Advanced testing and custom treatments to address pelvic floor issues
Problems with your pelvic floor can prevent you from enjoying the activities you love. Our team includes fellowship-trained and board-certified doctors who specialize in urology, urogynecology, gynecology, and colorectal surgery. We also partner with specialists at Maimonides Prostate Center to meet all of your healthcare needs. We understand the sensitive nature of pelvic floor problems, and our team at the Pelvic Floor Center is dedicated to providing coordinated and exceptional care for all of our patients.
Your pelvic floor is made up of muscles, ligaments, and connective tissue. It supports the bladder, bowel, rectum, uterus, and vagina. When pelvic floor structures stretch, weaken, or become damaged, you may experience discomfort.
Our doctors expertly diagnose and treat all types of pelvic floor conditions, including:
- Anal fistulas and fissures
- Blood in the urine
- Colorectal problems such as Crohn’s disease
- Fecal incontinence
- Menopause-related issues
- Pelvic organ prolapse
- Sexual dysfunction
- Urinary incontinence
- Urinary tract infections
Conditions we treat
Urinary incontinence, or the inability to stop urine from leaking, is not an inevitable part of aging; nor is it something you should live with. Our team is here to provide tailored treatment options to fit your needs. We treat all types of incontinence, including stress incontinence, urge incontinence, and mixed incontinence.
Diagnostic testing takes place in our state-of-the-art urodynamic lab. Our specialists use the most advanced methods to pinpoint the cause of incontinence.
These tests include:
- Bladder function tests
- Computed tomography (CT) scans
- Dynamic pelvic floor magnetic resonance imaging (MRI)
- Fluoroscopy X-rays
We offer a complete range of nonsurgical treatments for urinary incontinence that include bladder training, botulinum injections, electrical stimulation, medications, pelvic floor exercises, pessaries, and urethral bulking agents. Surgical treatment options include bladder neck suspension, implantable neurostimulator, inflatable artificial sphincter, and a sling procedure.
Fecal incontinence (also called bowel incontinence) occurs when you can’t control bowel movements. Our anorectal physiology lab features the most advanced technology to identify the cause of fecal incontinence.
Diagnostic tests include:
- Anal electromyography
- Anal manometry
- Anorectal ultrasound
- Dynamic pelvic floor MRI defecography
We offer a variety of treatments for fecal incontinence and always start with the least invasive treatment first. Treatments that avoid surgery include dietary changes, medications, bowel training, pelvic floor exercises and biofeedback, and bulking agents. Our surgeons use minimally invasive techniques, including robotic-assisted technology, to treat fecal incontinence. Surgical treatments include implantable neurostimulators, sphincteroplasty, and rectal prolapse repair.
Pelvic organ prolapse
Pelvic organ prolapse occurs when muscles and connective tissue become too weak to support the bladder, rectum, or uterus. You may feel a bulge or pressure in the pelvic area. You may also find physical activity or intercourse uncomfortable.
We treat and diagnose all types of pelvic organ prolapse, including:
- Prolapsed: bladder (cystocele)
- Rectocele (prolapse between rectum and vagina)
- Small bowel (enterocele)
If a physical examination cannot determine the cause of prolapse symptoms, we use advanced technology such as dynamic pelvic floor MRI and ultrasounds to properly diagnose patients.
We offer comprehensive treatments for pelvic organ prolapse. Your doctor starts with the least invasive treatment 1st. Options that avoid surgery include medications, pelvic floor exercises, and pessaries.
Our pelvic floor specialists use minimally invasive techniques, including vaginal, laparoscopic and robotic-assisted approaches to surgically correct pelvic organ prolapse. Surgical treatments for prolapse include hysterectomies, uterine-sparing surgery, cystocele and rectocele repair, and sacrocolpopexy.
Holistic treatment options utilizing advanced testing
We take a holistic approach to treat pelvic floor disorders and offer a range of nonsurgical treatment options. Options include Kegels, exercises to strengthen pelvic floor muscles, mild electrical stimulation, and bladder and urethral injections for incontinence.
Minimally invasive surgery optimizes your recovery
Our advanced diagnostic testing options include advanced evaluations, including dynamic pelvic floor MRI, urodynamic bladder function tests, and nerve damage assessments. Incontinence treatment options include slings and implanted sacral nerve stimulators. Prolapse treatment options include laser surgery, vaginal surgery, and robotic-assisted or laparoscopic surgeries. Minimally invasive surgeries use smaller incisions, limit blood loss during surgery and patients experience less pain, minimal scarring, and reduced recovery time.
Pelvic floor and physical therapy
Physical therapy goals are focused on restoring function and reducing pain. The pelvic floor is a grouping of muscles that sits like a bowl in the base of your pelvis to assist with the stability of the pelvis, breathing, continence of bowel and bladder, and support of the organs. The muscles, like any other muscle in the body, can become dysfunctional and lead to myofascial pain, incontinence, and other conditions. Our Pelvic Floor physical therapists receive further training specifically for pelvic floor muscles and conditions. Your physical therapist will help diagnose and customize a treatment plan with you and your physician to help lessen your symptoms.
If you or a loved 1 is experiencing any pelvic floor pain, we’re here to get you back to the life you love.
Maimonides Pelvic Floor Center
745 64th Street, 4th floor
Brooklyn, NY 11220