The University of Colorado Urogynecology specialists treat pelvic floor disorders (PFDs), such as incontinence and prolapse, to help restore our patients’ quality of life, as well as to prevent further problems.
Our staff and doctors are aware of the very personal nature of pelvic floor conditions for women. It’s often difficult for women to even ask for help with these issues.
So, while we are uniquely trained and focused on women’s pelvic health, we are also highly attuned to our patients’ sensitivities and needs. Along with the services our providers expertly perform below, women will find us to be caring listeners and dedicated partners in achieving their unique healthcare solutions.
The following is a list of services, procedures and treatments available at CU Urogynecology. Treatments include conservative procedures, such as lifestyle adjustments, as well as complex surgical options.
Services & pelvic floor procedures
Before recommending specific treatments, we may conduct diagnostic tests. The following procedures allow us to better determine the cause of PFDs.
- Cystourethroscopy (a view inside the bladder)
- Urodynamic testing to see how the bladder and urethra function
Behavior and lifestyle modifications
The following services empower patients to take control of their pelvic health by making changes to their diet, lifestyle habits and exercise routines. After a diagnosis we will review techniques and best practices related to each treatment. Patients’ willingness and ability to make these changes are integral to the their long-term success.
- Pelvic floor re-education
- Behavioral modification, including Kegel exercises
- Dietary modification
- Bladder training
Nonsurgical pelvic floor disorder treatments
Nonsurgical pelvic floor disorder treatments may include medication, electrical stimulation or devices to help improve incontinence or prolapse symptoms. These procedures may be the best next steps when lifestyle modifications are not enough.
- Pelvic floor physical therapy
- Neuromodulation (electrical stimulation, PTNS and InterStim)
- Urethral bulking (injections to improve incontinence)
- Urethral reconstruction
- Botox therapy for overactive bladder
- Pessary (vaginal support device) fitting and management
Surgical pelvic floor disorder treatments
Often lifestyle changes, therapy and other nonsurgical services may not be viable or successful in treating PFDs. In those cases, we provide a number of surgical options to correct or prevent further problems. Our urogynecologists are especially qualified and experienced in performing a range of women’s pelvic floor surgeries, such as hysterectomies, vaginal vault suspension, reconstructions and transvaginal mesh removal.
All our surgeries are tailored for the individual patient, including da Vinci robotic surgery, minimally invasive surgery, vaginal approaches and abdominal approaches. Below is a list of our offered surgeries.
Pelvic organ prolapse surgeries
- Sacrocolpopexy (laparoscopic vaginal prolapse repair)
- Vaginal vault suspension (repairs or prevents pelvic organ prolapse)
- Uterosacral ligament suspension
- Sacrospinus ligament suspension
- Colporrhaphy (vaginal wall repair)
- Anterior repair
- Posterior repair
- Perineorrhaphy (plastic surgery for vagina or anus)
- Fascia grafts (tissue grafts to correct vaginal prolapse)
- Robotic surgery & reconstruction (da Vinci surgical system)
- Laparoscopic repair & reconstruction surgery (minimally invasive surgery)
- Vaginal reconstruction
- Hysterectomy (complete removal of the uterus)
- Vaginal hysterectomy
- Abdominal hysterectomy
- Robotic hysterectomy
- Supracervical hysterectomy
- Pubovaginal slings (tissue sling to support the urethra)
- Suburethral sling (mesh sling to support the urethra)
- Tension-free vaginal tape
- Transobturator tape
- Burch colposuspension (stitches that provide urethral support)
- Overlapping anal reconstruction (sphincteroplasty)
- InterStim sacral nerve stimulation or neurostimulation (implanting electrical stimulation device just above tailbone)
- Fistula repair (correcting an abnormal opening between pelvic organs)
Other surgical procedures
- Transvaginal mesh removal (synthetic substance used in previous PFD surgery that can cause complications)