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:

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

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

Tests and procedures

Diagnostic tests include:

  • Bladder instillation
  • Complex urodynamic testing
  • Cystourethroscopy
  • Urodynamic testing

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

May 25, 2018