The field of Urogynecology (a subspecialty within Obstetrics and Gynecology) is dedicated to the treatment of women with pelvic floor disorders and support problems, such as vaginal, bladder, rectal and uterine prolapse, which can lead to voiding dysfunction, discomfort and/or pain.

Urogynecology also addresses women with urinary incontinence and other bladder problems. Our office provides state-of-the-art testing and treatment for these issues. Paula Naughton, RN, is our nurse specialist who works closely with our urogynecology patients. She performs urodynamic testing, pelvic floor evaluations, biofeedback Kegel exercises, and pretibial nerve stimulation (PTNS). She is also a valuable resource to our patients providing education, support and follow-up throughout the pre and post-operative process. The following are some commonly treated problems in the field of Urogynecology:

• Pelvic Support Problems
  • Cystocele - fallen bladder
  • Rectocele - rectum herniating into/out of the vagina
  • Enterocele - small intestines herniating into the vagina
  • Uterine prolapse - uterus/cervix falling into the vagina
• Urinary Incontinence
• Urinary Tract Infections
• Interstitial Cystitis
• Painful Intercourse

There are non-surgical treatment options for urogynecological problems that deserve mention here.

• Paula's Programs
  • Urodynamic testing
  • Pelvic floor assessment
  • Biofeedback with electrical stimulation
  • Percutaneous Nerve Stimulation (PTNS)
• Other treatment options
  • Kegel exercises
  • Pessaries
  • Vaginal creams
  • Dilators

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