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Urinary Incontinence and Pelvic Floor Dysfunction

Pelvic floor dysfunction can affect women of all ages. We have services and treatments that can help you reclaim your quality of life.

Conditions such as urinary incontinence and overactive bladder make it difficult to live your life the way you want. Women find these conditions uncomfortable and embarrassing. Our team includes the only specially trained urogynecologist in the Lexington region, as well as specialists in urology, colorectal surgery, and physical therapy.

  • Conditions we treat

    The pelvic floor is a group of muscles and tissues that help hold together and control the uterus, vagina, bladder, rectum and bowels. When those muscles and tissues are damaged or weakened, they can cause numerous conditions.

    The pelvic floor disorders we treat include:

    • Urinary incontinence: Unintended loss of urine.
    • Fecal incontinence: Unintended loss of stool.
    • Fistula: Unnatural connection between two organs or areas of the pelvic floor.
    • Interstitial cystitis: Painful bladder syndrome.
    • Mesh complications: Problems from a previous mesh placement.
    • Overactive bladder: Frequent need to urinate.
    • Pelvic organ prolapse: When pelvic organs press on or drop out of the vaginal opening.
    • Urethral diverticulum: An unwanted pocket or pouch along the urethra.
  • Diagnosis

    We diagnose many urinary problems with these procedures:

    Cystoscopy

    This procedure is used to examine the lining of your bladder and the urethra. We perform cystoscopy in the doctor’s office.

    Multichannel urodynamic study

    This set of tests provides a comprehensive evaluation of how the urinary tract functions.

  • Pelvic floor physical therapy

    Many women with pelvic floor dysfunction find relief from physical therapy. Our physical therapists specialize in evaluating and treating pelvic floor dysfunction. They will develop a treatment plan for your needs, including exercises that strengthen your pelvic floor muscles and relieve symptoms. 

  • Urinary incontinence

    We use urethral bulking to treat urinary incontinence. During this procedure, the doctor injects a bulking material such as collagen into the urethra. This bulking material narrows the urethra and makes it harder for urine to leak out.

    A midurethral sling is another treatment option for urinary incontinence. The small sling is placed under the urethra to support it. We can use synthetic mesh or tissue taken from your thigh or abdominal muscles.

  • Overactive bladder treatment

    Botox injection

    During this in-office procedure, we inject Botox into the bladder. This lowers the urge to urinate, as well as the frequency. The effects of Botox wear off after six to nine months, so we may repeat the procedure as needed. 

    Sacral nerve stimulation therapy (sacral neuromodulation therapy)

    The doctor implants a small device in the lower back. This device sends electrical impulses to the nerves in the lower back that control muscles in the pelvis. The electrical stimulation can eliminate or reduce overactive bladder symptoms. We also use this procedure to control fecal incontinence.

    Percutaneous tibial nerve stimulation

    During this non-surgical treatment, the doctor places a small needle near the tibial nerve in the ankle. The tibial nerve is stimulated with electrical pulses. These pulses travel to the nerves at the base of the spine, where they block abnormal signals from the bladder. This treatment requires 12 weekly, 30-minute visits, followed by monthly visits.

  • Mesh complications

    Patients who’ve previously had surgery to repair a pelvic floor disorder may have complications from transvaginal mesh implants used in many of those procedures. Women may experience symptoms such as pain, infection, bleeding and urinary issues.

    We specialize in surgeries that treat these complications by removing as much of the mesh as possible. We’ll listen to you and help you decide if this is the right treatment choice for you.