Services Provided

At the Center for Urogynecology and Reconstructive Pelvic Surgery, we provide comprehensive medical evaluation of the pelvic floor.

Initial Visit

After obtaining a medical history, our doctor will perform a physical examination. The doctor will then discuss his findings with you and answer any questions you may have.

Following the initial visit, further testing may be required. These may include:

Urodynamic Evaluation

This test gives the doctor a better understanding of your lower urinary tract symptoms and identifies the type of incontinence you may be experiencing. This procedure, performed in the office, involves placing a small catheter in the bladder.

Cystoscopy/Urethroscopy

This is a brief procedure that will allow the doctor to look inside the bladder and urethra using a small camera. Various bladder abnormalities that may cause lower urinary tract symptoms, such as urgency, frequency and hematuria, can be identified using this procedure.

Pelvic Floor Rehabilitation (Biofeedback)

This involves learning to use a pelvic floor trainer, a device designed to improve the strength and endurance of pelvic floor muscle contractions. Electromyography (EMG) is used to detect electrical signals produced by muscle fibers and aid the identification of women with complex pelvic floor dysfunction. Many women will need 2 to 6 sessions to see clinical improvement.

Ultrasound

Used to evaluate the organs in the pelvis (bladder, uterus, ovaries, and urethra) and lower urinary tract, this diagnostic test is a tool for identifying masses or other abnormalities in the pelvis and kidneys.

Intravenous Pyelography (IVP)

X-ray technology is used to examine the lower urinary tract (kidneys, urethra, and bladder). A contrast substance is given through an IV that helps to assess renal blood flow and to detect tumors, kidney stones, or obstructions.

Anal Manometry

A small probe is placed in the rectum to evaluate the strength of the anal sphincter and perineal muscles.

Magnetic Resonance Imaging (MRI)

An imaging device that uses a powerful magnet to stimulate tissues in the pelvis is used to send a signal that produces a 3-dimensional image. The MRI can be used to examine defects in the pelvic floor, bladder, and urethra.

For more information regarding treatment options, please refer to the Non-Surgical Therapies, Surgical Options or Frequently Asked Questions sections.