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Pelvic Medicine Center

​​​​​​​​​​​ Pelvic floor disorders, such as urinary incontinence or overactive bladder, can make life quite uncomfortable at times. You may skip activities you enjoy for fear of having an "accident". Pelvic floor dysfunction can not only affect your health and well-being, but also your quality of life.

Baylor Scott & White All Saints Medical Center – Fort Worth takes a multidisciplinary and comprehensive approach to pelvic floor disorders. We offer services to effectively address your urogynecologic issues, allowing you to regain your quality of life. Andrews Women's Hospital at Baylor Scott & White All Saints – Fort Worth has urogynecologists who have received specialty board certifications in female medicine pelvic and reconstructive surgery, which means extra training in the evaluation and treatment of women with complex disorders of the pelvic floor.

A urogynecologist is an OB-GYN surgeon who specializes in urinary and fecal incontinence and pelvic floor disorders. The pelvic floor is made up of ligaments and muscles – including the cervix, vagina, uterus, bladder, urethra and rectum – that help control urinary and bowel function.​​

Common Symptoms Treated

  • Urinary Incontinence
  • Bowel Incontinence
  • Pelvic Organ Prolapse
  • Bladder pain syndrome
  • Pelvic pain
  • Back pain (lower)
  • Interstitial cystitis
  • Female sexual dysfunction
  • Vulvodynia

Not every urinary or pelvic floor disorder requires a surgical solution. After the appropriate evaluation of bladder function and pelvic organ prolapse, patients are offered a variety of surgical or non-surgical options.

Surgical Treatment Options

We offer various surgical treatment options to treat pelvic floor disorders. Physicians who specialize in urinary and fecal incontinence and pelvic floor disorders will determine which procedure is best for you upon diagnosis and evaluation. This customized approach to treatment allows for the best outcomes and will let you resume your normal lifestyle as soon as possible.

Surgical options offered include, but are not limited to:

  • Paravaginal defect repair ligament fixation
  • Sacrospinous
  • Posterior colporrhaphy
  • Transvaginal sling
  • Colpopexy abdominal
  • Paravaginal defect repair abdominal
  • Vaginal mesh removal
  • InterStim®
  • Vaginal and abdominal hysterectomy
  • Cystoscopy
  • Botox and collagen therapy

Non-surgical Options

Not every urinary or pelvic floor disorder requires a surgical solution. After the appropriate evaluation of bladder function and pelvic organ prolapse, patients are offered a variety of non-surgical options including:

  • Pelvic muscle physical therapy
  • Pelvic muscle exercises and classes
  • Oral medications
  • Vaginal support devices
  • Behavior modification
  • Hormonal therapy

Pelvic Floor Physical Therapy & Exercise Classes

Pelvic floor muscle weakness and tension contribute to pelvic pain and incontinence. Postural and joint alignment problems can prevent your muscles from working optimally for you.

Pelvic floor physical therapy may be able to help you if you’re experiencing:

  • Incontinence
  • Loss of bladder control
  • Loss of bowel control
  • Pelvic Organ Prolapse
  • Frequent urination
  • Constipation
  • Pain with sitting
  • Difficulty emptying bladder
  • Pain with orgasm
  • Pain during pelvic exams
  • Sexual dysfunction
  • Pain during intercourse
  • Pelvic Pain
  • Pain during or after pregnancy

Pregnancy and childbirth can cause overstretching of pelvic floor and abdominal muscles, resulting in low back and pelvic pain. Physical therapy and exercise can relieve pain. Urinary incontinence may also be treated.

You may be at higher risk of developing a pelvic floor disorder if any of the following actions happened during your pregnancy and/or delivery. If you meet these criteria, pelvic floor therapy may help:

  • Forceps or a vacuum were used during delivery
  • 3rd of 4th degree vaginal repairs
  • Birth of multiples
  • If you have been pregnant more than two times.

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