Your pelvic health. Your quality of life.

Leaks? Discomfort? Pain?

Uncomfortable urinary and pelvic issues don’t stand a chance with help from our expert care teams and a variety of diagnostic services and treatment options.

Very Common. Very Treatable.

UW Medicine offers a range of non-surgical and surgical services to help you find relief from common issues affecting women.

When It’s Complicated

Sometimes surgery is the best option to correct a pelvic disorder. Our specialists in urology, urogynecology, colorectal or pelvic reconstructive surgery will create a treatment plan tailored to your needs.

Some of our common services:

Your care is tailored to your needs with diagnostic testing that effectively evaluates and carefully assesses your medical issues:

  • Comprehensive pelvic exams
  • Cystoscopy
  • Bladder residual assessment
  • Multichannel urodynamics
  • Fluoroscopy and MRI defecography
  • Pelvic floor ultrasound
  • Anorectal manometry
  • Electromyographic pudendal nerve testing
  • Peripheral nerve evaluation for neuromodulation
  • Gastrointestinal motility and functional studies

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The pelvic floor is a group of muscles and their surrounding tissue that forms a sling or hammock across the pelvis and holds the pelvic organs in place so that they can function correctly. A woman’s pelvic organs include the uterus, cervix, vagina, bladder, urethra, small intestine and rectum.

Do you experience urinary leaks with sneezing, laughing or physical activity, or have sudden urges to go but can’t hold it? You’re not alone. Urinary Incontinence in women is very common. In fact, close to 40 percent of women experience it. Take heart: There are lifestyle changes and medical treatments that can stop urinary incontinence.

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Women sometimes lack voluntary bladder control due to a nerve problem. The bladder muscles either become flaccid or "floppy," losing strength and unable to contract and empty; or they become spastic or "hyperactive," contracting automatically and causing accidental urination. This is called neurogenic bladder, and it can be managed.

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If you haven’t had a bowel movement in over three days or pass hard stool with difficulty or pain, consider yourself constipated. Don’t worry, though. It usually lasts a short time, and there are many things you can do to relieve and prevent constipation.

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Feeling the urge to have a bowel movement but being unable to control it can be nerve-wracking. Many who have fecal incontinence don’t tell their doctors because they’re ashamed or believe there’s no remedy. But millions of people have this problem, and there are many effective treatments for it.

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Feeling pressure or a sense of fullness in your pelvic area? Having urination or bowel movement problems? These are some common symptoms women experience with pelvic organ prolapse. That’s when pelvic organs drop from their normal position due to weakness of or damage to pelvic ligaments, connective tissue and muscles.

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Occurring in the lower abdomen area, pelvic pain usually stems from a minor gynecologic disorder related to the menstrual cycle. Sometimes a minor disorder can lead to inflammation and infection of the abdominal cavity, which can be serious. If you’re experiencing pelvic pain, meet with our care team.

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Many women experience sexual dysfunction at some point in their lives. Problems with pain, desire, arousal or orgasm may have physical, psychological or pharmacological causes. If your problems last more than a few months or cause distress for you or your partner, come meet with our care team.

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Many routine pelvic floor conditions can be resolved nonsurgically. Our comprehensive offering of nonsurgical treatments includes:

  • Bladder and bowel retraining
  • Physical therapy for the pelvis and pelvic floor
  • Rehabilitation and biofeedback
  • Percutaneous tibial nerve stimulation
  • Medications
  • Pessaries

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Sometimes surgery is the best option to effectively treat a complicated pelvic floor disorder. Our comprehensive offering of surgical treatments includes:

  • Sling and suspension procedures for urinary and fecal incontinence
  • Urethral and anal sphincter bulking agents
  • Bladder Botox
  • Neuromodulation
  • Artificial urinary sphincter
  • Pelvic organ prolapse reconstruction (including minimally invasive, laparoscopic and robotic)
  • Diverticulectomy
  • Vesicovaginal and rectovaginal fistula repairs

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Inform yourself to make the best choices for your health and care with UW Medicine patient education resources.

Get informed

One way to regain bladder control is with bladder retraining. This involves going to the bathroom at set times before getting the urge to urinate, then slowly increasing the time between set bathroom trips as you gain more and more control of your bladder.

Keeping a daily record of your fluid intake and urinary output can help you and your physician assess the frequency of your incontinent episodes and urinary urgency. It can also single out factors that contribute to your incontinence, such as specific types of beverages or physical triggers.

Certain foods and beverages can increase your frequency and urge to urinate by irritating your bladder. Irritation may also cause bladder spasms and lead to urine leakage. Try eliminating irritating foods or replacing them with alternatives. Once your health improves, reintroduce the culprits into your diet one at a time.

You can develop better bladder control and reduce or even stop urine leakage by strengthening your pelvic floor muscles. Kegel exercises target the muscles around the vagina, urethra and rectum, which are used to stop a stream of urine. You can do Kegels anytime while sitting, standing or lying down.

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Condition Spotlight

Pelvic inflammatory disease

Overview

Pelvic inflammatory disease or PID is an infection of a woman’s reproductive tract. It can affect the uterus, fallopian tubes and ovaries. Scar tissue grows between internal organs leading to ongoing pelvic pain. It can also lead to ectopic pregnancy. If left untreated, PID can lead to chronic infection or infertility.

Symptoms

The most common symptoms of PID include: pain and tenderness spread throughout the lower part of the belly, pelvic pain, increased foul-smelling vaginal discharge, fever and chills, vomiting and nausea, pain during urination, belly pain (upper right area), and pain during sex.

Risk factors

Women of any age can get PID. Those at greater risk of PID from sexually transmitted bacteria include: women under 25 who are sexually active, women of childbearing age and women who use intrauterine devices (IUDs).

Causes

Bacteria cause PID, and they are often the same type of bacteria that causes sexually transmitted diseases (STDs). PID may also develop if bacteria travel through the vagina and the cervix from the use of an intrauterine device (IUD).

Diagnosis

Your healthcare provider will do a medical history and a physical and pelvic exam. Other tests may include an exam of vagina and cervix samples under a microscope, blood tests, pap test, ultrasound, laparoscopy and culdocentesis.

Treatment

Antibiotic pills are used to treat PID, especially if it’s due to a STD. For severe infection, you may need to stay in the hospital for intravenous (IV) antibiotics. Sometimes, surgery is needed.

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