Our experts specialize in treating common problems of the pelvic floor, including incontinence, organ prolapse, and discomfort from these issues. Our goal is to get you back to living a full, active life without having to worry about leaks, pain, or embarrassment.
What Is Urogynecologic Surgery?
Urogynecology is an area of women's health that builds on gynecology and obstetrics. Our doctors have an additional three years of training in female urology, neurology, and colorectal surgery. We focus on problems of the pelvic floor — the sling-like muscles, ligaments, and connective tissue that support your bladder, bowel, and reproductive organs.
Some of the conditions we treat include urinary and fecal incontinence, urinary tract infection, sexual dysfunction, and pelvic organ prolapse (when one or more organs in the pelvis slip down from their normal position and bulge into the vagina).
When these pelvic health conditions don't respond to lifestyle changes, medication, or physical therapy, we offer a range of surgeries geared to your individual needs. Our surgical procedures are minimally invasive and use the latest technology.
Why Choose Luminis Health for Urogynecologic Surgery?
Our doctors combine knowledge from two areas of women's health — urology and gynecology.
Many women suffer with pelvic floor problems for years, thinking incontinence or pelvic organ prolapse are “normal after having kids" or “just part of aging." We're here to tell you that these conditions are never normal — and you can do something about it.
Here are some reasons to choose Luminis Health if you need pelvic floor surgery.
- We exhaust all other options before recommending surgery. We're not going to rush you into surgery that you don't need or want. First, we'll try more conservative approaches, such as lifestyle changes, medications, and physical therapy. We only recommend surgery if we don't see results from other treatments.
- We spend an hour with each surgical patient. In addition to a physical exam, we take the time to listen to our patients. We want to find out what bothers them, what their concerns are, and if they have questions about any procedures.
- Our surgery team is primarily made up of female doctors. We're well-known in the area for offering compassionate care — for women, by women.
- We have the busiest urogynecologic surgery site in Maryland. We are a high volume, state-of-the art surgical center. Because we're board-certified specialists, we often get referrals from other practices.
- We are leaders in the field. The American Congress of Obstetrics and Gynecology recognized the AAMC's Women's Center for Pelvic Health with the Safety Certification in Outpatient Practice Excellence for Women's Health. It is only one of two women's health practices in Maryland, and among only 95 in the U.S. to receive this designation.
Types of Urogynecologic Procedures We Offer
This procedure treats stress incontinence. It involves injecting a material called a bulking agent around the walls of the urethra to narrow its width. That helps hold in urine when you cough, sneeze, or exercise.
In addition to its use as a wrinkle treatment, doctors use BOTOX® to treat symptoms of an overactive bladder — urinary urgency, frequency, and incontinence. Many women find they have better bladder control after the treatments.
This is the most common surgery for stress incontinence. The surgeon positions a piece of synthetic mesh under the urethra to provide support and keep it from dropping during physical activity.
Prolapse of the bladder, uterus, or vaginal walls can be surgically repaired using stitches or implants. The repair builds support for the vaginal walls.
An operation to correct advanced uterine prolapse or vaginal prolapse with mesh in women who've had a hysterectomy. It can be done laparoscopically.
A device implanted near the spine can provide advanced therapy for an overactive bladder. It modulates the bladder nerves and improves bladder control.
To treat advanced pelvic organ prolapse in older women who are no longer sexually active.
What to Expect from Urogynecologic Surgery
Urogynecologic surgeries are usually performed under general anesthesia (that means you'll be asleep during the operation). You may be able to go home the same day. Some procedures are done in our office.
Procedures like BOTOX® and urethral bulking may need to be repeated as their effects wear off with time. Your doctor may eventually suggest another type of surgery, such as a mid-urethral sling.