Specialized care for women with pelvic floor disorders

Baylor Scott & White – Greater Austin Region now has a fellowship-trained urogynecologist who is excited to offer comprehensive treatment of female pelvic floor disorders.

You should see an urogynecologist when you have pelvic floor problems, like prolapse, troublesome urinary or fecal incontinence, or when your doctor recommends a consultation. 

Pelvic floor conditions treated

Pelvic floor disorders are caused by weakening of the pelvic floor muscles, ligaments and connective tissues leading to conditions such as prolapse, urinary and fecal incontinence, bowel emptying disorders, overactive bladder, fistulas and pelvic pain.

These pelvic floor disorders can be caused by childbirth, menopause, repeated strenuous activity, chronic disease or pelvic surgery—they may even be related to genetics. These pelvic floor disorders can greatly affect your quality of life and prevent you from participating in many activities due to fear of an accident or discomfort.

  • Pelvic organ prolapse: descent of pelvic organs, a bulge or pressure
  • Incontinence: loss of bladder or bowel control, leakage of urine or feces
  • Emptying disorders: difficulty urinating or moving bowels
  • Pain: discomfort to the lower back, pelvis or bladder and/or urethra, vulvar pain
  • Overactive bladder: frequent need to void, urgency and urge incontinence
  • Fistulas: abnormal connection between the vagina and rectum or bladder
  • Female sexual dysfunction
Pelvic floor treatment
​​​​​​​​​​​​​After the appropriate evaluation, patients with pelvic floor conditions are offered a personalized care plan that is tailored to their lifestyle and goals.
Non-surgical pelvic floor treatment options

After a thorough evaluation, the urogynecologist will advise you on conservative (non-surgical) or surgical therapies depending on the severity of your pelvic floor condition, general health and personal goals.

This customized approach to pelvic floor treatment allows for the best outcomes and allows you to choose the option that will work best for your lifestyle and help improve your quality of life.

  • Medicamentos
  • Pelvic exercises
  • Behavioral and/or dietary modifications
  • Vaginal devices (also called pessaries)
  • Pelvic floor therapy and biofeedback may also be recommended by your urogynecologist
Surgical treatment options

Pelvic floor surgery treatment options include, but are not limited to:

  • Vaginal
  • Laparoscopic and robotic-assisted prolapse repair
  • Urethral diverticulectomy
  • Midurethral slings
  • Sacralneuromodulation
  • Bladder Botox

Expert pelvic floor care from a urogynecologist

A urogynecologist is a surgeon who specializes in the care of women with pelvic floor disorders. Urogynecologists are physicians who have completed medical school and residence in obstetrics and gynecology (OBGYN) or urology.

These women's health physicians then become specialists with additional years of fellowship training and certification in female pelvic medicine and reconstructive surgery.

Through fellowship, urogynecologists become experts in the evaluation, diagnosis and treatment of conditions known as pelvic floor disorders.

Meet your pelvic floor doctor:
Erin Dougher, DO

Dr. Erin Dougher treats patients at Baylor Scott & White Health facilities in Round Rock and Austin. 

She strives to provide an honest, comprehensive and compassionate approach to healthcare for women, and takes the time to listen to patients to ensure she is making every effort to partner with her women's health patients to make a plan that is specific to their lifestyle and goals.

Dr. Dougher personalizes her treatment options based on each individual patient and provides the same care she would for her own family member.

Learn more about Dr. Dougher