After thorough testing and diagnosis, the urogynecologists at MacDonald Women’s Hospital discuss treatment options with their patients. According to Dr. Dangeeta Mahajan, pelvic disorders can usually be handled without surgery (except in severe cases, such as severe or complex prolapse).

While the ability to “cure” a pelvic disorder is never guaranteed, the situation can be greatly improved.

Non-surgical treatments vary upon the type of disorder.

• Pessary—This is a flexible plastic device inserted into the vagina to hold up the urethra and bladder. It can bring relief for incontinence and prolapse.
• Botox®-- Well-,known for reducing wrinkles on the face, it can also be used to relieve frequent urination. When Botox® is injected into several areas of the bladder, it weakens the underlying muscles and keep them from having spasms.
• Sacroneuromodulation—This is effective for treating several bladder control problems. A small device sends mild electrical pulses to a nerve in the lower back that controls the bladder and the muscles around it.
• Biofeedback Therapy—An effective method for treating fecal incontinence, this involves using a pressure-sensitive probe to register the strength of the muscles that control the rectum.
• Physical Therapy—Rather than medication, physical therapy is used to lessen pain in the pelvic area.

Follow-up care includes regular visits with the urogynecologist as needed and physical therapy sessions. The ultimate goal is to have the patient return to her regular gynecologist once the pelvic disorder has been successfully completed at MacDonald Women’s Hospital.