Pelvic floor disorders cause many patients to leak urine or stool at inappropriate times or experience pelvic organ prolapse, a condition in which internal organs drop down the vagina. Many patients with pelvic floor disorders are embarrassed or even believe there is no effective treatment that can help.
Our doctors at the Women’s Center for Continence and Pelvic Surgery specialize in treating women with urinary incontinence, fetal incontinence and other pelvic floor disorders. We’ll work with you to diagnose your plan and design a treatment program that fits your needs and works with your lifestyle.
For those patients who don’t respond to conservative therapies or medication, Botox has become a viable option to treat overactive bladder. Now, UVA is performing the procedure with fewer injection sites, which reduces discomfort for the patient.
Reduction in Number of Botox Injections for Urgency Urinary Incontinence Brief Summary: The overall objective of this study is to determine if a reduced injection site protocol (5 injection sites) using an equivalent amount of Botox provides comparable relief of Urgency Urinary Incontinence (UUI) symptoms compared to the standard injection site protocol (15-20 injection sites). Our central hypothesis is that the 5-site injection protocol is non-inferior in terms of relief of UUI symptoms compared to the standard injection site protocol, measured by a non-inferior reduction in the number of UUI episodes per day.
Pessary Experience Study Brief Summary: Pessaries are silicone devices inserted into the vagina for treatment of pelvic organ prolapse or stress urinary incontinence. They are adequate treatment options for patients who are poor surgical candidates, those who decline surgical intervention, or as a temporizing measure in those ultimately planning surgery. Most studies suggest that about 75% of patients are able to be successfully fit with a pessary, but about 50% discontinue pessary use within 12 months of initiation. The purpose of this study is to determine why pessaries are discontinued.
Characterization of the Pudendal Nerve With Transvaginal Ultrasonography Brief Summary: This is a feasibility study characterizing the ability of transvaginal ultrasonography to identify the pudendal nerve. Today, the pudendal nerve block is typically accomplished through blind landmark techniques, thus limiting its success. To date, there has never been an attempt to determine if the visualization of the pudendal nerve would be possible using transvaginal ultrasound with existing technology; nor to perform this procedure transvaginally with the assistance of ultrasound.
Female Pelvic Medicine and Reconstructive Surgery Location