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Urogynecology consultation

Urogynecology is a medical specialty that focuses on the diagnosis and treatment of pelvic floor disorders, which affect the muscles, ligaments, connective tissues and nerves that support the bladder, uterus, vagina and rectum.

However, having these conditions doesn’t mean you have to put up with them. Our experts are here to help with all aspects of urogynecology to help you live in comfort.

Our physicians are board-certified in obstetrics and gynecology and are the only urogynecologists in Delaware board-certified in female pelvic medicine and reconstructive surgery. Treatment options include physical therapy, medications and surgery. Surgery may be outpatient, minimally invasive or major, depending on your needs and preference. Our patients also may be able to participate in research clinical trials, providing access to potential new treatments.

Schedule an appointment

To make an appointment, please call one of the numbers below at an office convenient to you.

Conditions we can treat

Our Center for Urogynecology and Pelvic Surgery treats women who are experiencing the following:

  • Prolapse – A common condition where an organ stretches down into or out of the vagina as the result of pregnancy, childbirth or other actions. Organs that can drop from their normal position include the bladder, uterus and rectum. Treatments can include exercises to strengthen muscles, insertion of a pessary to hold the vagina in place or in some cases, surgery to correct and repair.
  • Urinary incontinence – The uncontrolled loss of urine from the bladder, which can occur at any time. We offer treatment for all types so that you can live in comfort and dignity.
  • Fecal incontinence – The involuntary loss of fecal matter or gas. A common condition with up to 11% of women experiencing it, we offer a number of treatments including medical, strengthening exercises, implants and surgery.
  • Vulvodynia and vulvar vestibulitis – A condition associated with pain in the opening of the vagina which is experienced by women of all ages. Treatments can include medication, behaviour management, strengthening exercises, diet adjustment and the treatment of related conditions. Other options include injection, therapy and surgery.
  • Urinary-tract infection – Occurs when bacteria contaminate any part of the normally sterile system of organs and tubes that process, store and move urine through and out of the body. The urinary tract includes the kidneys, ureters, bladder and urethra. We can treat a number of infections with antibiotics, as well as investigate any underlying causes.
  • Interstitial cystitis – Also known as Painful Bladder Syndrome affects at least 3-8 million of women in the US. Treatments can include medication, diet modification, strengthening the pelvic floor, medicating the bladder, implant of a device or surgery.
  • Genital fistula – A drainage problem in the bladder or bowel caused by the formation of a hole between these organs.
  • Sexual dysfunction.

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.
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