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Urogynecology & Pelvic Floor Care

Schedule an appointment: (505) 272-4866

If you’re among millions of Americans with incontinence or ongoing pelvic pain, turn to UNM Health System’s board-certified urogynecologists and certified nurse midwives. Our team specializes in pelvic floor disorders – weakened muscles that sometimes result from childbirth, strenuous activity or disease. Trust us for care that can help you feel like yourself again.

Conditions We Treat

Find a diagnosis and treatment through UNM Health System for the full spectrum of pelvic floor conditions, including:

  • Emptying disorders – difficulty urinating or moving bowels.
  • Fistula – abnormal hole that leaks waste.
  • Frequent urinary tract infections – infections in the kidneys, ureter, bladder or another part of the urinary system.
  • Incontinence – involuntary loss of urine or feces.
  • Overactive bladder – frequent need to urinate.
  • Painful bladder syndrome (interstitial cystitis) – chronic discomfort and pressure.
  • Pelvic organ prolapse – Downward slippage of the uterus, bladder, vagina or another pelvic organ.

Diagnosing Pelvic Floor Disorders

To evaluate your condition, a doctor may request:

  • 3D ultrasound imaging – uses painless, noninvasive sound waves to create pictures of organs and structures in your pelvis.
  • Cystoscopy – uses a tiny tube and lens to examine your bladder’s lining.
  • Urodynamic testing – measures how well your bladder works.

Treating Pelvic Floor Dysfunction

After reviewing your diagnosis, medical history and personal preferences, your doctor will recommend a treatment plan for you that may include conservative measures or surgery.

Conservative Care

When appropriate, your care will begin with one or more of these nonsurgical approaches:

  • Biofeedback – uses sensors and a computer display to show your muscle activity as you practice pelvic floor exercises.
  • Lifestyle modifications – may include Kegel exercises, bladder training, weight loss or other changes.
  • Medications, especially relaxants – ease symptoms of your condition.
  • Physical therapy – provided by specialized therapists who teach exercises to relieve incontinence, reduce pelvic pain and support organs.
  • Pessary clinic – fits you for a small vaginal implant to support a slipping uterus or prevent urine loss.
  • Percutaneous tibial nerve stimulation – sends gentle electrical impulses through a nerve in your ankle to pelvic nerves that control an overactive bladder.

Surgical Procedures

You may benefit from a surgical procedure such as:

  • BOTOX® injection – relaxes the bladder and helps reduce incontinence.
  • Periurethral injection – bulks up tissue around the urethra to help prevent urine loss.
  • Sacral neuromodulation (InterStim® Therapy) – involves implanting a tiny device to gently stimulate nerves that control your bladder and bowels.
  • Sling placement – uses synthetic material to create a hammock under your urethra or bladder to help prevent incontinence.
  • Sacrocolpopexy – lifts and holds the vagina in place with mesh to relieve organ prolapse.
  • Uterosacral ligament suspension or sacrospinous fixation – attaches the vagina to ligaments or other structures higher in the pelvis to treat organ prolapse.

If it’s right for your situation, a surgeon may perform your procedure with a minimally invasive technique that reduces pain and recovery time. Your doctor also might use robotic technology that can move surgical tools more precisely, steadily and fully than human hands.

Call the Women’s Health Clinic at (505) 272-2245 to make an appointment or learn more about how we can help you stay in the best possible health.

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