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Jacksonville Beach Urogynecology – Dr. Lee Epstein

Jacksonville Beach Urogynecology

The field of Urogynecology (a subspecialty within Obstetrics and Gynecology) is dedicated to the treatment of women with pelvic floor disorders such as urinary incontinence and prolapse (bulging) of the vagina, bladder and/or the uterus. After completing residency in Obstetrics and Gynecology, Urogynecologists undergo fellowship training where they spend several years focusing only on these disorders.

 

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Training of a Urogynecologist

A urogynecologist is a physician who has completed medical school and a four-year residency in obstetrics and gynecology, and then gone on to receive additional, highly specialized training in surgical and non-surgical treatment of pelvic floor disorders. During that training, these physicians become specialists in the evaluation and treatment of health conditions that affect women’s pelvic organs, such as the vagina, uterus, rectum and bladder, as well as the pelvic floor, a structure made up of muscles, ligaments, nerves and connective tissues that supports pelvic organs and assists in the control of their functions.

Urogynecology for Bladder Issues

The bladder is a hollow organ that holds urine. The kidneys produce urine and send it to the bladder thru two tubes ( the left and right ureters) As urine collects in the bladder, the bladder enlarges like a balloon. When the bladder reaches a certain level of fullness it triggers your urge to void. Normally you are able to suppress this urge until you can reach the bathroom. When you are ready to urinate, the urine travels from the bladder through the urethra. The urethra is a small tube that goes from the bladder to the outside of the body.

Surgical and Non-Surgical Solutions for Urogynecology

There are many ways to address urogynecological problems – both surgical and non surgical. These issues, such as urinary incontinence, have a tremendous impact on your quality of life and are commonly accepted as a “natural part of growing older”. That is simply not true. Our goal is to do a thorough evaluation of your problem and provide the information for you to have a better understanding of your problem. By working together we will tailor a plan specific to your needs. Your insight allows you to take control of the situation and make informed decisions.

Urogynecology is a fairly new subspecialty and a fast-growing one, with increasing rates of pelvic floor disorders fueling a high demand for its services. In 1996, there was one board-accredited fellowship program for advanced training in urogynecology. By June 2010, according to the American Journal of Obstetrics and Gynecology, the number of accredited fellowship programs offered by leading academic institutions had grown to 37, and membership in societies associated with the sub-specialty had doubled.

Women affected by pelvic floor disorders such as stress urinary incontinence and pelvic organ prolapse are often referred to these specialists, as are women who are in need of specialized care for complications stemming from vaginal meshprocedures.

Pelvic Floor Disorders

Pelvic floor disorders occur when the pelvic floor is weakened or stretched due to damage caused by childbirth, obesity, surgery, disease or activities such as high-impact sports or repetitive heavy lifting. Some of the most common problems women face due to pelvic floor disorders are urinary or fecal incontinence, pelvic or vaginal pain, difficulty emptying the bladder or bowels, and pelvic organ prolapse, which is the dropping of pelvic organs from their normal position.

Depending upon the severity of symptoms and the health of the patient, conservative, non-surgical therapies are often the first approach used in the treatment of pelvic floor disorders. These include medications, pelvic muscle exercise, lifestyle and dietary modifications, use of a vaginal support device called a pessary, biofeedback and electric stimulation of pelvic floor muscles. If these methods fail to provide adequate symptom improvement, surgery may be used to repair pelvic floor defects.

While many primary care physicians and gynecologists are knowledgeable about pelvic floor disorders, a urogynecologist holds an additional level of expertise in the treatment of these issues. Problems that may merit a referral to a urogynecologist include incontinence, emptying disorders, pelvic pain and sexual dysfunction. Patients who need surgery for the repair of pelvic floor disorders can benefit from seeing a urogynecologist, since their special expertise in vaginal surgery can minimize the risk of complications.

 

Posted on November 23, 2014

Category : Jacksonville Beach Doctors &Jax Beach &JaxBeach-Featured &Urogynecology

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