Urology

Urogynecology & Pelvic Floor Disorders

Pelvic floor disorders, which are conditions involving the muscles supporting the bladder, bowel, rectum, uterus, and vagina, are relatively common, affecting about one-third of women in the United States. If you’re experiencing overactive bladder, frequent urinary tract infections, or organ prolapse, you know how much it can impact your quality of life. Childbirth, repeated heavy lifting, chronic disease, or surgery can cause pelvic floor damage.

Urogynecologists — also called female pelvic medicine specialists ¬— help relieve the pain and discomfort associated with these conditions. At NewYork-Presbyterian, our urogynecologists provide comprehensive care to women living with disorders of the bladder, urethra, and pelvis. We offer nonsurgical and surgical approaches for pelvic floor disorders — such as laparoscopic, robotic, vaginal, and cystoscopic procedures — including:

  • Accidental bowel leakage
  • Complications from pelvic mesh surgery
  • Fecal incontinence: inability to control bowel movements
  • Fistulas: abnormal openings between two organs, including urogenital fistula
  • Overactive bladder
  • Labial hypertrophy
  • Painful bladder syndrome/interstitial cystitis
  • Pelvic organ prolapse: when an organ, such as the bladder, uterus, or cervix, sags into the vagina
  • Recurrent urinary tract infections
  • Urethral diverticulum: a pocket that forms under the urethra, where urine can collect and lead to infections
  • Urinary incontinence: trouble holding urine
  • Urinary retention: difficulty emptying the bladder
  • Vaginal and urethral atrophy

Our Approach to Pelvic Floor Disorders

The pelvic region is surrounded by many organs that are important for daily function. Seeing a doctor with experience treating pelvic floor disorders is essential to improving your quality of life and outcomes.

At NewYork-Presbyterian, our board-certified urogynecology are exclusively focuses on the evaluation and treatment of conditions affecting the female pelvic organs and their supporting muscles and tissues. To become board certified, they must receive advanced training in urology and gynecology and undergo additional training throughout their careers to stay abreast of the latest advancements in the field.

Patients can receive care at NewYork-Presbyterian/Columbia University Medical Center or at the Center for Female Pelvic Health at NewYork-Presbyterian/Weill Cornell Medical Center. We also see patients at several locations throughout New York City, and Westchester and Rockland counties.

Therapeutic Approaches

Using the latest diagnostic tools available, our specialists offer nonsurgical and minimally invasive treatment options tailored to the needs of each patient. Our surgeons strive to take the least invasive approach to your treatment whenever possible.

  • Behavior modification training
  • Medications, including topical estrogen for vaginal atrophy
  • Pessary: the placement of a device into the vagina to support the uterus in women with prolapse
  • Pelvic floor therapy
  • Percutaneous tibial nerve stimulation: an office procedure to treat overactive bladder
  • Urethral bulking agents: an office procedure for treating urinary incontinence
  • Botox: an office procedure to treat overactive bladder
  • Sacral neuromodulation to treat certain bladder and bowel problems
  • Minimally invasive surgery, including cystoscopic, vaginal, laparoscopic, and robotic procedures

Next Generation Therapeutic Care through Research

Our understanding of the human form is due in large part to advancements made during clinical and laboratory research. The physicians and scientists at Weill Cornell Medical College and Columbia University College of Physicians and Surgeons are actively engaged in research dedicated to a better understanding of disorders of the pelvic floor. Our participation in the Collaborative Research in Pelvic Surgery Consortium means we can offer new patient-centered therapeutic approaches to pelvic disorders.

Appointments & Referrals

NewYork-Presbyterian has been New York’s No. 1 hospital for 18 consecutive years for a simple reason — we put patients first. It is easier now than ever before to receive high-quality health care from a leader in health care.

Refer a patient

At NewYork-Presbyterian, we treat a diverse patient population with conditions ranging from the most common to the rarest and most complex. Clinicians in private practice or at other hospitals are welcome to refer their patient to NewYork-Presbyterian. Please call 212-305-0114 or 646-962-9600 to arrange a referral.

Urology NewYork-Presbyterian/Columbia

Urology NewYork-Presbyterian/Weill Cornell