When the muscles and ligaments of your pelvic floor are damaged, you can develop a pelvic floor disorder. These disorders include: 

If you have one of these conditions, you know how much it can disrupt your daily life. What you might not know is that you don't have to live with it. 

UI Health Care has Iowa's largest team of board-certified urogynecologists.  

These specialists are experts with intensive training in diagnosing and treating pelvic floor disorders. 

We're also home to the state's only urogynecology fellowship training program —the highest level of training available. Our faculty are nationally recognized experts who are training the next generation of urogynecology specialists. 

Our team's expertise and ongoing research let us offer a wide range of treatments, including some not available anywhere else. 

From nonsurgical options to minimally invasive surgeries, we have solutions that help you get back to the activities you enjoy. 

Treatment options tailored to your needs

The UI Health Care urogynecology team works closely with you to create a customized treatment plan. 

Most pelvic floor disorders aren't dangerous to your health. This gives you the freedom to consider a wide range of approaches, based on your goals and preferences.

Your options might include:
  • Lifestyle changes, such as losing weight 
  • Medication 
  • Specialized pelvic floor physical therapy  
  • Nonsurgical vaginal devices (pessaries) 
  • Injections and other in-office procedures 
  • Tibial nerve stimulation 
  • Sacral neuromodulation implant 
  • Pelvic reconstruction surgery, including minimally invasive procedures 

A care team focused on you

Depending on the treatment that’s right for your pelvic floor disorder, your care team may include multiple specialists. 

Our urogynecology teams (based in gynecology and urology) meet regularly to discuss individual patients and share opinions on the best therapies.  

That means you'll have some of the most experienced providers in the state reviewing your case. 

Collaborative, multidisciplinary care

Pelvic floor problems can affect your digestive system. UI Health Care urogynecologists also work closely with their colleagues in gastroenterology and colorectal surgery. Together they care for patients with accidental bowel leakage and other defecatory problems.  

As an academic medical center, we're able to offer you access to all of these experts in one place.  

They work together to address the complete range of issues related to your pelvic floor disorder. 

The UI Health Care approach to urogynecology

Our urogynecology team focuses on providing patient-centered care.  

This means that you lead the way in identifying your goals for treatment. We’ll help you understand your options for achieving these goals. 

At your first appointment, you'll talk with your urogynecologist about your symptoms and your medical history. 

They'll do a physical exam, including a pelvic exam.  

They may also ask you to provide a urine sample for testing. And they may check how well you're able to empty your bladder. 

After they've identified your problem, your provider will guide you through your options for treatment or recommendations for further testing.  

Urogynecology tests and treatments

  • Abdominal CT scans 
  • Behavioral therapy 
  • Biofeedback 
  • Bladder Botox injections 
  • Colpocleisis (vaginal closure surgery) 
  • Cystoscopy 
  • Cystourethroscopy 
  • Defecography 
  • Fistula repair
  • Medication 
  • Natural tissue or mesh sling 
  • Nerve stimulation 
  • Nonsurgical device (vaginal pessary) 
  • Overactive bladder (OAB) injections 
  • Pelvic CT scan 
  • Pelvic floor MRI 
  • Pelvic ultrasound 
  • Pessary
  • Pelvic floor physical therapy 
  • Reconstructive pelvic surgery 
  • Sacral neuromodulation implant  
  • Sacrocolpopexy 
  • Urethral bulking injection 
  • Urodynamic testing 
  • Uterine suspension (hysteropexy) 
  • Vaginal colposuspension (prolapse repair)

Urogynecology conditions treated

  • Hematuria 
  • Interstitial cystitis 
  • Mesh-related complications 
  • Overactive bladder 
  • Painful sex 
  • Pelvic organ prolapse 
  • Rectocele 
  • Recurrent urinary tract infections (UTIs) 
  • Urinary incontinence 
  • Uterine prolapse 
  • Vaginal prolapse 

Our Care Team

Catherine Bradley MD, MSCE

Catherine
Bradley
MD, MSCE

  • Obstetrics and Gynecology (OBGYN)
4.78 out of 5 (1 ratings)
Kimberly A. Kenne, MD, MCR

Kimberly A.
Kenne
MD, MCR

  • Obstetrics and Gynecology (OBGYN)
4.80 out of 5 (1 ratings)
Joseph T. Kowalski, MD

