Pelvic Reconstructive Surgery (Urogynecology)

By Mayo Clinic Staff

Specialists in the Division of Pelvic Reconstructive Surgery (urogynecology) at Mayo Clinic in Arizona provide consultation and comprehensive evaluation and diagnostic testing for women with complex pelvic floor conditions.

Conditions

Some conditions treated include:

Congenital anomalies

  • Imperforate hymen
  • Vaginal agenesis
  • Vaginal septum

Fistulas

  • Rectovaginal (rectum/vagina)
  • Urethral reconstruction (fistula/diverticulum)
  • Vesicocutaneous (bladder/abdominal wall)
  • Vesicovaginal (bladder/vagina)
  • Vesicouterine (bladder/uterus)

Pelvic organ prolapse

Urinary incontinence

  • Overactive bladder
  • Stress urinary incontinence
  • Urge urinary incontinence

Diagnostic testing

  • Bladder instillation
  • Complex urodynamic testing
  • Cystourethroscopy

Treatments

Conservative treatments

  • Biofeedback
  • Pelvic floor education
  • Posterior tibial nerve stimulation
  • Urge suppression drill

Surgical treatments

  • Botulinum toxin injection
  • Creation of neovagina
  • Laparoscopic vaginal reconstructive surgery
  • Non-synthetic mesh for vaginal reconstruction
  • Pubovaginal slings
  • Repair of vesicovaginal fistula
  • Robotic hysterectomy
  • Robotic sacrocolpopexy for uterine or vaginal vault prolapse
  • Sacral nerve stimulation
  • Vaginal surgery, including reconstruction for prolapse