A pelvic floor disorder affects approximately one in every four women. This can manifest in a variety of ways, including urinary incontinence, pelvic organ prolapse, and fecal incontinence. Pelvic floor disorders are caused by a weakening or injury to the pelvic muscles and connective tissue, which are responsible for retaining the bladder, uterus, bowel, and rectum in their proper positions.

A great number of women endure needless suffering in silence. At the Pelvic Floor Disorder Center at Miracle Hospital, the urogynecology team will work with you to develop an effective treatment plan that can improve your quality of life. In order to provide patients with comprehensive care that encompasses a wide range of medical specialties, our facility employs both a urogynecologist and a female urologist. Urogynecologists are obstetricians/gynecologists or urologists who have received additional training to care for women who have pelvic floor dysfunction. These specialists are referred to as urogynecologists.

Pelvic floor disorders can have an effect on a woman’s wellbeing in all facets of her life, including her emotional, social, and physical well-being as well as her sexual life. Patients who suffer from pelvic floor dysfunction should talk to their doctor about the symptoms that they are experiencing.

Our approach

The Urogynecology team at Miracle Hospital know how to treat urogynecologic and pelvic floor disorders with medicine and surgery. They also offer their patients advanced urogynecology services.

Our medical staff encourages patients to participate in all aspects of their care, beginning with the initial consultation and continuing through diagnosis, treatment, and rehabilitation.

In many cases, women who have been treated in the past for bladder problems come to see us after they have not found any relief from the medications they have been taking and are feeling very frustrated.

After a consultation, patients may be recommended to undergo advanced urodynamic testing, which is a real-time evaluation of a woman’s bladder that can be performed in either our offices or the Women’s Center of the hospital. Because of this testing, we are able to make precise diagnoses, including the following:

  • Incontinence of the urinary system (stress, urge, or mixed)
  • Overactive bladder (with or without incontinence)
  • Prolapse (bladder, uterine, vaginal, or rectal prolapse) (bladder, uterine, vaginal, or rectal prolapse)
  • Pelvic pain (interstitial cystitis)

After the diagnosis has been made, we engage in additional consultation with the patient before moving forward with a treatment plan. This treatment plan will typically involve a period of physical therapy or biofeedback. Other treatment options include conservative management, tension-free vaginal tapes (sling procedures), bladder lifts, and hysterectomy. Other treatment options include bladder lifts.

Patients who require more advanced treatment may also qualify for our cutting-edge, minimally invasive procedures, such as pelvic reconstructive surgery, vaginal prolapse surgery using surgical mesh, or InterStim implants. These procedures include: (bladder pacemaker).

Patients typically make a speedy recovery after surgery, reporting low levels of pain, experiencing high levels of success, and having low recurrence rates.

We Offer Treatment for a Wide Range of Conditions

Non-Surgical Procedures

Our patients are able to overcome urogynecological dysfunction with the assistance of non-surgical therapies, which circumvent the intrusive and physically taxing components of surgical procedures.

Pelvic Injections

Pelvic floor issues, including urinary incontinence, interstitial cystitis, and pelvic discomfort, can be treated in a variety of ways, including the injection of medicine, Botox, or collagen. Other options include diagnosing and treating the underlying cause of the problem. Our medical professionals routinely diagnose, treat, and offer consultations to women who are coping with issues affecting their pelvic floor, and they modify therapies to be as effective as possible for each individual patient.

 

Bladder Patients who are dealing with interstitial cystitis or hyperactive bladders may benefit from receiving Botox injections as a treatment option. The injection of Botox has the effect of paralyzing the hyperactive nerves that were continuously signaling the bladder. This therapy may be done as an outpatient, and the effects of each injection typically last between three and six months. Botox injections into the bladder are normally only recommended for individuals who have not found relief from other medical therapies.

INJECTIONS OR INSTALLATIONS OF THE MEDICATION

There are a few different pharmaceutical combinations that have been shown to be effective in treating people who suffer from pelvic discomfort. A doctor will inject various combinations of medicine into the region that is painful in order to treat the pelvic pain, but this will vary from patient to patient. Although not all patients get relief from these injections, many find that they are a less intrusive therapeutic choice than surgical procedures.

