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Pelvic Floor Health Program

More common than you think.
More treatable than you realize!


  Do you urinate when you laugh or sneeze?
    Is it hard for you to control your bowel?

  Do you have an overactive bladder (have to urinate a lot)?
    Do you have reoccurring pelvic pain?
 

Pelvic floor disorders can lead to:

  • Incontinence – loss of bladder or bowel control and leakage of urine or feces.

  • Pelvic Organ Prolapse – Descent of pelvic organs including dropped uterus, bladder, vagina or rectum.

  • Chronic Pelvic Pain – Discomfort, burning or other uncomfortable pelvic symptoms, including bladder or urethral pain

  • Overactive Bladder – Frequent need to urinate, uncomfortable bladder pressure, urge incontinence and difficulty holding a full bladder.

  • Emptying Disorders – Difficulty urinating or moving bowels.

Urinary Weakness and Pelvic Disorders

What is the Pelvic Floor?
The pelvic floor is comprised of muscles, ligaments and connective tissue at the base of the abdomen which protect and support the main organs of the lower abdomen (bladder, uterus, vagina, intestines and rectum). By providing support, the pelvic floor prevents these organs from dropping below their normal positions.

The pelvic floor is comprised of muscles, ligaments and connective tissue at the base of the abdomen which protect and support the main organs of the lower abdomen (bladder, uterus, vagina, intestines and rectum). By providing support, the pelvic floor prevents these organs from dropping below their normal positions.

What are Pelvic Floor Disorders?
Women with weakness of the pelvic muscles or tears in the connective tissue may begin to have problems controlling their bladders and bowels.  They often describe urine leakage, bowel gas or stool leakage, overactive bladders, difficulty emptying their bladders or difficulty having bowel movements.  Some women also feel or see tissue coming out of the opening of the vagina.  This can be a prolapsing cervix and uterus or the walls of the vagina.

  • Urinary incontinence
  • Fecal incontinence
  • Voiding dysfunction
  • Constipation
  • Pelvic organ prolapse
  • Interstitial Cystitis

The DMC Pelvic Health Program
The DMC provides leading expertise in pelvic floor disorders. 
Our program includes a multidisciplinary team of physicians from DMC Huron Valley-Sinai, DMC Hutzel Women’s Hospital and DMC Sinai-Grace Hospital along with physical therapists from the DMC Rehabilitation Institute of Michigan (RIM).  This comprehensive team (Obstetric/Gynecology, urology and physical therapy) offers state-of-the art treatment regimens specifically tailored to your needs.  Collaboration with many different specialists ensures the best possible outcomes.  Our mission is to restore function and strength to your pelvic muscles that are critical for your comfort.

Treatments
Non-Surgical Treatments
Physical therapy
– Specialized physical therapy and exercises can help women strengthen the muscles that surround and support the urethra, bladder, vagina and rectum.  Pelvic floor physical therapy is a proven treatment for urinary incontinence.

Medication – Medications that control muscle spasms can help prevent urine leakage. Drugs may be used to treat underlying cause. Some drugs may be used to improve bladder muscle contraction.

Medical devices – A device called a pessary can prevent incontinence by supporting the pelvic organs and pressing against the urethra. This simple device is specially fitted for each patient and can be inserted by the patient or by the physician.

Other treatments – Other treatments include electrical stimulation, biofeedback, collagen implants and catheterization.

Minimally Invasive and Robotic Assisted Surgical Treatments
Minimally Invasive Options - Doctors usually suggest surgery to alleviate incontinence only after other treatments have been tried.  Many surgical options have high rates of success.  Physicians at the DMC perform the latest, minimally invasive surgical procedures to treat pelvic floor disorders. The most popular surgical procedures include:

  • Single incision sling
  • Transvaginal tape
  • Transobturator tape

In these minimally invasive procedures, a synthetic mesh tape or sling is placed under the bladder neck (urethra). This tape functions as a “hammock” supporting the urethra in times of stress, such as coughing, sneezing, laughing and jumping.

Robotic-assisted Minimally Invasive Options  Surgeons at the DMC use the most advanced surgical equipment-including the da Vinci® Si HD Surgical System powered by state-of-the-art robotic technology. 

Increased precision and control – Robotic assisted surgery enables DMC surgeons to
operate with smaller incisions in the body, but with greater precision and control than ever before. This technology is changing the surgical experience for both surgeons and patients.

Benefits of Minimally Invasive and Robotic Assisted Surgery

  • Significantly less pain  
  • Less risk of wound infection 
  • Quicker recovery
  • Shorter hospital stay

Nationally Recognized Expertise
DMC Huron Valley-Sinai and DMC Hutzel Women’s Hospital are recognized as a Center of Excellence in minimally invasive gynecology by the American Association of Gynecologic Laparoscopists (AAGL). Huron Valley-Sinai and Hutzel are two of a small group of hospitals in the U.S. certified as a Center of Excellence in minimally invasive gynecologic surgery.

For more information or to schedule an appointment with one of our minimally-invasive specialists, call DMC Friends and Family at 877-362-5222 or click here.  

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     Nationally Recognized Expertise

    DMC Huron Valley-Sinai and DMC Hutzel Women’s Hospital are recognized as a Center of Excellence in minimally invasive gynecology by the American Association of Gynecologic Laparoscopists (AAGL). Huron Valley-Sinai and Hutzel are two of a small group of hospitals in the U.S. certified as a Center of Excellence in minimally invasive gynecologic surgery.

     

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