Urogynecology

What’s a urogynecologist?

A urogynecologist is a doctor who specializes in diagnosing and treating conditions that affect women’s pelvic organs and pelvic floor. The pelvic floor includes the muscles, ligaments, tissues and nerves that help support and control the pelvic organs. Your pelvic organs include your bladder, rectum, uterus and vagina.

Pelvic health experts

Your ProHealth team includes board-certified doctors who have completed fellowships in female pelvic health and reconstructive surgery. They are supported by an experienced team of advanced practice nurse practitioners who have specialized training in caring for women with pelvic floor conditions. You may see a nurse practitioner on your first visit, for diagnostic testing or follow-up care.

Services are available at ProHealth Oconomowoc Memorial Hospital, ProHealth Waukesha Memorial Hospital and ProHealth Medical Group clinics in Brookfield and Mukwonago. Online scheduling is available for all locations.

Care for pelvic floor disorders

Find compassionate care for pelvic floor conditions, including:

• Emptying disorders – Difficulty urinating or having a bowel movement.
• Fecal incontinence – Problems controlling bowel movements.
• Fistula – Abnormal connection or passageway between two organs.
• Pelvic organ prolapse – Weakened pelvic floor, resulting in a hernia.
• Pelvic discomfort – Pain or burning feeling in the pelvis.
• Urinary incontinence – Problems controlling your bladder.

Women’s incontinence care

If you have trouble controlling your bladder, know that you’re not alone. Urinary incontinence affects 30 to 50 percent of women. But it’s not something you have to live with. Talk to your doctor if you:

• Have difficulty emptying your bladder.
• Leak urine when you sneeze, cough, laugh or exercise.
• Need to urinate every hour or two.
• Often feel a sudden, strong need to urinate.

Personalized treatment plan

You’ll appreciate our sensitive, individualized approach to care. Count on your ProHealth urogynecologist to help you understand your condition and explain your treatment options. Then, we'll work together to create a care plan that fits your needs.

Depending on your condition and preferences, your care plan may include:

• Lifestyle and behavior changes.
• Pelvic floor physical therapy – Uses exercises and other techniques to relieve pelvic pain or manage incontinence.
• Biofeedback therapy – Teaches you how to control involuntary body functions such as muscle tension.
• Vaginal pessary – A soft, removable device that supports your pelvic organs. Commonly used for prolapse.
• BOTOX® injections – Relaxes the bladder to treat some types of urinary incontinence, including overactive bladder.
• Sacral nerve stimulation – Improves bladder control using a small implanted device that delivers gentle electrical impulses to a nerve in your lower back.
• Pelvic floor reconstruction surgery – Repairs damaged muscles or tissues.

Minimally invasive surgery

If surgery is the best treatment for you, count on your urogynecologist to use minimally invasive techniques whenever possible. That means you may have less pain, a lower risk of infection, smaller scars and a faster recovery.

Robotic-assisted urogynecologic surgery

Our urogynecologists have extensive training and experience performing robotic-assisted surgeries, including:

• Robotic-assisted hysterectomy – Removes all or part of the uterus and cervix.
• Robotic-assisted sacrocolpopexy – Treats pelvic organ prolapse.
• Robotic-assisted uterosacral ligament suspension – Restores support to the uterus or vagina.