Urogynecology and Reconstructive Pelvic Surgery

U.S. News & World Report Best Hospitals for obstetrics & gynecology

Nationally Ranked in Ob/Gyn

UT Southwestern Medical Center is ranked by U.S. News & World Report as one of the nation's top hospitals for obstetric and gynecological care.

Pelvic floor dysfunctions, including pelvic organ prolapse, urinary incontinence, fecal incontinence, sexual dysfunction, and chronic pelvic pain, affect about half of all women and can lead to decreased quality of life.

Why Choose UT Southwestern for Urogynecology and Reconstructive Pelvic Surgery?

UT Southwestern Medical Center's Urogynecology and Reconstructive Pelvic Surgery providers are some of the nation’s leading researchers, educators, and providers.

We offer a full range of treatments for urinary and pelvic floor conditions as well as provide comprehensive pelvic floor evaluation, including urodynamic testing, office cystoscopy, and endoanal sonography evaluation.

To meet the needs of our patients, we take a multidisciplinary approach to care and collaborate with colorectal, physical therapy, pain management, and other specialists.

What Urogynecology and Reconstructive Pelvic Surgery Conditions Does UT Southwestern Treat?

Common disorders we treat include:

Constipation
Defecatory disorders
Genitourinary anomalies
Fecal incontinence
Female sexual dysfunction

How Are Urogynecology and Reconstructive Pelvic Surgery Conditions Diagnosed?

Patient care begins with a comprehensive diagnostic evaluation that includes a history, a physical examination, and a thorough discussion of symptoms.

Our urodynamics laboratory provides a comprehensive array of diagnostic studies to determine the cause of urinary and fecal incontinence and other pelvic floor disorders.

How Are Urogynecology and Reconstructive Pelvic Surgery Conditions Treated?

Once a diagnosis has been made, we offer the latest surgical and nonsurgical treatment options.

Nonsurgical Treatments

Our nonsurgical therapies include:

Pelvic floor biofeedback: Muscle retraining to help patients learn to strengthen or relax pelvic floor muscles
Pelvic floor therapy: Manual therapy to help strengthen or modify the pelvic floor
Botox bladder injections: A muscle relaxant that can be helpful for urinary incontinence
Urethral bulking agents: Injections that can help treat urinary incontinence in women
Pelvic floor electrical stimulation: Electrical stimulations to rehabilitate weak pelvic floor muscles
Percutaneous tibial nerve stimulation: Minimally invasive form of neuromodulation used to treat overactive bladder
Bladder instillation: A combination drug therapy to help painful bladder or cystitis symptoms
Pessary fitting and maintenance: A removable device that can support areas of pelvic organ prolapse
Pelvic floor trigger point injections: Medication injections into trigger points that help treat chronic pelvic pain syndrome

Surgical Treatments

Our surgical interventions include:

Abdominal sacrocolpopexy: A surgery to correct the supporting muscles, ligaments, and tissues of the vagina
Uterosacral ligament suspension: An operation that restores support to the uterus or vagina
Sacrospinous fixation: An additional operation that restores support to the uterus or vagina
DaVinci robot-assisted prolapse procedures: A minimally invasive way to surgically treat prolapse
Midurethral sling: Provides support under the urethra to prevent it from dropping during physical activity
Burch urothropexy: A surgical procedure in which support is provided to the urethra
Pubovaginal sling: A procedure used to manage urinary incontinence
Anterior and/or posterior repairs: Including repairs to both the vagina and the bladder
Fistula repairs: Repairs to vaginal fistulas
Congenital anomaly repairs: Including repairs to many congenital pelvic floor anomalies
Ureteral stents: A thin tube inserted into the ureter to help obstruction of urine flow
Mesh removal: Removal of vaginal mesh that was previously placed to treat pelvic organ prolapse or urinary incontinence
Sacral neuromodulation: An implanted neurostimulator electrically stimulates the sacral nerve to help treat urinary and fecal incontinence