Medical and Surgical Gynecology in Florida

Urogynecology

Urogynecologists in the Department of Medical and Surgical Gynecology at Mayo Clinic in Jacksonville provide consultation and comprehensive evaluation and diagnostic testing for women with complex pelvic floor conditions. The conditions include urinary and fecal incontinence, pelvic organ prolapse, genitourinary fistulas and congenital anomalies. Urogynecologists are physicians who have completed three years of specialized training in women's pelvic health and pelvic reconstructive surgery.

Diseases and Treatments

Urogynecologists provide comprehensive, integrated care, offering patients evaluation and management strategies for disorders affecting the female pelvic floor.

Conditions Treated

Urinary incontinence

• Stress urinary incontinence
• Urge urinary incontinence
• Overactive bladder

Pelvic Organ Prolapse

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

Fistulas

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

Congenital anomalies

• Vaginal agenesis
• Imperforate hymen
• Vaginal septum

Diagnostic testing

• Complex urodynamic testing
• Cystourethroscopy
• Bladder instillation

Treatments

Urogynecologists offer a range of treatment options for patients, including:

Conservative treatments

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

Medical treatment for

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

Surgical Treatments

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