Obstetrics & Gynecology in Minnesota

Urogynecology

Members of the Urogynecology Care team.

The division of Urogynecology/Reconstructive Pelvic Surgery provides consultation and comprehensive evaluation and diagnostic testing in women with complex pelvic floor conditions including 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.

Urogynecologists provide comprehensive, integrated care, offering patients evaluation and management strategies for disorders affecting the female pelvic floor. A special Incontinence Clinic helps coordinate the treatment of patients who have incontinence.

Conditions treated

Urinary incontinence

• Stress urinary incontinence
• Urge urinary incontinence
• Over-active 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

Robotic-assisted surgery (minimally invasive)

• Vaginal vault prolapse
• Hysterectomy

Appointments

To make an appointment, call the Section of Urogynecology/Reconstructive Pelvic Surgery,
(507) 266-8680.

List of Doctors

John B. Gebhart, M.D.
Christopher J. Klingele, M.D.
Emanuel C. Trabuco, M.D.

Other staff
Cathy L. Olson, R.N.
Cathy J. Sprau, LPN
Lois J. McGuire, RNC, WHNP
Siri C. Heille, NP

Medical Education Program

Mayo Clinic in Rochester offers a three-year accredited fellowship in Urogynecology/Reconstructive Pelvic Surgery.