Urogynecology

Pelvic floor disorders (PFDs), including urinary incontinence, prolapse of bladder or bowel, and fecal incontinence, affect one out of four or 25 percent of women. You can find the professional help you need close to home.

Expert Urogynecology Services Close to Home

If you live with a pelvic floor disorder, choose the expert care, evaluation and treatment from urogynecology/female pelvic floor medicine/reconstructive pelvic surgery specialists at OU Health in Oklahoma City and Tulsa.

At OU Health, you’ll collaborate with a compassionate team of highly trained women’s health providers who take the time to listen to you and gather a detailed medical history. You’ll complete a comprehensive physical exam with any necessary diagnostic testing that supports an individual evaluation. You and your team will work together to develop a personalized treatment plan tailored to your specific situation.

Comprehensive Care for Women’s Urogynecology Conditions

Whether or not you’ve given birth, you may deal with a variety of pelvic health conditions such as:

• Stress urinary incontinence – Leakage of urine with activity
• Problems with urination – Pain, frequency (overactive bladder), incomplete bladder emptying or frequent bladder infections, such as urinary tract infections (UTI) or disorders
• Congenital uterine or vaginal anomalies
• Problems with sexual health – pain, nerve numbness or damage, vaginal dryness, difficulty to orgasm or sexual sensitivity
• Pelvic floor muscle weakening
• Kidney stones
• Genitourinary Syndrome of Menopause (GSM)
• Lichen Schlerosis
• Pelvic floor disfunction
• Pelvic organ prolapse – Feeling of fullness, bulge or pressure in your pelvis or vagina; fallen bladder (cystocele), intestinal bulges or hernias (enterocele, rectocele), uterine prolapse
• Fecal incontinence
• Complications from pelvic floor slings or mesh
• Vaginal stenosis or nonfunctional vagina after cancer treatment
• Vesicovaginal and rectovaginal fistulas

Innovative Urogynecology Diagnosis

When you choose OU Health for urogynecology care, you gain access to the latest diagnostic services and equipment – among the most advanced in the nation – at onsite facilities. You benefit from detailed, up-to-date diagnostic testing such as:

• 3D endoanal ultrasound – Uses high-resolution ultrasound to analyze lower bowel, anus and rectal function
• 3D endovaginal ultrasound – Provides precise composite images of vagina for in-depth analysis of tissues and function
• 3D pelvic ultrasound – Captures detailed real-time views of pelvic organs in motion
• Cystoscopy – Visualizes urinary bladder with a tiny endoscopic camera threaded through the urethra
• Electromyography – Measures electrical or muscle activity in response to nerve stimulation
• Fistulography – Uses contrast dye to follow activity and assess abnormal connections between two organs
• Fluoroscopy – Studies connections among moving body structures using a specialized form of X-ray
• Urethrogram – Uses fluoroscopy to provide a comprehensive view of urinary system
• Videourodynamics – Tests bladder, lower urinary tract and urine flow under pressure or while in motion

Urogynecology Nonsurgical & Surgical Treatment

Once you and your urogynecology care team complete your extensive diagnostic assessment, you’ll work together to determine the best treatment options for your particular circumstances.

Urogynecology Nonsurgical Services

• Nonsurgical options for urogynecology care may include:
• Behavioral and dietary modifications
• Biofeedback for pelvic floor rehabilitation
• Electric stimulation
• Botox® injection for overactive bladder (OAB)
• Medications
• Pelvic exercises
• Pessaries
• Sacral neuromodulation for certain bladder and bowel disorders
• Urethral bulking

Urogynecology Surgery Services

Surgical services may help when pelvic symptoms continue to interfere with your daily activities. Advances in surgical technology mean most procedures use minimally invasive procedures, with laparoscopic or vaginal techniques or some combination, that allow same-day surgery with small incisions and minimal pain and recovery. Procedures include:

• Vaginal natural orifice transluminal endoscopic surgery (vNOTES) – A minimally invasive gynecologic procedure to treat conditions such as pelvic pain, heavy periods or prolapsed uterus. Hysterectomy is the most common procedure performed via the vNOTES technique. OU Health surgeons use specialized tools in the procedure to navigate through the vagina rather than making incisions in the abdomen. vNOTES offers no scars, shorter hospital stay, less postoperative pain, and faster recovery time compared to a laparoscopic procedure.

Your Urogynecology Care Team

Your OU Health urogynecology care team includes board-certified and fellowship-trained urogynecologists. You and your doctor also may work with a nurse practitioner, physician’s assistant and a physical therapist to address all your health care needs.