Urogynecology and reconstructive pelvic surgery Overview

If you come to Mayo Clinic with a pelvic floor disorder, you will experience the benefit of the clinic's coordinated, multidisciplinary approach to evaluation and treatment. The experts of the urogynecology and reconstructive pelvic surgery group provide comprehensive and compassionate care tailored to your needs.

Expertise and experience

The urogynecology specialists have experience treating all conditions of the female urinary and reproductive tract. In addition to four years of general obstetrics and gynecology training, they have three years of subspecialty training in women's pelvic health and pelvic reconstructive surgery. Your doctor works with a treatment team that includes a women's health nurse practitioner, a physician assistant and a physical therapist.

Conditions treated

Conditions treated by urogynecology specialists include:

  • Congenital anomalies of the lower reproductive tract (for example, imperforate hymen, vaginal septum, uterine anomalies)
  • Fecal incontinence
  • Overactive bladder syndrome
  • Pelvic organ prolapse
  • Post-hysterectomy prolapse
  • Stress urinary incontinence
  • Urethral diverticulum
  • Urgency urinary incontinence
  • Vesicovaginal and rectovaginal fistulas

Mayo Clinic urogynecology specialists also manage complications from previous incontinence or prolapse surgery with or without mesh.

Tests and procedures

Diagnostic tests include:

  • Anal sphincter repair
  • Bladder botox injection
  • Bladder instillation
  • Bladder prolapse (cystocele) repair
  • Complex urodynamic testing
  • Cystourethroscopy
  • Enterocele repair
  • Hysterectomy
  • Midurethral sling
  • Post-hysterectomy vaginal prolapse repair
  • Rectocele repair
  • Rectovaginal fistula repair
  • Urethral diverticulum surgery
  • Urodynamic testing
  • Uterine prolapse surgery
  • Vesicovaginal fistula repair

Innovative treatment options

Your doctor will talk with you about a full range of effective, innovative treatment options. Mayo Clinic urogynecologists are expert in pelvic floor reconstructive surgery, including laparoscopic, robotic and vaginal approaches.

Surgical approaches to pelvic floor disorders include:

  • Sacral nerve stimulation
  • Anal sphincteroplasty
  • Artificial anal sphincter
  • Minimally invasive hysterectomy
  • Urethral reconstruction

Nonsurgical approaches to pelvic floor disorders include:

  • Medications
  • Pessaries
  • Pelvic floor physical therapy
  • Biofeedback
  • Electrical stimulation ("e-stim")
  • Urge suppression
  • Pelvic floor re-education
  • Behavioral and medical management of urinary incontinence

See physician staff

Nov. 19, 2019