Urogynecology Care

Bladder issues can occur in women of all ages and include:

• Bladder control problems, including overactive bladder – difficulty managing urine flow, such as urgency and leakage
  Your Questions Answered: What Is an Overactive Bladder?
• Difficulty urinating – problems with initiating or maintaining a steady stream of urine
• Female incontinence – loss of bladder control, including stress and urgency incontinence
• Postpartum incontinence – bladder leakage following childbirth
• Recurrent urinary tract infections (UTIs) – frequent UTIs that may require specialized care
• Painful bladder syndrome (interstitial cystitis) – chronic bladder pain and pressure
• Vesicovaginal and vesicouterine fistulas – abnormal connections between the bladder and vagina or uterus
• Blood in the urine (hematuria) – microscopic or visible blood in urine that may indicate underlying conditions

Pelvic floor disorders are conditions that affect the pelvic floor, including:

• Bladder and vaginal prolapse – weakened pelvic floor muscles leading to organ displacement
• Pelvic organ prolapse – drooping of the bladder, uterus, or rectum into the vaginal space
• Maternal pelvic floor trauma – injury to pelvic structures during childbirth
• Pelvic pain – discomfort in the pelvic region affecting daily activities
• Episiotomy complications – issues related to childbirth incisions
• Pelvic mesh complications – problems stemming from prior mesh implants
• Rectocele – a prolapse in the tissue that provides support between the rectum and vaginal wall

Urethral disorders in women can include various conditions affecting the urethra, such as:

• Urethral stricture – narrowing of the urethra leading to difficulty urinating.
• Urethral diverticulum – pocket formations along the urethra that may cause infections or pain
• Urethral caruncle – small, benign growths near the urethral opening
• Urethrovagin al fistula – unintended connection between the urethra and vagina
• Periurethral masses – rare and difficult to diagnose, the masses are caused by a variety of issues, including urethral diverticula, leiomyomas, vaginal wall cysts, urethral prolapse, and tumors
• Urethral prolapse – when the urethra’s inner lining protrudes, it creates a pink, donut-shaped appearance at the opening

Conditions that may affect a woman’s sexual health include:

• Anorgasmia and sexual dysfunction – difficulty achieving orgasm or experiencing sexual satisfaction
• Painful intercourse (dyspareunia) – discomfort or pain during sexual activity
• Hypoactive sexual desire disorder and low libido – reduced interest in sexual activity
• Persistent genital arousal disorder (PGAD) – uncontrollable genital arousal without stimulation
• Clitoral adhesions and phimosis – conditions affecting the clitoral structure
• Vaginal dryness – often related to hormonal changes or menopause