Treatments
Our urogynecologists offer a full range of nonsurgical, minimally invasive and surgical treatments for pelvic floor conditions that meets each woman’s needs and goals.
About our program
The selection of treatment may include one or more of the following approaches:
Nonsurgical treatments
- Pelvic floor behavioral modification therapy (for urine or accidental bowel leakage)
- Medical therapy (for overactive bladder, vaginal dryness, or recurrent urinary tract infections)
- Cystoscopic Botox procedure (to treat overactive bladder)
- Bulking agents (for management of stress urinary incontinence)
- Pelvic floor injections/nerve blocks
- Percutaneous tibial nerve stimulation (an office procedure to treat overactive bladder)
- Sacral neuromodulation (to treat certain bladder and bowel problems)
- Pessary fitting (the placement of a device into the vagina to support the uterus and vaginal walls in women with prolapse)
- Management of accidental bowel leakage/fecal incontinence
Minimally invasive surgery treatments
Minimally invasive surgical approaches include cystoscopic, vaginal, laparoscopic, and robotic procedures:
- Vaginal reconstructive surgery to repair vaginal prolapse (cystocele, rectocele, and uterine prolapse)
- Laparoscopic and robotic surgery to repair vaginal prolapse (cystocele, rectocele, and uterine prolapse)
- Surgical management of stress urinary incontinence
- Vaginal Fistula repair
- Urethral diverticulum and vaginal cyst excision
At NewYork-Presbyterian, our experienced urogynecologists collaborate with our highly skilled staff to provide the highest level of care before, during and after surgery.
Long-term management
Our team is committed to giving patients with pelvic floor disorders ongoing care that will enable them to improve their quality of life. Depending on her individual needs, long-term care may include periodic evaluations to review symptoms and to monitor the condition with pelvic examinations. Our compassionate specialists strive to meet each woman’s changing needs throughout her lifespan.
What we treat
We treat all types of pelvic floor problems in women, including:
- Pelvic organ prolapse (when an organ, such as the bladder, uterus, or cervix, sags into the vagina)
- Cystocele and rectocele
- Bladder problems: urinary incontinence (trouble holding urine), urinary retention (trouble emptying bladder), overactive bladder, pain, urinary tract infections (UTIs)
- Fistulas (abnormal openings between two organs, including urogenital fistula)
- Vaginal and urethral cyst/mass or atrophy
- Urethral diverticulum (a pocket that forms under the urethra, where urine can collect and lead to infections)
- Bowel problems and complications from pelvic mesh surgery
Our approach to care
Following pregnancy and childbirth, some women experience pelvic floor disorders, such as changes in bladder function, urinary incontinence and vaginal prolapse, that can significantly affect quality of life. While these symptoms may improve with time, a significant number of women continue to have bothersome changes and long-lasting symptoms.
NewYork-Presbyterian urogynecologists provide compassionate and comprehensive care to women who have recently given birth, treating post-partum pelvic floor disorders with a wide range of non-surgical and surgical treatments that enable women to quickly return to normal functioning.
Why choose us
Expertise in minimally invasive surgery
Our urogynecologists are all fellowship-trained in female pelvic medicine and reconstructive surgery. They have expertise in the latest minimally invasive surgical approaches, such as laparoscopy and robotic-assisted surgery as well as vaginal surgery, to treat the most complex and challenging pelvic floor conditions. Compared to “open” surgery, minimally invasive surgery including vaginal approach result in faster recovery, less pain, less scarring, fewer complications, and shorter hospital stays.
Providing the latest therapies based on urogynecology research
Columbia University and Weill Cornell Medicine clinician-investigators actively participate in urogynecology clinical research networks and are leaders in the professional national and international organizations that establish patient care guidelines, such as the Collaborative Research in Pelvic Surgery Consortium. Our patients benefit from treatments and therapies based on latest advances in urogynecology research. You may be eligible to participate in a clinical trial that is examining new therapies for your condition.