Conditions and Treatments
Break Free from Pelvic Floor Disorders
View the slides from a recent presentation about pelvic floor disorders (pdf)
The UW Health Women's Pelvic Wellness Clinic in Madison, Wisconsin, is a unique, multidisciplinary program that combines the expertise of specialists with a common focus on the diagnosis and treatment of pelvic floor disorders.
As the only program in Wisconsin to combine urology, obstetrics and gynecology and colorectal surgery, our program delivers an integrated, one-stop clinic for diagnosing and treating all pelvic health needs.
The UW Health Women's Pelvic Wellness Clinic was designed with the patient experience in mind and offers accurate diagnosis and individualized treatment options in a single location, bringing UW Health specialists to the patient to provide seamless, patient-centered and compassionate care. Patients will have the opportunity to see specialists who are fellowship trained and board-certified in female pelvic medicine and reconstructive surgery. Physical therapists, gastroenterologists and colorectal surgeons may also be seen depending on your condition and treatment plan.
As the population ages, it is projected that more than 43 million women will suffer from some type of pelvic floor disorder. The UW Health Women's Pelvic Wellness Clinic is prepared to meet the complex needs of patients with compassionate care, expert diagnosis and specialized treatment options with the ultimate goal to help women regain a healthy, higher quality of life.
Female Urinary Incontinence/Loss of Bladder Control
Bladder Control: A Common and Treatable Concern for Women (YouTube): Dr. Christine Heisler discusses bladder control causes and treatment options.
The clinic offers patients the full array of diagnostic and treatment options for female incontinence in a single location. Experts in the clinic strive to help women improve bladder control, eliminate leakage and enjoy a more normal lifestyle. From biofeedback to physical therapy to surgical interventions, there are many treatment options available depending on the severity of incontinence.
Treatment options also include:
- Pelvic floor physical therapy
- Pessary fitting
- Peri-urethral bulking agents
- Urethral sling surgery
- Posterior tibial nerve stimulation
- Intravesical botox
- Sacral neuromodulation
Pelvic Organ Prolapse
This refers to the dropping down of female pelvic organs including the bladder, vagina or rectum, due to loss of vaginal support. Many women are able to reduce discomfort and pressure from a pelvic organ prolapse with non-surgical treatment, which can include making lifestyle changes, doing exercises, and/or using a removable device called a pessary that is placed into the vagina to support areas of prolapse.
Surgical procedures used to correct different types of pelvic organ prolapse include:
- Repair of the bladder (cystocele) or urethra (urethrocele)
- Removal of the uterus (hysterectomy)
- Repair of the rectum (rectocele) or small bowel (enterocele)
- Repair of the vaginal wall (vaginal vault suspension)
- Closure of the vagina (vaginal obliteration)
Accidental Bowel Leakage (Fecal Incontinence)
Accidental Bowel Leakage (ABL)is the impaired ability to control gas or stool and can range in severity from mild difficulty with gas control to severe loss of control over liquid or formed stools on a daily basis. It is not an uncommon condition and it often coexists with urinary problems, but unfortunately, due to embarrassment, many patients do not seek treatment.
Many patients do not know that there are medications and dietary changes that can help. Pelvic floor physical therapy with biofeedback is an integral part of treatment. For people whose symptoms do not improve with these first-line therapies, there are innovative approaches, including rectal or vaginal inserts, nerve stimulation, anal canal bulking injections and surgery. Learn more about ABL