MultiCare Health System

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MultiCare Urogynecology and Pelvic Reconstructive Surgery

Conditions

In the United States, 1 out of 4 women suffer from some kind of pelvic floor disorder. One of the most common of this is urinary incontinence. Another common set of disorders ispelvic floor prolapse.

There are many causes of these and other pelvic floor disorders, including aging, loss of muscle tone, menopause, multiple vaginal deliveries, obesity, family history, and certain medical conditions such as diabetes.

Many women never seek medical treatment for these issues, often because they feel embarrassed or assume these issues are a natural consequence of aging or childbirth. However, the vast majority of pelvic floor disorders are treatable.

MultiCare Women’s Pelvic Medicine & Reconstructive Surgery can evaluate a wide range of pelvic floor conditions, including:

  • Urinary incontinence, including urgency/overactive bladder; stress incontinence; and overflow incontinence
  • Fecal incontinence
  • Organ prolapse (one or more organs collapsing into the vaginal area), including uterine prolapse, bladder prolapse, and vaginal vault prolapse
  • Urethral sphincter insufficiency (a common cause of stress urinary incontinence)
  • Uterine fibroids and endometriosis
  • Cystocele (the bladder falling into a relaxed area of the vagina), enterocele (vaginal hernia), rectocele (rectum wall bulging into vagina)
  • Rectovaginal fistulas (abnormal connection between the rectum and vagina)
  • Urethral diverticulum (small, bulging pouches along the urethra)
  • Vaginal agenesis (abnormal development of the reproductive system) and stenosis (narrowing or inflexibility of the vagina)
  • Vesicovaginal and urethrovaginal fistulas (abnormal connections between the urinary tract and vagina, and urethra and vagina)