While pelvic health issues are sometimes considered an inevitable part of aging, you do not have to compromise your quality of life out of embarrassment or hesitation to discuss your symptoms. At our women’s health practice, there are many advanced non-surgical and surgical solutions that can remedy pelvic floor disorders and restore proper everyday function. Board-certified gynecologist Rachael Haverland, MD and our compassionate medical team can provide you with the personalized care you deserve to successfully treat a range of pelvic dysfunctions.
- Midurethral Sling
- Pelvic Organ Prolapse Repair
- Pelvic Floor BOTOX® Injections
- Pelvic Floor Physical Therapy
When medications or hormone replacement therapy (HRT) fail to alleviate your symptoms, a hysterectomy can be a highly effective option to treat many different pelvic health conditions. At Highland Gynecology, Dr. Haverland can remove your uterus — with or without simultaneous removal of your ovaries or fallopian tubes — using robotic-assisted techniques, which can result in shorter incisions, less pain, and a faster recovery period than traditional surgery.
A midurethral sling is among the most favored and cutting-edge treatments for urinary stress incontinence, or the accidental leakage of urine. Whereas more traditional techniques required hospitalization, long recovery times, and the use of general anesthesia, the midurethral sling offers a substantially lower risk of bleeding, pain, infections, complications, and extensive downtime.
Composed of a narrow strip of synthetic mesh, the midurethral sling is placed under the urethra to offer greater support against pelvic pressure. As a result, patients experience less leakage from laughing, coughing, jumping, and other actions that would previously induce incontinence. The procedure is typically performed in approximately 30 minutes under local anesthesia with IV sedation.
Pelvic Organ Prolapse Repair
Pelvic organ prolapse (POP) repair may be necessary when the tissues and muscles that support the pelvic organs can no longer hold them in place, causing these organs to drop down. This can occur due to genetic predisposition or after you have had multiple children. In some cases, the extent of prolapse may worsen as you get older. POP is often addressed with non-surgical options first, but a surgical procedure may be the best approach if your symptoms are severe and do not improve with more conservative forms of treatment. If you’re contending with the symptoms of a cystocele, rectocele, or uterine prolapse, reconstructive gynecologic surgery can restore support for the pelvic organs and lift the descended body part to its correct position. The best technique for your procedure will depend on the type of prolapse you experience.
Pelvic Floor BOTOX® Injections
While BOTOX® injections are very well-known for their cosmetic and anti-aging benefits, BOTOX® can also provide a non-surgical therapy to improve a myriad of medical conditions — including pelvic floor dysfunction. BOTOX® is a neuromodulating injectable designed to temporarily prevent muscle contraction in the targeted areas. For patients who experience symptoms like difficulty urinating and painful intercourse due to pelvic floor disorders, BOTOX® can inhibit hyperactive pelvic muscles to reduce (or eliminate) spasms, treat vaginismus, and address myofascial pelvic pain syndrome (MPPS). Pelvic floor BOTOX® treatments are generally recommended on a yearly basis; however, some patients may require re-injection after six months depending on how long the results last.
Pelvic Floor Physical Therapy
If you have a pelvic floor disorder, physical therapy may be the first course of action to try and improve your symptoms. Since pelvic health issues are often caused by a weakening of the muscles and connective tissues that make up the pelvic floor, physical therapy specifically targeting the pelvic floor muscles can help you manage your condition. At Highland Gynecology, your treatment plan may involve muscle strengthening and relaxation training, manual therapy, dietary modifications, electrical stimulation, pelvic floor biofeedback, or Kegel exercises, among other types of physical therapy. Each patient’s treatment plan will be uniquely tailored to their individual needs by our highly experienced gynecologist and medical team.
If uterine fibroids are causing symptoms such as heavy bleeding and pelvic pain, a myomectomy can remove your fibroids while allowing you to keep your uterus intact, thereby preserving the possibility of pregnancy. In this way, the procedure differs from a hysterectomy, which is sometimes performed to treat fibroid symptoms by removing the entire uterus.
A myomectomy can be performed surgically or laparoscopically using radiofrequency (RF) ablation. With the minimally invasive RF ablation technique, fibroid tissue is destroyed or “ablated” using targeted heat energy. A small incision is made both inside the belly button and above the uterus, through which an ultrasound probe and a laparoscope — a thin, lighted telescope that provides visibility inside the body — are used to ablate the fibroid(s). The recovery period generally lasts four to six weeks when a myomectomy is performed non-laparoscopically, and one to two weeks with the RF ablation technique.