Urogynecology

Urogynecology is a specialized field of gynecology and obstetrics that deals with female pelvic medicine and reconstructive surgery. Urogynecologists are doctors who diagnose and treat pelvic floor conditions such as weak bladder or pelvic organ prolapse (your organs drop because the muscles are weak), overactive bladders, reproductive issues, and bladder or rectal incontinence (the loss of control when going to the bathroom). Urogynecologists perform evaluations, diagnose, and treat patients.

Your treatment plan will depend on the problems you’re having and their cause. Common treatments are:

Medications

Although not all incontinence issues call for medications, some do. Likewise, other pelvic floor conditions might benefit from treatment with medication. 

Injections

For bladder control issues and other incontinence issues, “bulking agents” can be used to help. Urogynecologists can do injection procedures with local anesthesia, outpatient, or in the office. 

Pelvic Floor Muscle Training

Exercises called Kegels can help with issues like prolapse. Kegel exercises involve squeezing and relaxing the muscles within the pelvic floor. Optimal Health offers help with Kegels with Emsella. This chair is like doing 1,000 Kegels in 30 minutes. Emsella enhances pelvic floor strength far beyond what most people can achieve with regular Kegels, making it a convenient and effective option, especially for those who struggle with doing Kegels correctly or consistently.

Nerve Stimulation

Similar to acupuncture, nerve stimulation treatments can help an overactive bladder. 

Surgery

The urogynecologist may suggest surgery as well. These include:

• Vaginal wall repair 
• Bladder installations
• Uterus removal 
• Bladder control surgery