Pelvic Health Institute

Treatment Options

Medications

There are several medications to choose from. Your physician will work with you in determining which one is the most affordable that works for your after a through history and exam. These are just a few:

  • Detrol
  • Ditropan
  • Oxytrol
  • Sanctura
  • Mybertric
  • Vesicare
  • Enablex
  • Oxybutynin

Pessary

Pessaries are a non-surgical devices that can sometimes be used for pelvic organ prolapse (POP). They are placed in the vagina like a diaphragm. Like a pair of shoes, women have to be fitted to find the one that will be the most comfortable and work out best for her. These are fitted during an exam by your physician and women can be taught to insert and remove as a part of her daily routine. When this is not possible, you can follow up with your physician 4-6 times a year for an exam and cleaning.

Lifestyle and Behavior Changes 

By working on just a few simple lifestyle changes, it is possible that you can improve urinary urgency and incontinence issues:

  • Avoid bladder irritants, such as caffeine, citrus juices, and artificial sweeteners
  • Perform Kegel exercises
  • Manage your fluid intake
  • Weight loss

Physical Therapy

  • Pregnancy and back pain
  • Abdominal or pubic diastasis also known as abdominal or pubic bone separation that sometimes occurs during pregnancy
  • Pelvic pain: Vaginismus which are painful and often prolonged contraction of the vagina in response to touching of the vulva or vagina, vulvodynia which is literally pain in the vulva that is characterized by itching, burning, stinging, or stabbing in the area around the opening of the vagina, pudendal nerve entrapment is a common source of chronic pain that is caused by the compression of the pudendal nerve , located in the pelvic region, recurrent UTI symptoms such as pain when urinating, changes in frequency. Urinary and bowel issues that involve difficulty eliminating, pain or leaking
  • Scar tissue related to gynecological surgeries, cancer surgery
  • Sacral (triangular-shaped bone located at the bottom of the spine) pain that is characterized as low back pain including radiculopathy which refers to a set of conditions in which one or more nerves are affected (neuropathy).

Who needs pelvic physical therapy?

Patients who have:

  • Pelvic pain
  • Urinary symptoms including urgency, frequency, leaking, difficulty initiating a stream, difficulty emptying their bladder completely, recurrent UTI symptoms
  • Bowel symptoms including persistent constipation, getting the urge but unable to eliminate, painful bowel movements, fecal incontinence
  • Lower abdominal pain associated with any of the above symptoms
  • Pain with intercourse or GYN exam
  • Scar tissue in the lower abdominal or vulva area are associated with any of the above symptoms

Behavioral Health/Psychology Services

A licensed trained psychologist in GA and SC is available to assist patients with:

  • Psychotherapy
  • Counseling
  • Empirically Supported Treatment
  • Psychological Assessment

For more information please call 706.651.3636