Many women suffer from problems involving the pelvic floor structures, including the bladder, genital tract, lower gastrointestinal tract and pelvic floor muscles. Often these problems result from injury to the pelvic floor with childbirth, physical stress or injury, chronic disease or prior surgery. Women may also experience leakage of urine while coughing, laughing, lifting or exercising. Or, they may leak with a sudden uncontrollable urge. These symptoms can be both annoying and embarrassing. The good news is that treatment options are available. The team of urogynecologists from UNC are leaders in the field, with a 3 year fellowship program approved by the American Board of Obstetricians and Gynecologists and the American Board of Urology. They specialize in the evaluation and treatment of urinary incontinence, bladder dysfunction, vaginal or uterine prolapse, fecal incontinence and complex gynecologic conditions such as fistulas or complications from surgery.
Through the use of advanced diagnostics such as urodynamics, cystoscopy and ultrasound, the UNC specialists can pinpoint the cause of the problem and develop solutions. UNC specialists offer many nonsurgical therapies, including biofeedback for pelvic floor muscle retraining and strengthening, diet and behavior modification, medications, pessaries and posterior tibial nerve stimulation (PTNS). UNC specialists also offer a range of surgical procedures based on the exact nature of the dysfunction. These include minimally invasive techniques such as the midurethral slings, urethral bulking agents, Botox injections and Interstim neuromodulation. They also have expertise with advanced technology, such as the DaVinci robot, and a wide experience with vaginal or abdominal approaches for the repair of all types of prolapse, incontinence and pelvic floor conditions.