Urogynecology is a specialized field of gynecology that focuses on treating problems such as urinary incontinence and pelvic organ prolapse. With urogynecologists on the team at North County Women’s Specialists, you can come to one location and receive comprehensive treatment for all issues related to your pelvic and reproductive organs. You can schedule an appointment with one of their urogynecologists by calling our office in Escondido or San Marcos, California, or by using the online booking feature.
Doctors who specialize in urogynecology focus on pelvic floor disorders, which arise when your pelvic floor muscles are too weak or damaged to function properly.
Your pelvic floor muscles essentially form a sling across the bottom of your pelvis. These muscles hold your uterus, bladder, vagina, and bowel in their proper place. Some of the muscles are also responsible for controlling urination and bowel movements.
Two primary types of pelvic floor disorders treated by urogynecologists are pelvic organ prolapse and urinary incontinence.
When pelvic floor muscles fail, your organs can prolapse, or drop out of their normal position. As a result, you may develop:
When the uterus or bladder prolapse, they also cause a bulge in the vaginal wall. They may also come down through and protrude out of the vagina.
Although there are other types of urinary incontinence, such as urge incontinence (also called an overactive bladder), stress incontinence is the type that develops when the pelvic floor muscles are damaged or weakened. As a result, your bladder leaks when you cough, sneeze, laugh, exercise, or perform any other activity that puts pressure on the bladder.
Before developing a treatment plan for incontinence, your doctor performs urodynamic testing, which is a series of tests to determine the exact problem in your urinary tract.
Your doctor may test the amount of urine released, the amount left in the bladder, pressure in the bladder, and your ability to stop or start the urine flow. The information provided guides the best treatment for your incontinence.
A few examples of nonsurgical treatments and surgical procedures for incontinence and prolapse include:
If you develop unwanted urinary leakage or signs of prolapse, such as a bulge in your vaginal wall, call North County Women’s Specialists or book an appointment online.