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(904) 244-0411

Services

Your first visit

We look forward to meeting you. To have as much information as possible for your first visit to UF Health Female Pelvic Medicine and Reconstructive Surgery in Jacksonville, we will ask you to complete a questionnaire that documents symptoms, activities, fluid intake, voiding patterns and leakage. Depending on your symptoms, you may also be asked to complete a bladder diary or record of urination habits. When you come for your appointment, our specialist will perform a consultation and physical exam.

Diagnostic services

Based upon any initial findings, additional testing may be required to complete your diagnosis. This may include:

  • Urodynamics studies: a series of test to identify the cause of leakage and measure how much your bladder holds
  • Cystoscopy: a noninvasive procedure to look inside the bladder using a tiny camera
  • Ultrasound: imaging that uses sound waves to further evaluate the bladder, the ureters (ducts from the kidney to the bladder) and the kidneys.

Treatment services

Treatment options are dictated by your preferences, the nature and severity of your urogynecologic problem, and your medical and physical condition. Since a wide variety of conditions are treated, many nonsurgical and surgical therapies are available.

Nonsurgical therapies

  • Pelvic muscle rehabilitation: Some types of pelvic pain, pelvic organ prolapse and urinary incontinence respond to physical therapy. Kegel exercises can be instructed by the physician and easily performed by many patients. Other patients might be referred to therapists with expertise in diagnosing and treating conditions of the pelvic floor.
  • Bladder retraining and behavior modification: Certain types of bladder conditions can be managed by establishing urinary voiding schedules, fluid intake changes and dietary modification.
  • Medications: Your physician can discuss various medications that treat a range of urogynecologic problems, including urgency/frequency, urge incontinence, mixed incontinence and interstitial cystitis.
  • Pessaries: These are devices designed for insertion into the vagina to correct prolapse and sometimes improve voiding or defecation. Once fitted for such a device, patients can remove and insert them on their own or follow up with routine visits for pessary maintenance with a physician.

Surgical procedures

Our surgical experts have experience with a variety of surgical treatment options ranging from minimally invasive robotic-assisted procedures to vaginal and abdominal surgery.

  • Minimally invasive surgery for urinary incontinence: Suburethral slings (TVT) and periurethral collagen injections can often be performed on an outpatient basis unless combined with more invasive procedures.
  • Minimally invasive surgery for urge incontinence: Sacral nerve stimulation (interstim).
  • Laparoscopic surgery: This technique is performed using a laparoscope and surgical instruments placed through small holes in the abdomen and can be used to treat pelvic organ prolapse and aid in the diagnosis and treatment of certain types of pelvic pain.
  • Vaginal surgery: In many patients, pelvic reconstructive surgery can be performed through the vagina, leaving virtually no visible scars.
  • Abdominal surgery: Some conditions are best managed with abdominal surgery.