Pelvic Health Services

Close up of a jogging womans bare abdominal area

The following is a list of many of the services and procedures that available at the Atrium Health Navicent Women's Care Urogynecology & Pelvic Surgery. Click on the links for further information about the procedures that we offer.

In-office diagnostic procedures

  • Urodynamic testing: This test allows for the evaluation of the function of the bladder. After the test, Center for Pelvic Health will be able to determine if there are any issues with how you store and empty urine from the bladder.
  • Cystoscopy: This procedure utilizes a small camera that allows for the evaluation of the inside of the bladder and urethra.
  • Endoanal Ultrasound: Ultrasound evaluation of the anal sphincter muscles allows Center for Pelvic Health to evaluate and determine if there are any defects or tears to the sphincter muscle that normally regulates a woman's bowel movements.
  • Pelvic Floor Ultrasound: Unlike other imaging modalities, pelvic floor ultrasound allows for the evaluation of the muscles of the pelvic floor in real-time. It is also the only imaging modality to visualize and evaluate complications from vaginal mesh.

In-office treatments

  • Pessary: Not every patient with pelvic organ prolapse will desires surgical management. A pessary is a device that is fitted and placed into the vagina to help alleviate the pressure and bulge symptoms associated with prolapse.
  • Intradetrusor onabotulinum A (BOTOX) injections: BOTOX injections can be utilized to help women with refractory urge urinary incontinence or overactive bladder. If you have been on medications for a while and have not been able to achieve the results you want, consider a consultation with Center for Pelvic Health for BOTOX.
  • Periurethral bulking agents: In some women, an office procedure to help bulk the urethra and improve stress urinary incontinence may be the right option. Injection of periurethral bulking agents can be performed in the office without the need of general anesthesia.
  • Trigger point injections/Pudendal Blocks: Pelvic pain and pelvic floor dysfunction can be debilitating conditions that severely impact a woman's quality of life. Injections to the pelvic floor muscles or a pudendal block in conjunction with pelvic floor physical therapy may help improve pain and function of her pelvic floor muscles.
  • Peripheral Nerve Evaluation (PNE) for sacral neuromodulation (InterStim): Sacral nerve stimulation can be used to treat urge incontinence, overactive bladder, urgency-frequency, fecal incontinence and urinary retention. The PNE is a simple in office test that allows Center for Pelvic Health to determine if placement of the full InterStim sacral neuromodulation implant would be right for you.

Surgical treatments

  • Pelvic organ prolapse repair: Surgical treatment of pelvic organ prolapse (herniation of the bladder, bowel, rectum or uterus into the vagina) can include a variety of different procedures and approaches. Your first step is to obtain a consultation with Center for Pelvic Health to determine which procedure(s) are best suited to treat your prolapse.

    Surgery can performed abdominally, vaginally, laparoscopically or with the assistance of the DaVinci robotic platform. Below is a list of the individual procedures that Center for Pelvic Health can perform to correct your prolapse.
  • Urinary Incontinence: Stress urinary incontinence is a condition in which women involuntarily leak urine with coughing, sneezing, jumping, or exercising. It occurs when the supports of the urethra become weak and allow the urethra to become hypermobile and unsteady. The goal of treatment for stress incontinence is to reestablish support of the urethra in order to decrease hypermobility and ultimately prevent involuntary leaking that occurs with activity.

    Whether this is the first time you are seeking treatment for stress urinary incontinence or you are experiencing recurrence of incontinence after a prior incontinence procedure, evaluation by Center for Pelvic Health will allow for a customized plan of care. Below are a list of procedures that can be performed to correct your stress urinary incontinence
  • Fecal Incontinence: Fecal incontinence is condition that is rarely discussed and therefore many women suffer not knowing that there are treatments available. Fecal incontinence is the involuntary leakage of flatus (gas) or feces (stool). It can be caused by a variety of things, however it is often associated with a prior laceration or obstetrical injury that occurred during childbirth.

    It is important for women to know that there are new treatment options available that are very effective at correcting fecal incontinence and improving a woman's quality of life.
  • Minimally invasive Hysterectomy: Whether it is because of prolapse or other benign gynecologic issues, hysterectomy is one of the most common surgical procedures a woman may undergo in her lifetime. Make an appointment with Center for Pelvic Health to discuss which type of hysterectomy is right for you.
    • Transvaginal Hysterectomy
    • Laparoscopic or Robotic Hysterectomy
  • Fistula repair: Fistulas are abnormal connections between organs that can occur to a variety of reasons such as prior surgery, unrecognized injury, infection, or radiation.
    • Vesicovaginal fistula repair
    • Rectovaginal fistula repair
  • Reconstructive pelvic surgery: Reconstructive pelvic surgery encompasses a variety of treatments depending on the condition. Some of these includes surgical treatments for urethral diverticulum, vaginal stricturing requiring vaginal reconstruction, vestibulectomy for vulvodynia, and many other advance surgical techniques.

  • Transvaginal mesh removal: Occasionally, patients who have prior vaginal mesh surgery develop complications from their original surgery including vaginal pain, bleeding, infection, or mesh erosion/exposures. If this occurs, it may requires mesh excision in order to help alleviate the symptoms.