Conditions We Treat
| Bladder pain syndrome / Interstitial cystitis (PDF): Bladder pain or discomfort associated with urinary urgency and frequency
Constipation (PDF): Infrequent or difficult to pass stools Cystocele (PDF): Loss of bladder support resulting in the bladder bulging into the vagina Dyspareunia: Pain with sexual intercourse Fecal incontinence (PDF): Accidental leakage of stool or gas Hematuria: Blood in the urine Overactive bladder (Urinary Frequency or Urgency) (PDF): Symptoms of urinary urgency, frequency, and waking up at night to urinate Pelvic organ prolapse (PDF): Loss of support of the vagina resulting bulging of the pelvic organs into the vagina Pelvic pain: Pain in the vagina, lower abdomen or pelvic area due to various causes |
Perineal wound complications after delivery (PDF): Breakdown or infection of laceration repair or episiotomy
Rectocele (PDF): Loss of rectal support resulting in the rectum bulging into the vagina Rectovaginal fistulae (PDF): Abnormal communication between the rectum and the vagina Recurrent urinary tract infections (PDF): Two or more urinary tract infections in 6 months or 3 or greater urinary tract infections in one year Sexual dysfunction Urogenital fistulae (PDF): Abnormal communication between the bladder and vagina Stress Urinary incontinence (PDF): Involuntary leakage of urine with activities such as coughing, laughing, sneezing, exercise, or position change Urgency Urinary Incontinence (PDF): Involuntary leakage of urine preceded by a sensation of urgency Uterine prolapse (PDF): Loss of uterine support resulting in the uterus bulging into the vagina |
Treatments Offered
Pelvic Organ Prolapse
Loss of normal vaginal support resulting in a sensation of pressure or bulging in the vagina. Treatments include:
- Pelvic floor physical therapy: Conservative and personalized program of pelvic floor muscle strengthening utilizing biofeedback, electromyography, and electrical stimulation
- Pessary: A personally fit silicone device that is placed into the vagina to elevate the pelvic organs and improve bulge symptoms
- Surgery: We offer multiple minimally invasive options for the repair of pelvic organ prolapse. Procedures are individualized based on patient symptoms, anatomy and preferences. These include vaginal reconstruction, laparoscopic, or robotic approaches
Stress Urinary Incontinence
The leakage of urine with activities such as coughing, laughing, sneezing, or changing position. Treatments include:
- Lifestyle modifications: Bladder retraining, fluid management, avoidance of bladder irritants
- Pelvic floor physical therapy: Conservative and personalized program of pelvic floor muscle strengthening utilizing biofeedback, electromyography, and electrical stimulation
- Incontinence pessary: A personally fit device that is placed into the vagina to prevent urine leakage
- Surgical therapy: Procedures include urethral bulking (Bulkamid®), mid-urethral slings, and pubovaginal slings
Urgency Urinary Incontinence
The leakage of urine associated with the strong sudden urge to void that cannot be deferred. Treatments include:
- Lifestyle modifications: Bladder retraining, urge suppression techniques, fluid management, avoidance of bladder irritants
- Pelvic floor physical therapy: Conservative and personalized program of pelvic floor muscle strengthening utilizing biofeedback, electromyography, and electrical stimulation
- Medications: Several medication options which help the bladder relax to decrease bladder spasms and reduce urgency and urge incontinence episodes
- Posterior tibial nerve stimulation: Office-based procedure that involves the temporary placement of an electrode into the lower leg to improve urgency symptoms
- Botox™: Office-based procedure where Botulinum toxin is injected into the bladder to help the bladder relax and reduce urinary urgency, frequency and urinary incontinence
- Sacral Neuromodulation (InterStim™/ Axonics®) : Minimally-invasive, outpatient procedure where a permanent electrode is placed into the back to reduce urinary urgency, frequency and urinary incontinence
RESTORE™*
Premier Urogynecology now offers a pelvic floor therapy program to help patients return to their active lifestyles after childbirth. Call 972.532.3024 to schedule your evaluation today!
Read more about the RESTORE program here.
Products & Services Disclaimer
*Premier Urogynecology of North Texas is an independently owned and operated care center that may promote, sell, or provide pelvic floor therapy services. Privia Medical Group is not responsible for these products or services. Privia’s Authorization & Consent to Treat, Financial Policy and HIPAA Notice of Privacy Practices are not applicable to these services or products.
