Pelvic floor disorders

Your pelvic floor is the group of muscles supporting your pelvic organs. It sits between your hipbones. Both men and women have pelvic floors, but women have problems there more frequently. We understand that pelvic floor disorders can be painful and uncomfortable to live with, and difficult to discuss.

Our pelvic floor specialists can provide the trusted care you need. We can help relieve the discomfort of living with incontinence, pelvic organ prolapse and other pelvic floor disorders.

What you should know about pelvic floor disorders:

  • In women, the pelvic floor supports the uterus, bladder, bowel, vagina, cervix and rectum, helping these pelvic organs function properly. Sometimes the pelvic floor muscles are thought of as a sling. Pelvic floor disorders develop when this sling weakens.
  • More than a third of all women and more than half of those 80 and older will have a pelvic floor disorder. Nearly one in five women will need surgery to repair a pelvic floor disorder by the time they’re 85.

Why choose Geisinger for your pelvic floor disorder care? 

  • Coordinated, specialized care: We’ve brought all the specialists treating the pelvic area together to work collaboratively in our Female Pelvic Medicine Reconstructive Surgery Center. This coordinated effort provides you with focused and dedicated care for all issues related to pelvic floor disorders. Our providers include:
    • Urogynecologists, OB/GYNs specially trained in female pelvic floor disorders
    • Urologists
    • Colorectal surgeons
    • Physical therapists
  • Dedicated care for a range of challenges: Our highly skilled urogynecologists treat all pelvic floor issues, from the most common to the most serious and complex. Some of the disorders we treat include:
    • Bladder pain syndrome (interstitial cystitis): pain and discomfort in the bladder and surrounding pelvic region
    • Incontinence in women (fecal and urinary): loss of control over bladder or bowel function, causing urine or stool to leak
    • Overactive bladder: constant urge to urinate, often accompanied by the loss of bladder control
    • Pelvic organ prolapse: weakened pelvic floor allows your pelvic organs to fall or press against your vagina
  • Emotional support and care: Pelvic floor disorders can be embarrassing to discuss. But you don’t have to feel awkward or alone. Our behavioral health experts specialize in women’s health issues and can offer comfort and support for your unique challenges.

Treatment options

Our highly trained pelvic floor providers can treat your issue with expertise and sensitivity.

  • BOTOX® detrusor injections : a drug injected into the bladder to help relax and increase the bladder’s storage capacity
  • Cystoscopy : a procedure that provides a detailed view of the bladder and urethra
  • Percutaneous tibial nerve stimulation : A treatment that deliver electrical pulses to the nerve that control the bladder that are not working correctly.
  • Vaginal pessary : a flexible device that can be placed in the vagina to help reduce or eliminate stress incontinence
  • Urethral bulking for intrinsic sphincter deficiency : is an injection used to treat stress urinary incontinence

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