Pelvic Health & Urogynocology

Urinary leakage is common but highly treatable. Identifying the type of incontinence is the key to choosing the right solution.

Our evaluation and treatment pathway may include:

• In-office diagnostic testing (urodynamics and pelvic ultrasound when indicated)
• Bladder training and behavioral strategies
• Pelvic floor strengthening
• Targeted medications
• Minimally invasive procedures including urethral bulking agents (Bulkamid), and Botox® bladder injections 
• Mid-urethral sling surgery for stress incontinence
• InterStim® neuromodulation or tibial nerve stimulation (Altaviva) for urgency symptoms

Most patients experience meaningful improvement without needing surgery.

Overactive bladder can disrupt sleep, daily routines, and quality of life. We use a structured, step-by-step approach to restore bladder control.

Treatment options may include:

• Bladder retraining techniques
• Dietary trigger management
• Pelvic floor therapy
• Oral medications
• Topical vaginal estrogen (when appropriate)
• Botox® bladder injections
• PTNS nerve therapy
• InterStim® neuromodulation or tibial nerve stimulation (Altaviva) for advanced cases

Our goal is to help you regain confidence and reduce urgency episodes as simply as possible.

Bowel urgency, leakage, and constipation-related pelvic floor issues are more common than many patients realize. We evaluate these concerns thoroughly and treat them with complete discretion.

Care may include:

• Dietary and lifestyle adjustments
• Pelvic floor physical therapy
• Targeted medications
• Solesta® bulking therapy for seepage
• InterStim® neuromodulation for bowel incontinence

Whenever possible, we prioritize conservative care.

Non-surgical options may include:

• Bladder retraining
• Dietary and fluid guidance
• Pelvic floor exercises
• Pelvic floor physical therapy referral
• Vaginal pessary fitting
• Topical estrogen therapy
• Medications for bladder symptoms
• Botox® or nerve stimulation therapies