Urogynecology is a clinical specialty combining obstetrics and gynecology with urology. It focuses on female pelvic health and pelvic floor disorders. Urogynecologists provide surgical and non-surgical treatments for condition such as:

• Bladder conditions including stress incontinence and overactive bladder
• Pelvic floor dysfunction
• Postpartum pelvic floor issues
• Urinary conditions, and
• Pelvic organ prolapse (POP), or vaginal prolapse

What is the pelvic floor?

The pelvic floor is a set of muscles at the bottom of the abdomen which support the organs of the pelvis. Many factors affect pelvic floor health including age, pregnancy and hereditary condition.

Our specialty-trained experts

UF Health's state-of-the-art Pelvic Floor Program (UFPF) brings together a highly trained care team for your pelvic medicine needs. We're experienced in the diagnosis and management of female pelvic floor disorders and pelvic health. Your care team includes various experts including:

• Behavioral health expert
• Gynecologist
• Nutritionist
• Pelvic floor physical therapist
• Pelvic surgeon
• Urogynecologist
• Urologist

Together, they work collaboratively to optimize your pelvic health and help treat your pelvic floor problems.

Conditions we treat

We provide advanced treatments for pelvic floor disorders, such as:

• Constipation
• Fecal incontinence
• Fistulas
• Mesh complications
• Neurogenic bladder
• Overactive bladder
• Overflow incontinence/urinary leakage
• Painful bladder syndromes, including interstitial cystitis
• Pelvic organ prolapse
• Pelvic pain
• Urinary incontinence
• Rectal prolapse
• Recurrent urinary tract infections
• Stress incontinence
• Urethral diverticula
• Urge incontinence
• Urinary incontinence
• Uterine prolapse
• Weak pelvic floor muscles

Non-surgical treatments

• Behavioral and dietary modifications
• Bladder re-training to enhance bladder control
• Pelvic floor physical therapy and rehabilitation to strengthen pelvic floor muscles.
• Pessary fitting and maintenance

Surgical treatments

• Anal sphincteroplasty
• Bladder augmentation
• Fistula repair (vesicovaginal, rectovaginal)
• Hysterectomy (with or without removal of ovaries)
• Labioplasty
• Mesh complication pelvic surgery (to remove previously placed mesh that has resulted in pain or other complications)
• Obliterative procedures (colpocleisis)
• Obstetrical laceration repair/revision
• Pelvic laparoscopy
• Pelvic reconstructive surgery (including vaginal, laparoscopic and robotic surgery) is designed to re-establish pelvic organ support, including the bladder, rectum, uterus or vagina, addressing the root cause of pelvic floor issues. The decision to augment a surgical repair with mesh (either for incontinence or pelvic organ prolapse) is made in collaboration with patients.
• Perineoplasty
• Restoration of normal vaginal caliber
• Sacroneuromodulation (interstim)
• Sling procedures for urinary incontinence
• Sling removal/revision
• Urethral bulking procedure for urinary incontinence
• Urethral diverticulectomy
• Urethrolysis
• Urinary diversion
• Vaginal and uterine suspension procedures, including uterosacral suspension, sacrospinous ligament fixation and sacrocolpopexy

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