Pelvic Health & Urogynecology
Customized Care for Quicker RecoveryNearly 25 percent of women in the U.S. will experience a pelvic floor disorder (PFD). PFDs can occur at any stage of life but are more prevalent as women age.
Catholic Health Services offers surgical and non-surgical options to treat PFDs including, but not limited to, urinary and fecal incontinence and pelvic organ prolapse. Our specialized diagnostics and customized treatment programs focus on less pain, reduced infections and quicker recovery for patients.CHS's Center for Pelvic Health, with locations in Suffolk and Nassau counties, provide patients with convenient access to our team of specialists who understand the sensitivity of PFDs and treat all patients with care and compassion.
2000 N. Village Avenue, Rockville Centre, NY; Suite 310
661 Deer Park Avenue, Babylon, NY
Call 631-376-3880 for more information or to schedule a consultation at either location.
What is the pelvic floor?
The pelvic floor is a complex system designed to support the pelvic organs and allow for their optimal function. This requires the proper integration of muscles, connective tissue and nerves to help support and control the rectum, uterus, vagina, urethra and bladder. The pelvic floor can be affected by genetic makeup, childbirth, aging, repeated heavy lifting, chronic disease or surgery.
- Urinary and fecal incontinence
- Loss of bladder or bowel control. Leakage of urine or feces. Urinary incontinence is not a disease. It is a symptom of many conditions. There are four types of urinary incontinence: stress urinary incontinence (SUI), overactive bladder, mixed incontinence or overflow incontinence.
- Pelvic organ prolapse (POP)
- Descent of pelvic organs. A bulge and/or pressure. ‘Dropped uterus, bladder, vagina or rectum.’ POP occurs when the pelvic floor muscles and connective tissue weaken or tear. This causes the pelvic organs to fall downward into the vagina, similar to a hernia. Women may feel or see tissues coming out of the opening of their vagina as this progresses.
- Overactive bladder (OAB)
- Frequent need to void. Bladder pressure. Urgency. Urge incontinence (difficulty holding back urine when having the urge to urinate). OAB is a complex condition affecting about 15 percent of women across all ages. It can be costly, embarrassing and result in avoiding social activities for fear of leakage. Age increases the risk for OAB as do some bladder conditions (infection, bladder stones or abnormal growths).
- Recurrent urinary tract infection (UTI)
- A UTI is the abnormal growth of bacteria anywhere along the urinary tract combined with symptoms. The most common site for these to occur is the bladder. Symptoms include burning with urination, the frequent or urgent need to urinate or pain/pressure in the lower pelvic area.
- Postpartum pelvic floor dysfunction
- The muscles and tissues that support the pelvis can be weakened during pregnancy and are often strained during childbirth. Nerve damage can also occur. Symptoms include urinary and fecal incontinence, pelvic pain or pelvic organ prolapse (which can emerge even years later).
- Urethral diverticulum (UD)
- UD is a pocket or pouch that forms along the urethra. It can be filled with urine and lead to infections because of its location. It can cause a painful vaginal mass, ongoing pelvic pain or recurring UTIs.
- Bladder pain
- Discomfort to the lower back, pelvis or bladder and/or urethra.
- Genital fistula
- Abnormal hole between the vagina and rectum (rectovaginal), vagina and urethra (urethrovaginal) or vagina and the bladder (vesicovaginal). Fistulas may form in many parts of the body. A fistula is an abnormal connection or tunnel between two organs in the body or between an organ and your skin.
- Pain, discomfort or burning in the genital area or difficulty moving one’s bowels
A urogynecologist can help evaluate the symptoms, determine the cause and recommend treatment for the above PFDs.
Who should see a specialist?
Call 631-376-3880 to make an appointment for a pelvic floor and continence health screening if you have experienced even one of the following symptoms.
- Urine, bowel or gas incontinence
- Leaking urine or feces when laughing, coughing or sneezing
- Going to the bathroom more than eight times a day
- Difficulty starting or completing a bowel movement
- Frequent or persistent urinary tract infections
- Episodes of vaginal or rectal bulge or protrusion
- Pain in your abdominal, vaginal or rectal area
- Fear of leaving home due to bladder or bowel problems
Why choose CHS’s Center for Pelvic Health?PFDs can be disruptive to everyday life and cause complications without proper treatment. Fortunately, most PFDs are treatable. CHS's Center for Pelvic Health offers specialized diagnostics and customized treatment programs including:
- Behavioral and/or dietary modifications
- Minimally invasive surgical procedures
- Pelvic floor muscle exercises
- Pelvic floor physical therapy
Keith Downing, MD, MS, FACOG, FPMRS is division chief of female pelvic medicine and reconstructive surgery for Catholic Health Services. He is board certified in OB/GYN and urogynecology and specializes in the surgical and non-surgical treatment of PFDs.
Dr. Downing discusses pelvic health on CHS Presents: Lifestyles at the Heart of Health