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The Center for Women's Continence and Pelvic health offers comprehensive treatment options for women with pelvic disorders. In addition to integrating multiple disciplines such as Urogynecology, Female Urology, Colorectal Surgery, Gynecology, Gastroenterology and Physical Therapy, the center offers surgical and nonsurgical options to provide customized quality care to every patient.
- Pelvic Exercises - Pelvic Muscle Rehabilitation. Pelvic exercises can be done anywhere at any time, sitting, standing or lying down. The exercises are designed to strengthen a woman's ability to hold and release urine and stool, and are easily integrated into a person's day.
Many women find it hard to identify and contract these muscles and, therefore, it is necessary that a caregiver makes sure that a woman is doing the exercises properly. Referral to a specialized physical therapist is sometimes necessary to use modalities such as biofeedback and electrical stimulation to optimize improvement. Pelvic floor physical therapy also is intrinsic to improvement in women with pelvic floor dysfunction.
- Pharmacologic Treatments. Patients have many different pharmaceutical options for treating incontinence, including medications taken by mouth and a patch that is applied to the body. They are especially useful for women with overactive bladder symptoms and may also be offered to improve stress urinary incontinence. Women with pain disorders can be trated with neuromodulators and other medications in conjunction with other modalities. Constipation management is important in women with defecation disorders and rectal prolapse.
As with all drugs, side effects and results vary by patient but the pros and cons are discussed in full before prescribing medication.
- Pessaries. A pessary is a device worn in the vagina to support the uterus due to uterine or vaginal vault prolapse and cystocele (bladder) prolapse. Sometimes they can be used to treat stress urinary incontinence and rectoceles. Pessaries come in many shapes and sizes and are placed by a physician according to what will work best for the particular patient.