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Urogynecology

Urogynecology is a sub-specialty of Obstetrics and Gynecology. A Urogynecologist receives additional fellowship training in this specialized area of care. Urogynecology involves the diagnosis and treatment of urinary incontinence and female pelvic floor disorders. Incontinence and pelvic floor problems are remarkably common. In fact one in two adult women suffer from pelvic floor dysfunction. Some conditions treated in urogynecology practice include:

  • Urinary incontinence
  • Female genital prolapse
  • Painful intercourse
  • Fecal incontinence
  • Interstitial cystitis
  • Overactive bladder
  • Pelvic organ prolapse
  • Rectovaginal fistula
  • Recurrent urinary tract infections
  • Urinary incontinence
  • Urinary retention
  • Voiding difficulties

Our focus is to help you get rid of the pain and restore strength and shape to the pelvic floor. IASIS Healthcare is proud to feature orthopedic clinical specialists, certified in women’s health physical therapy through the American Physical Therapy Association. Find out if therapy is right for you.

Who Needs Pelvic Floor Therapy?

The pelvic floor is made up of muscles, ligaments, and connective tissue that act like a hammock to support the pelvis and abdominal organs. The pelvic floor may become weakened, damaged, or scarred by surgery, organ prolapse, childbirth, or other causes. If you identify with one or more of the following statements, you may be a candidate for pelvic floor rehabilitation:

“I often leak urine when sneezing or laughing.”

“I have to use the restroom frequently, and sometimes can’t make it.”

“Sex is painful and uncomfortable for me.”

“I experience burning sensations and/or pain in the vulva.”

“I have had gynecologic surgery, scarring, and a difficult recovery.”

These are just a few of the statements that push many women to finally start getting the help they need. If you are experiencing these symptoms or others, talk to your physician or urogynecologist to learn more about the pelvic floor therapy options available to you.

Rehabilitation for the Pelvic Floor

The pelvic floor issues listed above may be treated non-surgically with different forms of physical therapy and rehabilitation.

  • Therapeutic exercises. Your physical therapist can introduce you to a variety of exercises that strengthen the pelvic floor, providing stronger support to the vagina, bladder, and other pelvic organs.
  • Biofeedback therapy. Biofeedback is a simple, non-invasive technique that teaches you about how your pelvic floor muscles function. In biofeedback therapy, small sensors are placed on the body. As you contract your pelvic floor muscles, you will see a digital display of how the muscles are moving. This helps you learn how to better control the pelvic floor muscles.
  • Manual therapy. Massage and other manual therapy techniques can identify trigger points and relax muscles. Manual therapy may be applied internally or externally.
  • Electrical stimulation. Patients with extreme weakness in the pelvic floor may undergo electrical stimulation. This treatment option, which uses a special electrical device to contract muscles, is oftentimes prescribed for patients who are unable to participate in therapeutic exercises.

Is Pelvic Floor Therapy Right for You?

If you are suffering from pelvic pain, discomfort, or incontinence, ask your physician about the treatment options available to you. Most insurance plans do include physical therapy.

For more information, or to make an appointment, please contact us.