Urogynecology

Pelvic floor disorders affect millions of women, and they are treatable. At St. Elizabeth Healthcare, our fellowship-trained, board-certified urogynecologists provide compassionate, expert care focused on diagnosing pelvic floor conditions and restoring your confidence, comfort and quality of life. Whether you’re managing bladder leakage, pelvic pressure or bowel changes, we are here to listen and guide you toward the right solution.

Urogynecology Conditions We Treat

Our urogynecologists specialize in diagnosing and treating conditions that affect pelvic health. If any of the following affect your daily life, we can help you find answers and relief.

Bladder Conditions:

  • Bladder obstruction – A blockage affecting the normal flow of urine from the bladder.
  • Overactive bladder – Frequent, sudden and urgent need to urinate, even when the bladder is not full.
  • Pelvic organ prolapse – When pelvic organs (uterus, bladder or rectum) drop from their normal positions and bulge into the vaginal canal.
  • Sexual dysfunction – When urinary or fecal incontinence, prolapse or pelvic pain affects your sexual function and intimacy.
  • Urinary incontinence – Accidental urine leakage due to weakened pelvic floor muscles or bladder dysfunction.

Bladder Conditions:

  • Bowel dysfunction – Abnormal bowel patterns, including constipation, diarrhea, straining and difficulty emptying the bowels.
  • Bowel fistulas – An abnormal connection between the bowel and nearby structures, such as the vagina.
  • Bowel obstruction – A partial or complete blockage preventing the passage of stool and waste.
  • Fecal incontinence – When you cannot control your bowel movements, leading to unintentional leakage.
  • Rectocele – When the rectum bulges into the back wall of the vagina, making it difficult to pass stool.

Urogynecology Treatments We Offer

From targeted exercises to in-office procedures, these approaches are designed to relieve symptoms, restore function and fit into your life.

Non-Surgical Treatment Options

Many pelvic floor disorders improve with non-surgical pelvic treatment. Our team takes a personalized approach, starting with the least invasive options to help you regain control and comfort:

  • Lifestyle and dietary changes – Adjustments to fluid intake, diet and bathroom habits can significantly reduce urgency and leakage.
  • Bladder training – A structured program that gradually increases the time between bathroom visits to improve bladder control.
  • Pelvic floor physical therapy – Specialized therapy using exercises, biofeedback and manual techniques to strengthen pelvic floor muscles.
  • Vaginal pessaries – A removable device placed in the vagina to support and lift pelvic organs and relieve symptoms of prolapse.
  • Neuromodulation – Electrical stimulation targeting the sacral or tibial nerve to reduce bladder and bowel urgency.
  • Medications – Prescription options to address bladder and bowel symptoms or underlying causes.

Advanced Pelvic Reconstructive Surgery

When non-surgical approaches do not fully resolve your symptoms, surgical treatment may offer a lasting solution. Our urogynecologists are fellowship-trained in pelvic reconstructive surgery. They offer advanced procedures designed to restore normal function, relieve pelvic pressure and improve your quality of life. Surgical options range from minimally invasive robotic-assisted repair to targeted sling procedures and prolapse reconstruction. Every approach is chosen based on your anatomy, your goals and our surgeons’ expertise.

Menopause & Perimenopause

Perimenopause and menopause are often associated with hot flashes, but they can also bring unexpected bladder changes, pelvic pressure and disrupted sleep. Our Women’s Health team understands the full picture — and we’re right here when you need expert care.

Therapy Session with patient and provider.

Pelvic Floor Physical Therapy

Pelvic floor physical therapists help address muscle strength, pain relief and improved function for conditions such as overactive bladder, bowel leakage and pelvic pain.

Dr. Becky Heidemann Speaks with a Patient. View Patient Success Stories

Donna Stegman

Learn how pelvic floor physical therapy at St. Elizabeth helped Donna stop urinary leakage and take back her life.

Schedule an Appointment Today

Call Us to Schedule a Visit

If you are experiencing pelvic pressure, bladder or bowel changes, or pelvic pain, our urogynecologists are here to help. Call us to schedule an appointment at (859) 757-2132 or find a provider near you.

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