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.
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.
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.