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Urogynecology and Pelvic Reconstructive Surgery


The USF Center for Urogynecology and Pelvic Reconstructive Surgery

is made up of highly trained urogynecologists, pelvic surgeons, gynecologists, imaging experts, and nurses, all experienced in the diagnosis and management of female pelvic floor disorders. We have working relationships with other specialists in Urology, Colorectal surgery, Physical Therapy, and Gastroenterology. We diagnose and treat a wide range of complex pelvic floor problems in women of all ages.

Who we treat

We treat women with all types of pelvic floor problems, including

  • Urinary incontinence –
    • Unintended loss of urine
  • Fecal Incontinence –
    • Unintended loss of Stool
  • Pelvic prolapse, including
    • Cystocele (or "dropped bladder")
    • Rectocele,
    • Enterocele,
    • Proccidentia ( or "uterine prolapse")
  • Bladder control problems including
    • Urinary urgency, frequency,
    • Nocturia (Waking up often at night to urinate)
    • Overactive bladder (combination urinary urgency/frequency with/without incontinence)
  • Complications of vaginal prolapse surgery, including
    • Vaginal graft/mesh erosion,
    • Pain with intercourse
    • Abnormal vaginal bleeding/discharge
  • Bowel control problems including
    • Fecal urgency
    • Rectal pressure
  • VesicoVaginal Fistulas
    • Abnormal opening between Bladder and Vagina
  • Rectovaginal Fistulas –
    • Abnormal opening between Rectum and Vagina
  • Childbirth related pelvic floor injuries
  • Bladder and vaginal pain problems

Treatments we offer

We offer the full range of surgical and nonsurgical therapies to address all types of pelvic floor disorders, including

  • Da Vinci™ Robotic treatment of Pelvic organ prolapse
  • Laparoscopic treatment of pelvic organ prolapse
  • Traditional open surgeries to treat Pelvic Organ Prolapse
  • Trans Vaginal surgeries to treat prolapse and urinary/fecal incontinence
  • Sacral neuromodulation (INTERSTIM) for treating severe bladder and bowel control problems
  • Botox and pelvic floor physical therapy for treating severe pelvic floor, pain
  • Medical, behavioral and physical therapies to treat certain bladder control, and myofascial pain problems.

How we Diagnose

All of our patients have access to the latest state of the art testing at our facilities, including;

  • Advanced MRI, Ultrasound, and CT imaging
  • Multichannel urodynamic testing
  • Office Cystoscopy
  • Defecography and Colonic transit studies
  • Advanced neuromuscular studies, including EMG and nerve testing studies

When put together with our thorough clinical history nd physical examination, appropriate testing can help in diagnosing your pelvic floor problem. A proper diagnosis can help us design the best therapy for you, our patients.

How we treat

We consider your clinical history, your therapeutic needs, along with information from your physical exam, testing results, and reports from any prior treating physicians/surgeons, and we design a treatment plan which is well suited to your particular needs, symptoms, and medical condition. All of our patients have access to the full range of successful therapies available to treat each problem.

Our Commitment to Our Patients

  • We listen carefully to each of our patients to understand their symptoms, and also the outcome they seek from us.We tailor our treatments to each woman's specific needs, and we provide the highest quality of care to every woman that comes our practice.
  • We send a letter detailing our findings and recommendations back to your referring provider.
  • We make sure you understand what we find out about your medical problem, and recommend a management plan that you can understand, that is appropriate for you.
  • We stay in touch with you to make sure all of your questions are answered.We make it easy for you to reach us when you have questions.