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Treatment Options for Incontinence and Other Pelvic Floor Disorders

Many women find ways to cope with incontinence and prolapse on their own. However, when those strategies fail or result in a significant reduction in quality of life, the Women's Pelvic Medicine Center is here to provide a full range of options and, just as important, help alleviate feelings of isolation and frustration.

We offer patients comprehensive medical, educational and surgical services in a comfortable, community setting. With appropriate evaluation and treatment, no woman has to suffer from pelvic floor disorders, including urinary incontinence.

Educational Approaches

Physical Therapy

Our physical therapists use a proactive, manual treatment approach with the goals of minimizing discomfort, expediting recovery, and restoring and enhancing function in her patients.

Medical Approaches

  • Medication therapy (while medication alone rarely cures incontinence, some anticholinergic medications or antidepressants can provide relief in combination with exercise and/or behavioral therapy)
  • Neuromodulation

    Bladder Testing Unnecessary?

    Research from Dr. Charles Nager shows that invasive bladder testing before incontinence surgery may not provide added benefit. Read more or watch a video of Dr. Nager explaining the research.

  • Botox bladder injections

Surgical Solutions

  • Outpatient surgeries, including:
  • Complete pelvic reconstruction

We perform the full spectrum of pelvic floor reconstruction, including vaginal native tissue and grafted repairs, uterine sparing procedures, as well as minimally invasive abdominal approaches such as robotic-assisted surgery repairs.

Robotic Pelvic Floor Surgery

Our specialists use the da Vinci surgical system, which operates though several small incisions and allows for more precision in complex procedures. Our surgeons control the instruments in real time, aided by a high-resolution, 3-D stereo view. This minimally invasive method has several advantages:

  • Less post-operative pain and scarring
  • Lower risk of infection
  • Faster and more complete recovery
  • Shorter hospital stays
  • Less blood loss
  • Quicker return to normal daily activities

Learn more about robotic surgery at UC San Diego Health.



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