Specialized treatment for complex pelvic floor disorders

Pelvic floor disorders, such as urinary incontinence or overactive bladder, can make life quite uncomfortable at times. You may skip activities you enjoy for fear of having an "accident." Pelvic floor dysfunction can not only affect your health and well-being, but also your quality of life.

Andrews Women's Hospital at Baylor Scott & White All Saints – Fort Worth has urogynecologists who have received specialty board certifications in female medicine pelvic and reconstructive surgery, which means extra training in the evaluation and treatment of women with complex disorders of the pelvic floor.

A urogynecologist is an OBGYN surgeon who specializes in urinary and fecal incontinence and pelvic floor disorders. The pelvic floor is made up of ligaments and muscles—including the cervix, vagina, uterus, bladder, urethra and rectum—that help control urinary and bowel function.

Urogynecology conditions treated in Fort Worth

  • Incontinencia urinaria
  • Incontinencia intestinal
  • Prolapso de órganos pélvicos
  • Bladder pain syndrome
  • Dolor pélvico
  • Back pain (lower)
  • Cistitis intersticial
  • Female sexual dysfunction
  • Vulvodynia

Surgical and non-surgical treatment options

We offer various surgical treatment options to treat pelvic floor disorders in Fort Worth.

OBGYN physicians who specialize in urinary and fecal incontinence and pelvic floor disorders will determine which procedure is best for you upon diagnosis and evaluation. This customized approach to treatment allows for the best outcomes and will let you resume your normal lifestyle as soon as possible.

Surgical options offered include, but are not limited to:

  • Sacrospinous
  • Posterior colporrhaphy
  • Transvaginal sling
  • Colpopexy abdominal
  • Vaginal mesh removal
  • InterStim®
  • Cistoscopia
  • Botox and collagen therapy
  • Vaginal and abdominal hysterectomy
  • Paravaginal defect repair abdominal
  • Paravaginal defect repair ligament fixation

Non-surgical options

Not every urinary or pelvic floor disorder requires a surgical solution.

After the appropriate evaluation of bladder function and pelvic organ prolapse, patients are offered a variety of non-surgical options including:

  • Pelvic muscle physical therapy
  • Pelvic muscle exercises and classes
  • Medicamentos orales
  • Vaginal support devices
  • Behavior modification
  • Hormonal therapy

Pelvic floor physical therapy and exercise classes

La debilidad y la tensión de los músculos del piso pélvico contribuyen al dolor pélvico y la incontinencia. Los problemas de alineación postural y articular pueden impedir que sus músculos funcionen de manera óptima para usted.

Pelvic floor physical therapy may be able to help you if you’re experiencing:

  • Incontinencia
  • Pérdida del control de la vejiga
  • Pérdida del control intestinal
  • Prolapso de órganos pélvicos
  • Micción frecuente
  • Estreñimiento
  • Pain with sitting
  • Dificultad para vaciar la vejiga
  • Pain with orgasm
  • Pain during pelvic exams
  • Disfunción sexual
  • Pain during intercourse
  • Dolor pélvico
  • Pain during or after pregnancy

Pregnancy and low back or pelvic pain

Pregnancy and childbirth can cause overstretching of pelvic floor and abdominal muscles, resulting in low back and pelvic pain.

If you meet these criteria, pelvic floor therapy may help:

  • Forceps or a vacuum were used during delivery
  • Third or fourth degree vaginal repairs
  • Birth of multiples
  • If you have been pregnant more than two times