Urogynecology
- For Obstetrics and Gynecology (OBGYN) related requests:
- 1-319-356-2294
- For Urology related requests:
- 1-319-356-2421
When the muscles and ligaments of your pelvic floor are damaged, you can develop a pelvic floor disorder. These disorders include:
- Uterine prolapse
- Vaginal prolapse
- Urinary incontinence
- Accidental bowel leakage
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.
- 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.
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
- Accidental bowel leakage
- Bladder pain
- Constipation
- Cystocele
- Fecal incontinence
- Fistula
- 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
- Rehabilitation Therapies
- Rehabilitation Therapies
- Rehabilitation Therapies
- Rehabilitation Therapies