The Center for Continence and Pelvic Floor Health collaborates with patients in developing a personalized treatment plan, which may involve exercise, dietary changes, medicine, non-invasive or surgical interventions, or advanced procedures to address urinary continence concerns and other issues associated with the pelvic floor health.
St. Elizabeth's Center for Continence and Pelvic Floor Health brings together a multidisciplinary team to provide care for women who suffer from pelvic floor disorders. Pelvic floor disorders occur in women have weakened pelvic muscles or injuries in the reproductive and pelvic organs.
Conditions we treat include:
Urinary incontinence including Overactive Bladder Syndrome
Pelvic organ prolapse
Incontinence first needs to be diagnosed. We often consider urodynamic testing which provides a look into your bladder and urethra. It typically provides important information about why you might be leaking urine, feeling the urge to go frequently, or having trouble emptying the bladder. The results of the test help your doctor decide on the best treatment. Once testing is complete, a few of the initial options for treatment include:
Pelvic floor physical therapy
Medication for Overactive Bladder-Urge Incontinence
If further intervention is needed, treatments can include:
BOTOX® injections work on the nerves and bladder muscle, blocking the signals that trigger overactive bladder
Electrical stimulation including Sacral nerve stimulation (also called Interstim). Sacral nerve stimulation involves an FDA-approved device implanted in the buttock that delivers an electric signal to the sacral nerves, helping to control the bladder muscles and decrease the number of abnormal contractions. The signal is not painful- patients feel a sense of “fluttering” around the vaginal region. This is a day surgery procedure and the initial phase allows you to “test drive” the system and is reversible.
Percutaneous Tibial Nerve Stimulation (also called Urgent PC) uses a tiny acupuncture needle to send an electric current that is applied to the tibial nerve in the region of the patient's ankle once weekly for 30 minutes. This is done in the office every week for 12 weeks. Stimulating this nerve is thought to decrease bladder contractions.
Midurethral sling which is a synthetic mesh tape that prevents urine leakage during sudden movement (e.g., laughing, coughing, sneezing) and while exercising by reinforcing the ligaments and tissues that support the urethra.
Coaptite injectionsIncontinence first needs to be diagnosed. We often consider urodynamic testing which provides a look into your bladder and urethra. It typically provides important information about why you might be leaking urine, feeling the urge to go frequently, or having trouble emptying the bladder. The results of the test help your doctor decide on the best treatment.
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