Female Pelvic Medicine and 整形外科手术

Our urogynecologists treat many kinds of pelvic floor disorders (PFDs). These may involve the reproductive, urinary, and lower digestive systems. 

For more information about PFDs see the following sections:

PFD条件

Common conditions include problems with bladder, bowel, and pelvic floor muscles.

膀胱的问题

You may be treated for incontinence, fistulas, or other bladder issues:

  • Urethral cysts or diverticula, which may protrude toward the vagina
  • 尿失禁(UI) is a loss of bladder control and can include:
    • 动静脉瘘
    • Mixed urinary incontinence: a combination of different types of UI
    • 神经性膀胱功能障碍
    • Stress urinary incontinence (SUI)
    • Urge urinary incontinence (UUI), also called overactive bladder
  • 尿路瘘管 can be a connection between the:
    • Bladder and the vagina or uterus
    • 尿道和阴道
  • 无效的问题, which may make it difficult to empty the bladder

肠道问题

Your urogynecologist may treat you for:

  • 肠瘘: A connection between the bowel and the vagina/uterus
  • Fecal incontinence or accidental bowel leakage: Loss of control of the bowel

盆底功能障碍

This may cause emptying problems for the bladder, bowel, or sexual dysfunction.

Pelvic support problems and pelvic organ prolapse (POP)

Prolapse is a bulging of tissues into the vagina from surrounding organs. These conditions can include:

  • 顶端下垂: Prolapse of the uterus, cervix, or top of the vagina
  • 膀胱突出: Prolapse of the bladder into the vagina
  • 肠疝: Hernia of the small intestine into the vagina
  • 脱肛: Prolapse of the rectum into the vagina

PFDs的常见原因

You may experience PFD due to:

  • 老化
  • Chronic conditions that can strain the pelvic floor, like constipation or chronic coughing
  • 结缔组织无力
  • Genetic factors that run in families
  • 繁重的工作
  • 肥胖
  • 怀孕和分娩

PFD测试和治疗

You may have one or more of these tests or treatments to help your condition:

  • 尿失禁的治疗方法
    • Fecal incontinence treatments: 治疗 for the involuntary or accidental loss of stool or gas
    • Urinary incontinence treatments: 治疗 for urinary incontinence, the involuntary loss of urine
  • 瘘治疗: Vaginal, laparoscopic, and abdominal procedures to treat different types of fistulas
  • 补片并发症治疗: 治疗 such as estrogen cream, physical therapy, or surgery if needed
  • Pelvic floor muscle exercises: Exercises that strengthen and pelvic floor muscles. These may help with symptoms of incontinence, overactive bladder, and prolapse.
  • Pelvic organ prolapse treatments: Pelvic organ prolapse (POP) is a bulging of tissues into the vagina from surrounding organs. Non-surgical and surgical treatments are available.
  • 子宫托: A vaginal device to treat incontinence, overactive bladder, and prolapse
  • 产后康复诊所: Focused, specialized care for women with postpartum pelvic floor concerns
  • Sacral nerve stimulation therapy: A nerve stimulation therapy to treat an overactive bladder
  • 尿动态测试: Tests that examine how your bladder works when evaluating incontinence

Our team approach guarantees you receive the best care available. We consult with other experts in departments such as: