Frequently Asked Questions

Q: What is urogynecology?
A: Urogynecology is a sub-specialty of obstetrics and gynecology. An urogynecologist is a gynecologist who has additional training and expertise in the diagnosis and treatment of pelvic floor disorders; more specifically, pelvic organ prolapse and urinary incontinence.

Q: What causes prolapse?
A: The uterus, bladder, or rectum can drop into the vaginal canal and even into the vaginal opening when the connective tissues become weak. This condition is referred to as prolapse. (This is analogous to a hernia, which can occur along the lower abdomen due to weakness of the tissue of the lower abdominal wall.) If the bladder has prolapsed, urinary incontinence occurs. Patients experience problems with bowel movements if the rectum is affected.

Q: What causes urinary incontinence?
A: Urinary incontinence – commonly referred to as lack of bladder control – is a common problem in adult women. There are various types of urinary incontinence. Your urogynecologist will evaluate your bladder function in order to determine precisely what is causing your bladder problem. In order to evaluate your bladder function, you may be asked to complete a bladder diary, undergo a full pelvic exam, undergo bladder function testing (urodynamics), or undergo cystoscopy to examine the inside of your bladder. The doctor will recommend treatments based on your needs.

Q: Are there non-surgical therapies for prolapse?
A: At our center, we provide treatment that is tailored to each woman's needs and long-term goals. The results of your evaluation will determine what treatment your urogynecologist recommends. Non-surgical options to choose from include: pelvic floor exercises, intra-vaginal medications, and devices (pessaries) to help elevate vaginal prolapse.

Q: Will the surgery work for the rest of my life?
A: Prolapse is a hernia that occurs in the vagina and re-occurs due to a variety of risk factors. One out of three women undergoes surgical correction more than once in her life. We strive to provide the latest and most progressive surgical treatments, including the use of synthetic graft materials to correct vaginal prolapse. We also offer treatments that are evidence-based and provide the greatest durability based on long-term clinical investigations.

Q: Do I need a hysterectomy to have my prolapse corrected?
A: In most cases, the answer is no. New, minimally invasive techniques allow for the correction of pelvic organ prolapse without the need for a hysterectomy for most women.

Q: Are there any restrictions after surgery?
A: You will not be able to lift anything that weighs more than 10 pounds for a minimum of six weeks. Healing continues beyond six weeks and is not complete until at least three or more months after surgery. New minimally invasive techniques for the correction of vaginal prolapse have greatly reduced post-operative pain, hospital stay and recovery time for many women.

Q: Are there non-surgical therapies for urinary incontinence?
A: Non-surgical therapies include pelvic floor rehabilitation and the use of medications and pessaries. Women who do not desire surgery can also discuss the use of collagen therapy. Collagen is injected into the urethra during this procedure, which is usually performed in a doctor’s office. Please refer to the section about the non-surgical treatment of prolapse for more information.