Overview
Urinary or pelvic floor problems can interfere with life, causing issues like bladder leaks, urinary urgency and pain. We understand — and our urogynecology and pelvic floor team is here to help. We care for women with these conditions every day and we offer a wide range of treatments so you can choose what’s best for you.
Urogynecology and Pelvic Floor: Why Choose Cleveland Clinic Florida?
Urogynecology is a specialized area of medicine that combines gynecology and urology. Our experts have dedicated their careers to women’s urinary and pelvic organ conditions. With our program, you receive:
- Focused specialists: Our doctors completed an additional three years of training in urogynecology. Their training and experience mean you receive the latest and most effective bladder and pelvic floor problem treatments. Meet our urogynecology team.
- Surgical expertise: We provide advanced surgical treatment for pelvic prolapse and stress incontinence. You have access to the latest minimally invasive laparoscopic and vaginal surgery methods that offer a quick recovery.
- Multispecialty team: Our urogynecologists work with other specialists, like our skilled colorectal surgeons, when it’s best for your care. By combining the expertise of different specialists, you receive complete care — even if your condition is complex.
- Nonsurgical options: We offer you advanced and effective nonsurgical treatments for incontinence and pelvic organ prolapse. Our doctors provide nonsurgical therapies that can treat incontinence without incisions. We also have expert pelvic organ therapists on staff to guide you through specialized exercises.
- In-office diagnosis: We offer advanced tests like in-office cystoscopy and 3-D ultrasound. We also use in-office urodynamics, which tests how well your body stores and releases urine.
- Compassionate care: We know urinary and pelvic floor problems can be difficult to discuss. Our doctors and nurses provide a supportive, private and compassionate environment. We encourage you to ask questions and take the time to give you answers.
What We Treat
Women from throughout South Florida and the Treasure Coast come to us for bladder and pelvic floor conditions. We treat uterine prolapse, stress incontinence and overactive bladder (OAB) with surgical and nonsurgical techniques. Our treatments include:
- Pelvic floor therapy.
- Pessary.
- Bulking agents for stress incontinence.
- Overactive bladder (OAB) treatment.
- Pelvic organ prolapse surgery.
- Fistula repair.
- Rectal Prolapse.
- Fecal incontinence.
- Difficult defecation.
- Enterocele.
- Rectovaginal fistula.
Pelvic floor therapy
Our skilled physical therapists teach you exercises that support or relax your pelvic floor muscles. This therapy may be used alone or with other treatments.
Commonly called Kegel exercises, our pelvic floor therapy is fully customized to your unique needs and diagnosis. These pelvic floor exercises treat patients who have:
- Pain with intercourse.
- Stress incontinence (leakage with coughing, jumping or other movements).
- Trouble urinating.
- Urine leakage.
Pessary
A pessary is a nonsurgical option for patients who need extra support for their pelvic organs. You wear this ring-like device inside the vagina. A pessary is a helpful pelvic organ prolapse treatment, but it must be the right size and fit for you. Our experienced urogynecology team creates a pessary that fits your unique anatomy so it’s comfortable and effective.
Bulking agents for stress incontinence
Bulking agents are special materials that are injected around the walls of the urethra (tube where urine comes out). These materials help prevent urine leakage from coughing, sneezing or other activity.
Our doctors have access to the newest and most effective bulking agents. We perform this procedure in-office without incisions, so you don’t need general anesthesia or a hospital stay.
Overactive bladder (OAB) treatment
Overactive bladder (OAB), also called urge incontinence, causes a sudden urge to urinate or frequent urination. This condition happens when nerve signals between the bladder and brain don’t work correctly.
Our urogynecologists have years of experience treating OAB in women. We offer the full range of treatments from noninvasive to surgical, including:
- Lifestyle guidance: Our team provides you with everyday tips to help calm the urgency of OAB. You can use this guidance with or without other treatments.
- Medications: We prescribe effective prescription medications for OAB. Our doctors listen to your needs and preferences to help select the one that will work best for you.
- Botox™ injections: Bladder Botox™ treatments relax the muscles that cause OAB symptoms. Our skilled doctors can perform this treatment in-office with local anesthesia for your comfort.
- Sacral neuromodulation: Our surgeon implants a small device in the buttocks area that activates the sacral nerve, which controls your bladder. We first use a device to see if it works for you, and the procedure is reversible.
Pelvic organ prolapse surgery
Our urogynecologists perform minimally invasive surgeries to lift and support the pelvic organs safely. These surgeries can be helpful if nonsurgical options don’t work for you, or you have more severe stress incontinence or prolapse. Our techniques include:
- Sacrocolpopexy with abdominal mesh: This minimally invasive surgery requires only a few small incisions in the abdomen. During sacrocolpopexy, our doctors use a small camera to see inside the body. Then, they lift the pelvic organs and attach surgical mesh for support.
- Vaginal repair with native tissue: This surgery supports the pelvic organs without surgical mesh. Instead, our surgeons use your own tissue and ligaments to create vaginal support.
- Vaginal mesh correction and revision: We have expertise in correcting previous vaginal mesh procedures, including mesh for prolapse and slings. We remove the mesh and use your own tissue when needed.
Fistula repair
A fistula is a tunnel-like opening in the wall of one or more of your pelvic organs. These openings can cause infections and may lead to urine or stool in the vagina.
Surgery can remove and close a fistula, but it requires a skilled team of surgeons with experience in this procedure. At Cleveland Clinic Florida, our urogynecologists work with colorectal surgeons and general surgeons to perform this complex surgery. Our team has the expertise to treat all types of fistulas, including rectovaginal and vesicovaginal fistulas.
Appointments & Locations
Virtual Visits
You can now stay connected to your healthcare team through virtual visits, using your smartphone, tablet or computer.
Why go virtual? It's an easy, convenient and secure way to see your provider face-to-face without having to leave home. This saves you travel time, parking fees and time spent in the waiting room — and you can also have a loved one or caregiver join you. If appropriate, you can also get a prescription sent to the pharmacy of your choice.
Many insurance companies cover the cost of virtual visits, so check with your insurance company ahead of time. Interested in getting started? Call your provider to find out what virtual visit options are available.
