Robotic Surgery in Pelvic Floor Disorders

The evolution of pelvic organ prolapse repair and incontinence surgeries has been as notable for its failures as its successes.  Because of the complexity and variability of pelvic organ prolapse problems a universal best surgical solution ...

Fecal Incontinence in Women (Accidental Bowel Leakage)

Fecal incontinence is a problem that is often not addressed, probably in no small part due to embarrassment on the part of the sufferer.  Fecal incontinence is not rare.  One study in 1996 from Illinois revealed ...

Medications for Urge Incontinence and Overactive Bladder

When physical therapy and behavior modifications or environmental modifications fail to address urge incontinence or overactive bladder problems, medications may be an appropriate second-line therapy.  There are several approved medications for the treatment of overactive bladder(OAB) ...

It’s time to take the shame out of prolapse and incontinence

Many years ago the subject of breast cancer was embarrassing to most people.  Few people remember now how mortified women were at the thought of discussing cancer of the (gulp!) BREAST!  It took the bravery of ...

Surgical Treatment of Stress Incontinence

Previous posts have discussed different types of incontinence and how to distinguish one from another. Surgical treatment for stress incontinence is an option many women pursue, either after having an unsatisfactory response to physical therapy or ...

Pelvic floor myofascial pain: It’s not the prolapse. A primer on myofascial pain in the pelvis

I regularly see women coming in for a complaint of pelvic organ prolapse, a “dropped bladder” or “uterine prolapse” who have very little observable in the way of prolapse.  I always try to establish whether or ...

Nonsurgical Treatment for Stress Incontinence

Many women are afraid to discuss their stress incontinence symptoms with their doctor because they fear that their only option for treatment is “that mesh thing”.  In fact, when I see women for stress incontinence problems ...

Incontinence is not just a “leaky faucet”

Urinary incontinence is a common problem, affecting approximately 80 per cent of women at some point in their lives.  Forty per cent of women deal with incontinence regularly.  Many women are either too afraid or too ...

Mesh Use in Pelvic Organ Prolapse Repair

The use of meshes to repair pelvic organ prolapse has generated significant interest in the past few years among members of the medical community, the media, the general public, and of course the legal community.  Ads ...

Surgical Treatments for Pelvic Organ Prolapse

When nonsurgical treatment for pelvic organ prolapse is unsuccessful in alleviating symptoms, or when a woman desires a surgical option for repair, the choices may sometimes be overwhelming.  Depending upon the consultation, all options may not ...

Nonsurgical Treatment for Pelvic Organ Prolapse

Many women are afraid to seek consultation for pelvic organ prolapse because they incorrectly believe that surgery is the only option to treat prolapse.  Surgery for pelvic organ prolapse is certainly an option, but it is ...

Overactive Bladder: First Steps Towards Control

Overactive Bladder:  First Steps Towards Control Eliminate bladder irritants from your diet.  This may include caffeine, alcohol, tobacco, carbonated beverages, artificial sweeteners, and highly spicy (hot) foods.  You may also notice that specific foods or beverages ...