Pelvic Floor Disorders

What are Pelvic Floor Disorders?

Pelvic floor disorders occur when the muscles and tissues that support the pelvic organs become weak or damaged. Pelvic floor disorders include urinary incontinence, overactive bladder, pelvic organ prolapse, voiding dysfunction, painful bladder syndrome, and recurrent bladder infections.

Risk factors for pelvic floor disorders include:

Age
Menopause
Pregnancy & childbirth
Family history of pelvic floor disorders
Chronic straining or heavy lifting
Obesity
Smoking
Connective tissue disorders
Neurologic diseases & diabetes

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UR Medicine's Treatments for Pelvic Floor Disorders

Our physicians will consult with you to develop an individualized treatment plan. As needed, we help arrange additional consultations with our Urology and Colorectal Surgery Department colleagues to ensure all pelvic floor disorders are addressed for the best possible results.

Nonsurgical treatments include:

Behavioral & functional management
Pelvic floor physical therapy
Pessaries for pelvic organ prolapse and stress urinary incontinence
Medications for overactive bladder/urge urinary incontinence
Treatment of genitourinary syndrome of menopause (vulvovaginal atrophy)
Management and prevention of bladder infections
Treatment of painful bladder syndrome/interstitial cystitis, including medications and bladder instillations
Urethral bulking agent injections for stress urinary incontinence
Advanced treatments for overactive bladder/urge urinary incontinence, including bladder Botox® injections, peripheral tibial nerve stimulation (PTNS), and sacroneuromodulation (InterStim therapy)

Surgical treatment options include:

Laparoscopic, robotic, and vaginal surgeries
Midurethral and pubovaginal slings for stress urinary incontinence
Sacral neuromodulation for overactive bladder/urge urinary incontinence (interStim therapy)
Surgeries for pelvic organ prolapse, including anterior and posterior colporrhaphy, sacrospinous ligament suspension, and sacrocolpopexy
Hysterectomy as part of pelvic organ prolapse repairs when needed
Surgical repair of urinary fistulas and rectovaginal fistulas
Perineoplasty/perineal revision after childbirth tears

Our surgeries are performed with the help of our experienced operating teams at Strong Memorial Hospital, Highland Hospital, and Sawgrass Surgical Center. We schedule nonsurgical treatment and follow-up visits with our physicians and nurse practitioners at our clinical office.

What Sets Us Apart?

We offer the Rochester metropolitan area and surrounding region’s widest variety of nonsurgical and surgical treatment options, from traditional approaches to cutting-edge technology. Our physicians are fellowship-trained and board-certified in Female Pelvic Medicine and Reconstructive Surgery.

As faculty at the University of Rochester Medical Center, we also train the next generation of experts and conduct research to improve clinical outcomes and care for our patients. As leaders in the field, we routinely present and publish our data nationally.

UR Medicine’s Adult Pelvic Health & Continence Care program is one of the few practices in the nation to provide a coordinated, multidisciplinary approach to pelvic health conditions. Our nationally-recognized experts work together to provide a full-spectrum of custom-tailored treatment options for each patient.