Cystometrics (also called Urodynamics) is the name given to a number of tests designed to show how your bladder functions. The main test is called cystometry, which measures your bladder’s ability to store and pass urine. Click Here to Read More< About Cystometrics
Cystoscopy is the name for a procedure allowing a doctor to look into your bladder and urethra with a special telescope called a cystoscope. We offer cystoscopy on an outpatient basis, within the comfort and privacy of our office. Click Here To Read More about Cystoscopy
Loop Electrosurgical Excision Procedure (LEEP) can be used as part of the evaluation or treatment of certain conditions. LEEP is one way to remove abnormal cells from the cervix by using a thin wire loop. Click Here to Read More< about LEEP
Physical therapy is the therapeutic manipulation of tissues, muscles, ligaments, and joints to increase strength, improve range of motion, release tension, and relieve pain. Pelvic floor physical therapy is a type of therapy that focuses on the muscles of the pelvic floor. This specialized technique utilizes both internal (transvaginal and/or transrectal) and external stretching and massage techniques to improve muscle and tissue function along the floor of the pelvis. It is performed by specialized physical therapists in an outpatient office.
The symptoms of urinary urgency, frequency and incontinence are sometimes caused by declining estrogen levels in the pelvic-floor tissues. Low-dose vaginal estrogens are an often times an effective treatment option. Low-dose vaginal estrogens are available in creams (Estrace®, Premarin®), Ring (Estring®) and suppository (Vagifem).
Many medications are available to treat urge incontinence (sometimes called overactive bladder, or OAB). Pharmacological management of OAB is an effective first-line treatment for mild-moderate symptoms. Commonly prescribed medications include Toviaz®, Myrbetriq®, VESIcare®, and Detrol®.
Simple lifestyle changes are often the most effective treatment option for bladder control problems, as well as Interstitial Cystitis. We take time to educate patients on how diet, fluid intake, and other lifestyle choices may effect symptoms. Our treatment options don’t stop there, but for patients with mild symptoms, having an open discussion with our providers, and making lifestyle changes, is a good place to start.
PTNS (Percutaneous Tibial Nerve Stimulation) is a very effective, non-invasive therapy for overactive bladder and associated symptoms of urinary urgency, urinary frequency and urge incontinence. Studies suggest that PTNS may be effective in treating other conditions, such as urinary retention. PTNS stimulates the tibial nerve by sending electric current through small needle (similar to an acupuncture needle) that is inserted above the ankle. This non-invasive, pain free treatment requires regular appointments on a schedule determined by your provider. Click Here To Read More.
Pelvic floor reconstructive procedures are used to treat pelvic organ prolapse, a condition that occurs when the muscles of the pelvic floor are weakened or damaged, often due to childbirth. Other causes include repeated heavy lifting, chronic disease, or surgery. It is a surgical treatment intended to restore normal female anatomy and function to improve the patient’s quality of life. They typically include the use of slings or grafts.