When to See a Urogynecologist
You should see a urogynecologist when you have bothersome symptoms of prolapse, urinary or bowel leakage, sexual dysfunction, or when your primary care physician or obstetrician/gynecologist recommends consultation with a specialist. Other issues that may prompt you to consult a urogynecologist include the need for special expertise in vaginal surgery. Although your primary care physician or obstetrician/gynecologist may have knowledge about these problems, a urogynecologist can offer additional expertise. We do not require a physician referral to schedule an appointment with one of our providers. If you have insurance, you may want to check with your insurance provider to see if they require a referral to ensure optimal coverage.
Your urogynecologist can recommend a variety of therapies to cure or relieve pelvic floor problems. He or she may advise nonsurgical or surgical therapy, depending on your wishes, the severity of your condition, and your general health. We offer the full range of treatments for pelvic floor disorders and are experienced in vaginal and abdominal approaches to treatment
Pelvic Floor Physical Therapy
We often recommend our patients have follow-up consultations and evaluations with a pelvic floor physical therapist. We partner with a team of physical therapists who specialize in working with women experiencing urinary, bowel and/or sexual problems. Pelvic floor physical therapists have advanced training in working with the musculoskeletal aspects of these diagnoses and are skilled in evaluating and treating the pelvic floor muscles as well as other musculoskeletal structures around the pelvis.
Your pelvic floor therapy may include Kegel exercises to help strengthen the pelvic muscles. Kegel exercises, along with bladder training and modifying fluid intake, are often very successful in treating stress incontinence and urge incontinence.
It may take 4-8 weeks to notice an improvement in urinary incontinence symptoms.
In addition, pelvic floor physical therapists provide behavioral education to help women understand how to develop healthy habits for bladder, bowel, and sexual function. Often times, we find that making small changes in daily routine, nutrition and fluid intake can create significant improvements in function.