Urogynecology is a subspecialty of gynecology that treats problems related to the pelvic floor, pelvic organ anatomy, and urinary tract function in women. This includes urinary and fecal incontinence, pelvic organ, prolapse genitourinary fistulas, and congenital female genital anomalies.
Many pelvic floor conditions can be managed with minimally invasive therapies with a fast recovery time. We use state-of-art diagnostic equipment, in-office multi-channel urodynamic testing, cystoscopy, and proven therapies.
Urogynecological conditions treated here at NYP Queens include:
- Urinary Incontinence - the involuntary loss of urine, including stress and urge incontinence.
- Pelvic Prolapse - a hernia formed by the uterus/ bladder/ or bowel into or through the vagina.
- Voiding Dysfunction - incomplete bladder emptying, urinary frequency, and painful urination.
- Fistula or Diverticulum - urine collects in a pouch within the urethra, or flows directly through an abnormal tract into the vagina.
- Fecal Incontinence – the inability to control bowel movements, causing stool to leak unexpectedly from the rectum. It ranges from an occasional leakage of stool while passing gas to a complete loss of bowel control.
- Rectovaginal fistula – an abnormal connection between the rectum and vagina resulting in abnormal leakage of feces or gas per vagina, can be the result of surgical or obstetrical trauma
We offer a range of treatment options for patients, including non-surgical and conservative methods, medication therapy and surgical options.
Conservative (Non-Surgical) Treatment
- Pelvic floor behavioral therapy
- Pelvic floor exercises
- Placement of pessary
- Urethral bulking for management of stress urinary incontinence
Medication Therapies Available for the Following Conditions
- Overactive bladder syndrome and detrusor overactivity
- Stress urinary incontinence
- Vaginal reconstructive surgery
- Abdominal reconstructive surgery
- Laparoscopic (minimally invasive) reconstructive surgery
- Pubovaginal slings
- Sacral nerve stimulation
- Robotic-assisted laparoscopic surgery