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Pelvic Floor Disorders (Urogynecology)

Pelvic floor disorders can be painful and embarrassing. Miami Valley Hospital (MVH) physicians understand the complexity of these issues and bring years of experience and expertise to our patients. Our physicians will help you understand your pelvic floor disorder symptoms and treatment options.

Symptoms

Symptoms of pelvic floor disorders tend to be more noticeable when women are standing, straining or coughing. For some women, sexual intercourse can be uncomfortable or even painful.

Pelvic floor disorders include:

  • Feeling of incomplete urine or rectal emptying
  • Fibroid tumors 
  • Frequent urination at night
  • General pelvic pain
  • Hesitancy in urination
  • Ovarian cysts 
  • Painful defecation
  • Painful intercourse
  • Painful periods
  • Painful urination
  • Recurrent urinary tract infections 
  • Recurrent vaginal infections and/or discharge
  • Sagging bladder, rectum, uterus and/or intestine (prolapse)
  • Urine frequency/urgency
  • Urine leakage (incontinence)
  • Vulvar pain

Diagnosis

Doctors can usually diagnose pelvic floor disorders by performing a pelvic examination; however, in some cases a magnetic resonance imaging (MRI) is necessary. Our team of skilled surgeons is dedicated to bringing patients lasting relief from incontinence or other pelvic floor disorder complications. We don’t just treat the symptoms; we also treat the underlying causes with surgical intervention and/or outpatient therapy.

At MVH, our goal is to provide diagnostic therapies tailored to your pelvic floor disorder needs. We keep you informed about your condition, allowing you to make educated decisions and take control of your individual situation.

Your evaluation may include:

  • First office visit - Consists of an interview and consultation, a physical and pelvic exam, and possibly additional tests.
  • Urine testing - Detects infection, inflammation, blood or other underlying kidney problems.
  • Cystoscopy - A common, in-office test that enables your doctor to look directly inside the bladder using a small camera inserted through the urethra. This test detects inflammation, stones or tumors.
  • Urodynamic testing - An in-office test that evaluates the bladder’s function. These tests are particularly useful for women with incontinence or frequent urination.
  • Electrodiagnostic testing - A test for nerve function of the pelvic floor. This test determines the pelvic floor’s muscle response to a series of small electrical impulses.

Treatment

MVH is home to an experienced and specially trained team dedicated to comprehensive pelvic floor disorder treatment. Our physicians can diagnose your disorder and discuss your best treatment options based on your individual symptoms and age.

Our physical therapists are specially trained in conservative management of pelvic pain and dysfunction, evaluation and treatment. Your individual treatment plan may consist of:

  • Pelvic floor muscle training
  • Manual therapy techniques
  • Behavior re-education
  • Bio-feedback
  • Electrical stimulation

To refer a patient to the Incontinence and Pelvic Pain Program, call the SureCare Therapy Clinic in Springboro at (937) 208-7150 or Miami Valley Hospital South at (937) 438-7711.

How Lifestyle Changes May Help

Lifestyle changes, including those below, can help relieve symptoms and help prevent them from recurring.

  • Quit smoking - Smoking can lead to a chronic cough that strains pelvic floor muscles. Smoking may also damage the bladder and urethra.
  • Maintain a healthy weight - Excess weight puts extra pressure on the pelvic floor muscles. Regular exercise and a well-balanced diet will help you maintain a healthy weight.
  • Avoid foods that increase urination - Some foods, such as alcohol and caffeinated drinks, may cause increased urination. Ask your doctor about diet changes that may be helpful for you.
  • Kegel Exercises - Kegel exercises are an effective way to strengthen your pelvic floor muscles. They are easy to learn, simple to do, and can be done almost anywhere. Your doctor, nurse or physical therapist can answer any questions you may have about Kegel exercises.

Learn more about gynecologic health.

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