Therapies & Treatments
Specially trained therapists guide a patient through instruction of exercises that specifically target the pelvic floor muscles for strengthening.
To help a patient identify and learn to control the correct muscles, a technology called Biofeedback uses computer graphs or lights as a teaching tool to assist the patient in locating the pelvic muscles by changing the graph or light when the right muscle is squeezed or tightened.
In women, a small probe is inserted into the vagina (similar to a tampon). In men, and sometimes in women, an even smaller probe is inserted into the rectum. This probe senses the muscle activity. Sometimes surface electrodes (sticky patches) are placed around the outside of your rectum instead of using a probe.
Prolapse repairs can be performed transvaginally, transabdominally, laparoscopically, or robotic-assisted, depending on the patient’s symptoms, anatomy and overall health.
UF Health’s expert physicians also conduct minimally invasive surgeries to help treat prolapse. These operations may involve small incisions that are used to access and repair pelvic organs that have fallen. These approaches have the benefit of faster recovery and less downtime.
Our team also offers non-surgical management of prolapse. This includes simple observation or the use of a pessary, which is a small device made of silicone, often shaped like a diaphragm or a cube, which is inserted into the vagina of a woman to help support her pelvic organs. Pessaries are used to treat pelvic organ prolapse and urinary incontinence. A physician will need to fit you for the device.
Sacral Nerve Stimulator (Interstim®)
This is an FDA approved outpatient treatment for patients who have failed conservative therapy for symptoms or urinary urgency, frequency, and nonobstructive urinary retention. It is performed in two stages where an electrode is placed through an existing opening in the sacrum. A testing period of a few days to few weeks is completed to ensure that the device works for the patient. If it does, then an internal generator is placed, and if it does not, the lead is simply removed.
Typically used for patients with urinary incontinence due to exertional activities. There are a number of variations, but it typically involves the placement of a synthetic mesh to support the urethra. This is performed in a minimally invasive fashion and is often done on an outpatient basis.
Our expert team also offers one of several methods to combat incontinence, which refers to any accidental or involuntary loss of control of the bladder or bowel. There are different anti-incontinence procedures, products and medications that can be offered, and your physician will evaluate your symptoms to determine the best treatment method for you.
Urethral Bulking Agent
An in-office or outpatient procedure where an agent is injected transurethrally to improve coaptation of the lining of the urethra to treat urinary incontinence.
Treatment of Operative Complications
Some patients have already undergone surgery for prolapse or incontinence and are having complications, recurrence of symptoms or other difficulties. We welcome these patients, and provide specialized care for their individual needs.