Women’s Health

1 in 3 women are affected by pelvic floor disorders, including bladder conditions or prolapse that may impair their comfort and quality of life.

We offer state-of-the-art diagnostic and expertise to help you identify the optimal treatment plan from conservative treatment with lifestyle changes, physiotherapy to minimally invasive vaginal or Robotic Surgery.

We Treat

• Cystocele / Rectocele / Enterocele
• Stress Incontinence
• Urge Incontinence
• Mixed Incontinence
• Overflow Incontinence
• Postpartum Pelvic Floor Dysfunction
• Recurrent Urinary Tract Infections
• Urethral Diverticulum
• Vaginal Cysts
• Painful Bladder Conditions / Interstitial Cystitis
• Sexual Dysfunction

Intersticial Cystitis

This is a condition in which the walls of the bladder become inflamed and may cause frequent or painful urination, bladder pressure, pain in the bladder or sometimes in the entire pelvic region. Both men and women can get painful bladder syndrome, although women more likely than men. It can occur at any age, but it is most common in middle age. It is often characterized by pain in the bladder that lasts longer than 6 weeks and it is not attributed to any specific cause. Often time patients feel like they have a urinary tract infection that comes and goes. The diagnosis and the treatments may be challenging and includes lifestyle changes, dietary modification as well as pelvic floor therapy. Medications that either relax, or numb the bladder are also available.

Pelvic Prolapse

Pelvic organ prolapse can occurs when a woman’s muscles, skin, ligaments and other support structures surrounding the vagina weaken, causing pelvic organs such as the bladder to fall out of their normal position. There are different types of prolapse, named after the organs that are shifting within a women’s pelvic area. Types of prolapse include vaginal prolapse or bladder prolapse.

Typically, pelvic organ prolapses affect older women who have had children other risk factors for prolapse include: age, genetics, chronic constipation, or excessive straining with weight lifting.  All of these factors may cause weakening of the pelvic floor over time. 

There are several options to treat prolapse and your doctor will recommend the best course of action based on the severity of the conditions. Pelvic floor therapy or a pessary are non-invasive measures that are often tried first. If those treatments are not effective, minimally invasive, vaginal endoscopic or laparoscopic/robotic surgery are available to repair the prolapse.

Urinary Incontinence

Urinary incontinence is common in women, with up to one third of the population experiencing symptoms.

There are several types of incontinence including:

• Stress Urinary Incontinence (SUI) which results in the loss of urine when an individual is laughing, coughing, sneezing, lifting heavy objects or participating in activities. This type of incontinence is due to the weakening of the pelvic floor and/or hypermobility of the urethra.

• Urgency Incontinence (UI) is another type of incontinence. The characteristic for this type of incontinence include, increased frequency and urgency. Often women need to get up in the night to go to the bathroom = nocturia. The cause is an often time an overactive bladder.

• Mixt: Not infrequently both type SUI and UI can be present at the same time.

• There are various treatments available for urinary incontinence ranging from lifestyle changes, physiotherapy, medication, botox injection or neurosimulator implantation as well as minimally invasive surgery such as urethral sling.