Urogynecology is a medical subspecialty that combines gynecology and urology, with a focus on treating pelvic floor disorders such as pelvic organ prolapse and urinary incontinence. The urogynecology experts at May-Grant Obstetrics & Gynecology provide comprehensive medical and surgical care, including reconstruction of the pelvic floor muscles. If you develop pelvic pain or incontinence, schedule an appointment using the online booking feature or call the Lancaster, Elizabethtown, Columbia, Ephrata, Intercourse, Willow Street, Lititz or Lebanon, Pennsylvania, office location.
The pelvic floor refers to a group of muscles that support your bladder, rectum, and uterus. The muscles form a type of sling that holds the pelvic organs in place. Some of your pelvic floor muscles also control urination and bowel movements.
The primary pelvic floor disorders include:
These disorders occur when your pelvic floor muscles have stretched, weakened, or become damaged. As a result, they can’t support the weight of the organs or properly control urinary and bowel function.
Your pelvic floor muscles can lose tone and strength as you get older, but pelvic floor disorders are not a normal part of aging. You’re more likely to develop pelvic floor problems when the muscles become stretched during vaginal childbirth.
Other possible causes include hormonal changes at menopause, lifting heavy objects, and being overweight, which adds pressure to the muscles.
When weak pelvic floor muscles fail to support the pelvic organs, they can prolapse or slip down from their normal position. There are three types of pelvic organ prolapse:
Your symptoms depend on the type of pelvic floor disorder.
Urinary and bowel symptoms include:
Pelvic prolapse symptoms include:
Your treatment for a pelvic floor disorder is always customized to the type of disorder and its severity. In many cases, women can improve their symptoms by practicing exercises that strengthen the pelvic floor muscles.
Other treatment options include a range of medications, devices like a pessary, nerve stimulation, and surgical intervention to replace prolapsed organs and rebuild pelvic floor muscles.
To receive personalized urogynecological care, call May-Grant Obstetrics & Gynecology or book an appointment online.