ChristianaCare

All visitors are required to wear masks.

For COVID-19 safety, all visitors to ChristianaCare facilities and services are required to wear masks. This includes visitors who are vaccinated. Please read our visitor guidelines before arrival.

Masks required at outpatient locations; visitors and support persons limited

All visitors at outpatient locations must be masked in alignment with the masking guidelines on our visitation policy page here. Patients at ChristianaCare’s outpatient services are advised to come to their appointments alone unless a support person is absolutely needed. If a support person is needed, such as a parent, guardian or spokesperson, we highly encourage that the support person be vaccinated. Outpatient practices are not requiring vaccination or a negative COVID test for visitors at this time.

All hospital visitors required to be vaccinated or have a negative COVID-19 test.

  • Inpatients in our Christiana, Wilmington and Union hospitals may have one visitor daily between 10 a.m. and 8 p.m. The visitor must be 16 or older.
  • Patients having outpatient surgery may have one support person accompany them. Support persons must be 16 or older.
  • All visitors and surgical support people must show proof of vaccination OR a negative COVID-19 test within the prior 72 hours.

Before visiting, click here for more details about visitation.

Visit coronavirus.delaware.gov or cecilcountyhealth.org for local vaccination and testing sites.

Urogynecology

Urogynecology FAQ

What is a urogynecologist?

A urogynecologist is a physician who specializes in treating women with a variety of disorders to the pelvic floor. This specialist is also sometimes called a female urologist.

Before the urogynecology specialty was created, women with pelvic-floor disorders typically had to visit multiple specialists and receive treatment for problems in the urinary, gastrointestinal and reproductive systems separately. A urogynecologist can manage all these conditions comprehensively.

In addition to completing medical school, a urogynecologist must have completed a four- or five-year residency program in urology or obstetrics and gynecology, plus an intensive three-year fellowship in female pelvic medicine and reconstructive surgery.

What is the pelvic floor?

The pelvic floor is the muscles, ligaments, connective tissues and nerves that support the bladder, uterus, vagina and rectum and help these pelvic organs function.

What causes pelvic-floor disorders?

The National Institutes of Health estimate one-third of women in the United States will experience pelvic-floor disorders in their lifetime. Childbirth, repeated heavy lifting, chronic diseases and surgery can weaken the pelvic floor. Inherited factors also can contribute.

While pelvic-floor disorders become more common as you get older, they are not inevitable. Depending on the severity of your condition, a range of treatments are available to minimize the symptoms or repair the damage.

How are these conditions diagnosed?

In addition to a comprehensive history and physical examination, our physicians may also rely on several types of evaluations, including:

Urodynamics: A small catheter is placed into the patient’s bladder to measure pressure in the bladder and urethra while the bladder is filled with water. The patient answers a series of questions to help determine how much her bladder can hold, after which she urinates, and the amount or urine is measured. The test is not painful and lasts approximately 20 minutes. The patient may stop the test at any time.

Cystoscopy: A small tube-shaped camera is inserted through the urethra to view the bladder for details that are difficult to see with an X-ray. The cystoscope is flexible and no larger than a catheter. The camera is attached to a monitor so that the patient can view the inside of her bladder as well. The test is not painful and lasts approximately 5 minutes. The patient may stop the test at any time.

Urinalysis: A patient’s urine is checked at each visit to ensure that she does not have an infection.

Bladder ultrasound: An image of the patient’s bladder is taken at each visit to ensure you she is emptying it completely. This is not invasive or painful.

Endo-anal ultrasound: A small ultrasound probe is gently inserted one inch into the rectum to see if the anal sphincter is intact.

Pelvic-muscle evaluation: A physical exam or an electronic monitoring device is used to measure the patient’s ability to contract her pelvic muscles.

Anorectal manometry: A small balloon is placed in the rectum to measure the strength and ability of the rectum to contain the bowels. While awkward, this test is not painful and lasts only a few minutes. The test may be stopped at any time.

Radiology: A variety of X-rays may be used as appropriate to aid diagnosis.

How are these conditions treated?

Once our doctors determine the cause of your pelvic-floor disorder, they may provide a variety of treatment options, including:

  • Medications.
  • Physical therapy.
  • Behavior modification.
  • Alternative medicine.
  • Reconstruction of the pelvic floor using both minimally-invasive and more complicated surgical techniques. Specialties include vaginal, abdominal, laparoscopic and robotic surgery using da Vinci technology.

For more information about treatment options, refer to the specific medical conditions listed on the main page.

ChristianaCare Center for Urogynecology and Pelvic Surgery

Christiana Hospital
Medical Arts Pavilion 2
4735 Ogletown-Stanton Road, Suite 1208, Newark, DE 19713 directions
302-623-4055
fax 302-623-4056

ChristianaCare Concord Health Center
161 Wilmington-West Chester Pike, Chadds Ford, PA 19317 directions
610-361-1030, option 9

Smyrna Health & Wellness Center
100 S. Main Street, Suite 215
Smyrna, DE 19977 directions
302-623-4055

Wilmington Hospital
501 West 14th Street
Gateway Building, 2nd Floor
Wilmington, DE 19801
302-623-4055