Joseph T.
Kowalski
MD

  • Obstetrics and Gynecology (OBGYN)
4.76 out of 5 (1 ratings)
KrederK

Karl J.
Kreder
MD, MBA

  • Urology
4.69 out of 5 (1 ratings)
Annah J. Vollstedt, MD

Annah J.
Vollstedt
MD

  • Urology
4.83 out of 5 (1 ratings)
Stephanie Atkinson, portrait

Stephanie
Atkinson
ARNP, WHNP-BC

  • Obstetrics and Gynecology (OBGYN)
4.73 out of 5 (1 ratings)
Lauren Burchette, ARNP

Lauren
Burchette
ARNP

  • Urology
4.77 out of 5 (1 ratings)
Kacy Klaver portrait

Kacy
Carew
ARNP

  • Urology
4.66 out of 5 (1 ratings)
Abby Costello, ARNP-BC, MSN

Abby
Costello
ARNP-BC, MSN

  • Obstetrics and Gynecology (OBGYN)
4.75 out of 5 (1 ratings)
Kylie L. Costello, portrait

Kylie L.
Costello
DNP, ARNP

  • Urology
4.74 out of 5 (1 ratings)
ElasD

Diane
Elas
ARNP, MSN, FNP-BC

  • Obstetrics and Gynecology (OBGYN)
4.92 out of 5 (1 ratings)
Maddy McIlrath

Maddy
McIlrath
ARNP

  • Urology
Cari Everhart portrait

Cari L.
Everhart
MPT

  • Rehabilitation Therapies
Mary Hausler, PT, DPT

Mary
Hausler
PT, DPT

  • Rehabilitation Therapies
Natalie Kruse, portrait

Natalie
Kruse
PT, DPT, CLT-LANA, CSCS

  • Rehabilitation Therapies
Amy Little, Portrait

Amy S.
Little
DPT, WCS, CLT-LANA

  • Rehabilitation Therapies
RathR

Roseanne
Rath
PA-C, MSPA

  • Urology
4.39 out of 5 (1 ratings)
Abby Simmons, PA-C

Abby
Simmons
PA-C

  • Urology
4.77 out of 5 (1 ratings)

Need help finding a urogynecologist?

We'll connect you with an expert in pelvic floor disorders.
Call 1-800-777-8442

Locations and Offices

Obstetrics and Gynecology Clinic
31500 Pomerantz Family Pavilion (PFP)
Level 3, Elevator M
1-319-356-2294
Clinic
Interior image of the Obstetrics and Gynecology clinic front desk at UI Hospitals & Clinics
In Medical Center University
200 Hawkins Drive, Iowa City, IA 52242
Urology Clinic
3120 Roy J. Carver Pavilion (RCP)
Level 3, Elevator E
1-319-356-2421
Clinic
Interior image of the Urology Clinic main entrance at UI Hospitals & Clinics
In Medical Center University
200 Hawkins Drive, Iowa City, IA 52242
Iowa River Landing - Floor 5
Fifth Floor
1-319-467-2000
Clinic
Lobby photo of the fifth floor of Iowa River Landing
In Iowa River Landing
105 East 9th Street, Coralville, IA 52241
Obstetrics and Gynecology, Cedar Rapids
Suite 1200
1-319-356-2294
Clinic
Exterior image of Cedar Rapids 10th street location
In Cedar Rapids, 10th Street SE
411 10th Street SE, Cedar Rapids, IA 52403
Obstetrics and Gynecology, Iowa River Landing
Third Floor
1-319-467-2000
Clinic
Lobby photo of the third floor of Iowa River Landing
In Iowa River Landing
105 East 9th Street, Coralville, IA 52241
Urology, Iowa City, Northgate Drive
1-319-338-1197
Clinic
Urology Clinic North Gate Iowa City
In Iowa City, Northgate Drive
2943 Northgate Drive, Iowa City, IA 52245
Davenport–Dexter Court
1-563-355-2244
Clinic
Interior photo of the women's health clinic in Davenport
In Davenport, Dexter Court
3385 Dexter Court, Pavilion 3, Suite 110, Davenport, IA 52807
Grinnell–4th
1-800-777-8442
Clinic
Grinnell 4th street location exterior photo
In Grinnell, 4th Avenue
202 4th Avenue, Grinnell, IA 50112

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Patient Stories

Valerie’s search for expert rectovaginal fistula care leads her back to the worry-free life she thought was gone
July 22, 2021
UI Health Care is home to Iowa's only clinic dedicated solely to urogynecology care.
Robotic surgery fan- Carolyn
October 31, 2011
Carolyn Ritter shares her experience with urinary infrequency, and the surgery to correct it, with her surgeon, Catherine Bradley, MD.

Educational Resources

Clean intermittent self-catheterization
Pessary for treating prolapse
Stress urinary incontinence and urethral bulking injections
Urethral (indwelling) catheter care