COLLAGEN INJECTIONS

Collagen injections can be an effective therapeutic option for women who suffer from stress urinary incontinence but have normal anatomic support of the bladder. These women are eligible for this treatment option. Collagen injections are used to treat urethral dysfunction. These injections constrict the aperture of the urethra and prevent urine leakage. This non-permanent, minimally invasive therapy often lasts anywhere from a few months to many years before needing to be repeated.

Pelvic Muscle Rehabilitation

Patients who need help retraining their pelvic floor muscles might benefit from pelvic muscle rehabilitation, which combines traditional physical therapy with biofeedback treatment and electrical stimulation. These therapies encourage patient participation in the healing process and try to reduce the risk of urinary incontinence as well as other disorders that affect the pelvic floor that can be bothersome.

Patients who suffer from any of the following disorders may find that pelvic muscle therapy is beneficial to their condition:

  • Incontinence of the urinary system
  • Urinary retention in the body
  • Painful urination
  • Painful sexual intercourse
  • cystitis of the interstitial spaces

Biofeedback Therapy

Pelvic floor biofeedback therapy is a form of treatment that is intended to teach patients how to both strengthen and relax the muscles in their pelvic floor. When a patient is undergoing biofeedback therapy, computer sensors are used to correctly measure and signal the activity of the pelvic floor muscles. This teaches patients how to manage the appropriate muscles in order to avoid urine incontinence or pelvic discomfort.

Electrical Stimulation

The purpose of the electrical stimulation of the pelvic floor muscles is to assist patients in becoming more conscious of the contractions of their pelvic floor muscles. During this technique, the pelvic muscles are stimulated by an electrical current, which then causes the muscles to contract. Patients who are unable to contract these muscles on command may benefit greatly from electrical stimulation when it is combined with pelvic floor muscle exercises (also known as Kegels) and biofeedback treatment.

Pessary

A pessary is a tiny device that is put in the vagina to support the uterus, bladder, and/or rectum in situations of prolapse symptoms. Pessaries are also known as vaginal prolapse supports. These gadgets can be found in a variety of forms and dimensions.

Topical/Oral Hormones

hormone replacement therapy in order to assist in the thickening of the vaginal walls when they have become thinner. This therapy has the potential to help with both pain and incontinence.

Percutaneous Nerve Stimulation

The procedure, which takes place in the doctor’s office, is an option for helping with urge incontinence.

Medications (oral, topical, and/or vaginal/rectal suppositories)

It may be advantageous to combine pelvic floor physical therapy with medication in order to retrain the bladder and pelvic floor muscles to work in conjunction with one another.

Medications (oral, topical, and/or suppositories)

These can be recommended to alleviate pelvic discomfort and, when used in conjunction with pelvic floor physical therapy, tend to be quite helpful in treating the condition.

Minimally Invasive Surgery

We provide treatment solutions that involve just a small amount of intrusion and enable a speedy return to normal activities.

Surgical Treatments

Pelvic Reconstruction

We provide state-of-the-art therapy to repair damage that may have been caused by pregnancy, aging, severe cancer treatment, or a prior surgical procedure. This highly specialized operation calls for a multidisciplinary approach, during which the surgeons must utilize their years of knowledge gained from a mix of urological, gynecological, and colorectal surgical training.

The vast majority of women stand to gain considerable advantages from minimally invasive surgery, including the following:

  • Significantly lower levels of discomfort
  • Reduced risk of both blood loss and the requirement for transfusions
  • Reduced potential for becoming sick
  • Less scarring
  • a shorter length of stay in the hospital and a quicker healing time
  • A more rapid return to routine activities is desired.

Slings

When a patient comes to us complaining of urine incontinence or leakage, our staff immediately gets to work to identify the issue and treat it using the most cutting-edge methods imaginable. Some individuals might be able to recover control of their urinary system by performing Kegel exercises on a regular basis, making lifestyle adjustments, or using tiny vaginal implants. However, surgery could be necessary in more severe instances.

 

Internal Repair

When stress is placed on the pelvic region, such as when coughing, laughing, sneezing, exercising, or other activities of this nature, the mini sling creates a hammock-like support structure under the urethra that mimics the normal position of the ligament that would normally provide the required support to help prevent urinary leakage. It is possible for stress urine leakage to occur if this ligament is torn or stretched out as a result of childbirth, aging, or persistent straining. Due to the positioning of the mini-sling, the normal position of this ligament is replicated, and in a sense, the injured ligament is replaced with a permanent mesh tape that provides the necessary support to avoid leaking.

