Pelvic Health

The pelvic floor is a complex muscle structure suspended between the pelvic bone in the front and the tailbone in the back, forming a sling, or hammock. These muscles, nerves, connective tissues and skeletal structures support the bladder, rectum, uterus and vagina (in women) and prostate (in men). Having a strong pelvic floor is essential for proper bladder and bowel function, comfort, sexual performance, and pelvic stability with movement.

Symptoms of pelvic floor dysfunction may include:

• Urinary Tract: urgency, frequency, leakage, discomfort, difficulty urinating
• Gastrointestinal Tract: low back pain, bloating, rectal pressure, constipation, fecal incontinence
• Genital Tract: pelvic pain, pressure, prolapse, pain during or after intercourse, pain with ejaculation, erectile dysfunction
• Postpartum: lacerations, pain, fecal incontinence

Our Pelvic Health Center conducts a thorough pelvic health assessment to diagnose and treat your condition with the best possible results. The assessment includes:

• The review of your health history
• A physical exam
• Measurements to see if the bladder or uterus have dropped
• A urinalysis
• Ultrasounds to rule out stones or blockages
• Video urodynamic testing to assess bladder function, allowing for more complex measurements and additional visualization

You will be provided with treatment options that are optimal for you and may include:

• Behavior Modification
• Doylestown Health Pelvic Floor Physical Therapy for men and women
• Medication
• Neuromodulation- stimulation of the nerves that enervate the bladder
• Pessary- a device which can be an alternative to surgery for prolapse
• Minimally invasive surgery for stress incontinence
• Botox
• Bladder pacemaker implants - including bladder pacemakers and reconstructive vaginal repairs
• Urogynecologic surgery - minimally invasive, robot-assisted pelvic reconstructive surgery, including urinary incontinence and pelvic organ prolapse procedures

Pelvic health issues can be common after giving birth. But many women are so busy taking caring of their new babies that they do not take care of themselves.

Pelvic issues can have a long-term effect on your health without early intervention. The goal of our Postpartum Recovery Program is to take care of you. Our program provides pre- and post-delivery education through Doylestown Hospital and a path to urogynecologic care, offering solutions for pelvic pain and discomfort.

Symptoms treated include:

• Incontinence
• Sexual dysfunction or pain
• Vaginal scarring

Treatments include:

• Pelvic floor physical therapy
• Surgical options