes in your symptoms to ensure timely adjustments to your care plan.

You’ll engage in an open, detailed discussion about your symptoms and how they impact your daily life, ensuring a thorough understanding of your condition. A physical examination, possibly including a pelvic exam, will be conducted to assess the strength and function of your pelvic floor muscles. Diagnostic tests, explained in detail beforehand, will be tailored to your specific symptoms and concerns. Your urogynecologist will discuss all potential treatment options with you, focusing on those that align with your lifestyle and treatment goals. A follow-up plan will be established, including future appointments and any necessary adjustments to your treatment strategy, to monitor your progress and adapt as needed.

More in this specialty

Obstetrics & Gynaecology

General Obstetrics and Gynecology

Maternal-Fetal Medicine

Gynecologic Oncology

Reproductive Endocrinology and Infertility

Minimally Invasive Gynecologic Surgery

Pediatric and Adolescent Gynecology

Menopausal and Geriatric Gynecology

Family Planning and Contraception

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