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Therapies & Treatments

Physical Therapy

Specially trained therapists guide a patient through instruction of exercises that specifically target the pelvic floor muscles for strengthening.

BioFeedback

BioFeedback uses computer graphs or lights as a teaching tool to help a patient identify and learn to control the correct muscles by helping the patient locate the pelvic muscles by changing the graph or light when the right muscle is squeezed or tightened.

In women, a small probe is inserted into the vagina (similar to a tampon). In men, and sometimes in women, an even smaller probe is inserted into the rectum. This probe senses the muscle activity. Sometimes surface electrodes (sticky patches) are placed around the outside of your rectum instead of using a probe.

Sacral Nerve Stimulator (Interstim®)

This is an FDA approved outpatient treatment for patients who have failed conservative therapy for symptoms or urinary urgency, frequency, and nonobstructive urinary retention. It is performed in two stages where an electrode is placed through an existing opening in the sacrum. A testing period of a few days to few weeks is completed to ensure that the device works for the patient. If it does, then an internal generator is placed, and if it does not, the lead is simply removed.

Sling procedures

Typically used for patients with urinary incontinence due to exertional activities. There are a number of variations, but it typically involves the placement of a synthetic mesh to support the urethra. This is performed in a minimally invasive fashion and is often done on an outpatient basis.

Urethral Bulking Agent

An in-office or outpatient procedure where an agent is injected transurethrally to improve coaptation of the lining of the urethra to treat urinary incontinence.

Prolapse Repairs

Prolapse repairs can be performed transvaginally, transabdominally, laparoscopically, or robotic assisted, depending on the patient’s symptoms, anatomy and overall health. The other options include simple observation, or the use of a pessary.

Treatment of Operative Complications

Some patients have already undergone surgery for prolapse or incontinence and are having complications, recurrence of symptoms or other difficulties.  We welcome these patients, and provide specialized care for their individual needs.