 

The vaginal incision that is necessary for the insertion of the tiny sling is normally quite minor, and the patient just has to be given a local anesthetic for the procedure. Patients are often able to resume their normal activities fairly soon after this surgery, and there are very few risks or consequences associated with it. This treatment may be carried out on an outpatient basis, and the surgical time required is less than fifteen minutes.

Cosmetic Pelvic Surgery

We have surgeons who have received specialized training and are specialists in the field of urogynecology, which is a multidisciplinary discipline. These surgeons treat women who are suffering from a range of urogynecological problems.

 

Conditions that call for cosmetic pelvic surgery include the following:

 

Labial hypertrophy is a condition in which the labia minora become abnormally large, resulting in symptoms such as itchiness and rubbing on clothing, excessive perspiration, rashes, rawness, discomfort during sexual activity, and psychological unease.

extreme laxity of the vaginal aperture as a result of having several children through the vaginal route (6 or more). A single night’s stay in the hospital is all that is required for the surgical correction of this laxity.

a deformity of the external genitalia that results from an earlier traumatic experience, such as delivery, surgery, or another cultural practice or rite.

Our staff diagnoses, consults with, and treats patients at our facility, which is equipped with the most recent medical technology. We are committed to providing the best possible standards in patient care and education. When a woman enters through our doors, we make it our mission to guarantee that she is greeted with a sense of ease and confidence in our many years of expertise as the industry pioneer in pelvic care.

Pelvic Reconstruction

Patients who have undergone prior surgery and are now suffering from urogynecological dysfunction may be candidates for a major operation known as pelvic reconstruction. Many of our patients have battled cancer in the past and/or have had other significant procedures performed in the pelvic area.

Patients who have undergone various procedures and are suffering any or all of the following symptoms may be candidates for pelvic reconstruction.

  • Incontinence of the urinary system
  • Pelvic pain
  • pelvic organs that have prolapsed
  • Incontinence of the bowels
  • Experiencing discomfort when engaging in sexual activity

Our pelvic reconstruction specialists are professionals in their interdisciplinary area. They utilize their knowledge in gynecology, urology, and colorectal therapies, which has resulted in an exceptional degree of proficiency in the management and repair of urogynecologic problems. When a complete reconstruction of the pelvic region is necessary, our staff works hard to ensure that the patient receives treatment that is both sensitive and thorough.

Sacral Nerve Modulation

Sacral nerve modulation may be able to give a patient relief from urine incontinence or other urogynecologic problems, depending on the underlying etiology of the condition.

 

Helping the Nervous System 

Sacral nerve modulation, also known as sacral neuromodulation or sacral nerve stimulation, is a technique that helps correct or reroute messages that have been transmitted in the wrong direction through neural pathways. These sacral nerves are responsible for controlling the muscles that are located in the pelvic region. These muscles include the pelvic floor, bladder, urethral sphincters, and anal sphincters. It is common for a person to experience urine or bowel incontinence as well as discomfort during urination when these neurons are malfunctioning and sending wrong information to the brain.

 

An implanted device containing a neurostimulator that operates in a manner very similar to that of a cardiac pacemaker is used to perform sacral nerve modulation. During the testing phase, the device is initially placed in a pocket in the patient’s lower abdomen or buttock. If the testing phase is successful, the device is then permanently implanted in the patient.

 

Quality of Life  Be can improved by Miracle Treatments.

Our hope is that patients will be able to resume the activities and interests they once took pleasure in. Women who have lost their pelvic function may be able to regain it through the use of a variety of non-invasive therapeutic approaches, such as physical therapy and pelvic floor exercises. Surgical procedures that are minimally invasive and require little recovery time can

successfully treat a number of pelvic floor disorders. These procedures also reduce the amount of time needed for recovery.

We are aware that each woman is an individual and will have a different reaction to the various therapeutic approaches. Our urogynecology team takes a patient-centered, individualized approach to care and creates a treatment strategy that is tailored to be the most productive and successful for each individual patient.

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FAQ’S

When is it necessary for me to see a urogynecologist?
Can most pelvic health issues be resolved by doing Kegel exercises?
When should I schedule an appointment with a urogynecologist?
Does surgical intervention always have to be a part of treatment for urogynecological conditions?

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