Urogynecology and reconstructive surgery

By Mayo Clinic Staff

Urogynecologists diagnose and treat women who have complex conditions of the pelvic floor. These conditions include urinary and fecal incontinence, pelvic organ prolapse, vaginal fistulas and congenital anomalies. Urogynecologists have completed three years of specialized training.

Conditions treated

Urogynecologists treat many conditions including:

Urinary incontinence

  • Overactive bladder
  • Stress urinary incontinence
  • Urge urinary incontinence

Pelvic organ prolapse

  • Anterior vaginal wall prolapse (cystocele/bladder prolapse)
  • Apical vaginal prolapse (enterocele/vaginal vault prolapse)
  • Posterior wall prolapse (rectocele)
  • Uterine prolapse

Fistulas

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

Congenital anomalies

Diagnostic testing

  • Complex urodynamic testing
  • Cystourethroscopy
  • Bladder instillation

Treatments

Urogynecologists offer a range of treatments for patients, including:

Conservative treatment

  • Pelvic floor re-education
  • Biofeedback
  • Urge suppression drill
  • Relaxation techniques

Medical treatment

  • Overactive bladder syndrome
  • Stress urinary incontinence
  • Pessary for prolapse

Surgical treatment

  • Vaginal reconstructive surgery
  • Abdominal reconstructive surgery
  • Laparoscopic reconstructive surgery
  • Pubovaginal slings
  • Fascial grafts
  • Sacral nerve stimulation
  • Botulinum toxin injection