Women's Pelvic Health

The Urology San Antonio Women’s Pelvic Health Program is our coordinated system for treating women’s bladder, sexual, and pelvic floor disorders. Each member of our team specializes in diagnosing and and treating women’s sensitive urological health issues while offering a sub-specialized niche of treatment. We’re attuned to the overlapping nature of pelvic health problems and connect you to the right expert in a timely manner.

Pelvic Health Clinical Expertise

Technology and Treatments

  • Traditional and Video Urodynamics (Download: UDS Pre-Appt Instructions)
  • Electrical Stimulation and Biofeedback
  • Estrogen Replacement Therapy
  • Pelvic Floor Myofascial Release and Physical Therapy
  • Botox for Bladder Disorders
  • Urethral Bulking Therapy
  • Minimally-Invasive Stress Incontinence Procedures and Surgery
  • Percutaneous Tibial Nerve Stimulation (PTNS)
  • Pessaries
  • Prolapse Repair Surgery
  • Pelvic Floor Reconstruction
  • Robotic Sacrocolpopexy
  • Neurostimulation Therapy (InterStim)

Frequently Asked Questions

Is it normal for women to leak a few drops of urine when they sneeze, exercise, laugh, etc?
Urine leaking is not normal nor an inevitable part of aging; however, this condition known as stress urinary incontinence, is very common among women. If the fear of urine leakage is causing you to limit your daily activities (for instance, avoiding exercising or playing with your kids), tell your doctor. Treatments ranging from pelvic muscle training to surgery can help.

I feel uncomfortable talking about urine leakage or sexual function changes, even with my doctor. What should I do?
In the course of a normal exam, urinary leakage and sexual function changes are not likely to come up so it’s important to initiate the conversation. Be honest and acknowledge that topic is hard for you to talk about. He or she will discuss your concerns with the professionalism you’d expect when discussing any other medical condition and will help put you at ease.

How does menopause affect women’s pelvic health?
The decline in estrogen after menopause causes the tissues in a woman’s pelvic floor and pelvic organs to become thinner, weaker and less elastic. The result is that you’re more susceptible to bacterial infections, pain with intercourse, incontinence and pelvic organ prolapse. Using an estrogen replacement therapy that is applied and absorbed vaginally can improve pelvic health symptoms. Caution should be taken in supplying estrogen to women who’ve had breast cancer.

Do douches or feminine cleansers promote good pelvic health?
No, douching, deodorizing or cleansing the vagina removes the body’s natural, good bacteria and creates an environment that is accommodating to bad bacteria that can cause urinary tract infections.

Do Kegels really work?
If done properly and regularly Kegel exercises can strengthen the muscles that hold back urine and enhance orgasm. To know if you’re doing the exercises correctly, your provider may use biofeedback. This involves placing a tampon-like probe in the vagina. The probe measure the strength of your Kegels displays the results on a computer in real time. Visualizing the muscles contracting can help women improve their Kegel technique.

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