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Female Pelvic Medicine & Reconstructive Surgery (Urogynecology)

One in three women will experience a pelvic floor disorder in her lifetime. This includes conditions such as pelvic organ prolapse, urinary incontinence and defecatory dysfunction. Ochsner urogynecologists offer a wide range of treatments options ranging from minimal lifestyle changes and medication to minor procedures and robotic surgery. What’s more, we do it in a caring, compassionate setting.

On average, women with pelvic floor disorders wait four to six years before seeing a doctor. Why wait another year when, with the help of Ochsner, you can take charge of your life right now?

What is a Urogynecologist?

Urogynecologists have completed a residency in Obstetrics and Gynecology or Urology. These doctors are specialists with additional training and experience in the evaluation and treatment of conditions that affect the female pelvic organs and the muscles and connective tissue that support the organs.

What Do Urogynocologists Treat?

Our team treats problems related to the urinary, bowel, vaginal and sexual functioning of the pelvis and pelvic floor – issues that can follow childbirth or occur naturally with aging.

Some of the common problems treated by an urogynecologist include:

  • urinary incontinence or leakage
  • pelvic organ prolapse (dropping of the vagina and or uterus)
  • overactive bladder

Why Ochsner for Female Pelvic Medicine?

Are you one of the millions of Americans suffering from a pelvic floor disease but are too embarrassed to seek help? Ochsner thinks it’s time that changed.

Our job at Ochsner is to treat your condition in a caring and compassionate setting. The team at Ochsner has the training, experience, equipment and talent to make that possible.

Ochsner offers a variety of treatment options, both non-surgical and surgical. One of the top reasons women with prolapse come here for treatment from all over the Gulf South is because our team employs cutting-edge, minimally invasive approaches to surgery including vaginal, laproscopic or robotic options, based on what best suits the patient’s needs.

Our outcomes reflect that experience. Our program receives referrals from throughout Louisiana and across the Gulf South region, serving patients in that whole area and growing the treatment options that are available for women.

Another reason for the success of our program is our personalized approach to care. At Ochsner, we treat each of our patients with respect and dignity. Pelvic floor disorders are more common than some types of women’s cancer and we want women to know that they do not need to suffer alone.  

What To Expect During Your Visit

Your first visit will begin with a review of a list of questions available to you ahead of time through your MyOchsner account. These questions will ensure that you don’t forget to tell your doctor about any little symptoms you might have experienced. When you make your appointment, you’ll be given instructions on how to access these questions through your MyOchsner account.

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Conditions We Treat Include:

  • Stress Incontinence - Approximately 1 out of 3 women over the age of 45, and 1 out of every 2 women over 65 have sudden urinary incontinence (SUI) Some women may have leaking urine with common activities such as sneezing, laughing and coughing. This is known as stress incontinence.
  • Urge Incontinence or Overactive Bladder (OAB) - OAB occurs when a woman feels a sudden “gotta go, gotta go” feeling. Often, she is not able to make it to the bathroom on time. An urogynecologist can address these issues and discuss your treatment options.
  • Fecal Incontinence - Fecal incontinence (also called defecatory disorder) can range from an occasional loss of gas to a complete loss of bowel control. This condition can be caused by aging, vaginal childbirth, diet and other factors. While it can be embarrassing and isolating, there are solutions. Now is the time to find out if we can help.
  • Pelvic Organ Prolapse - Pelvic organ prolapse is the descent or "drooping" of the pelvic organs. A woman may feel like everything is "falling out.” This could be the uterus, front or back vaginal walls or the top of the vagina after a hysterectomy. Prolapse is a very common problem that can be treated in several different ways, including vaginal and abdominal approaches.

Tests We Offer

  • Urodynamics – Assesses the function of your lower urinary tract. Usually takes about an hour and is conducted in our urodynamics suite.
  • Cystoscopy – Uses a lighted flexible telescope to look inside your bladder for inflammation or other abnormalities.
  • Ultrasound – Gives us an image of your pelvic organs or the muscles of your pelvic floor.
  • Manometry – For patients with bowel leakage. Determines the resting and “squeeze” pressure in your rectum and anal canal. 

Treatments/Devices We Offer:

  • Vaginal Pessary – A rubber or plastic device that supports the pelvic floor and helps maintain support for the prolapsed organ.
  • Tibial nerve stimulation – A 12-week neuromodulation program to treat symptoms of overactive bladder (OAB).

Surgeries We Offer:

  • Anterior colporrhaphy
  • Bladder Botox injection
  • Burch colposuspension
  • Cystoscopy and hydrodistention for painful bladder syndrome
  • Enterocele repair
  • Fascial slings
  • Insertion of InterStim® device
  • Obliterative vaginal procedures
  • Open abdominal sacrocolpopexy
  • Posterior colporrhaphy
  • Rectocele repair
  • Placement of InterStim® device for fecal incontinence
  • Sacral Colpopexy (robotic or laparoscopic)
  • Sacrospinous ligament fixation
  • Sphincteroplasty
  • Surgery for correction of urethral diverticulum
  • Surgery for correction of rectovaginal fistula
  • Surgery for correction of vesicovaginal fistula
  • Surgery for removal of vaginal mesh material
  • Tension-free vaginal tape (TVT) surgery
  • Urethral bulking agents
  • Uterosacral ligament suspension (vaginal, abdominal or laparoscopic)

Transvaginal Mesh: What Women Need to Know

For more information and resources around the latest news about transvaginal mesh, view this online resource and discuss this topic with your physician.