Urogynecology and Pelvic Floor Disorders

Pelvic floor dysfunctions, including uterovaginal prolapse, urinary incontinence, fecal incontinence, sexual dysfunction, and chronic pelvic pain, affect about half of all women and can lead to decreased quality of life.

UT Southwestern Medical Center has one of the largest divisions of urogynecology in the country. Our providers are some of the nation’s leading researchers, educators, and providers. 

We offer a full range of treatments for urinary and pelvic floor conditions as well as provide comprehensive pelvic floor evaluation, including urodynamic testing, office cystoscopy, and endoanal sonography evaluation.

To meet the needs of our patients, we take a multidisciplinary approach to care and collaborate with colorectal, physical therapy, pain management, and other specialists.

Common pelvic floor disorders we treat include:

Treatments for Urogynecology and Pelvic Floor Disorders

Our urodynamics laboratory provides a comprehensive array of diagnostic studies to determine the cause of urinary and fecal incontinence and other pelvic floor disorders. Once a diagnosis has been made, we offer the latest surgical and nonsurgical treatment options.

Nonsurgical Treatments

Our nonsurgical therapies include:

Pelvic floor biofeedback
Muscle retraining to help patients learn to strengthen or relax pelvic floor muscles
Pelvic floor therapy
Manual therapy to help strengthen or modify the pelvic floor
Botox bladder injections
A muscle relaxant that can be helpful for urinary incontinence
Urethral bulking agents
Injections that can help treat urinary incontinence in women
Pelvic floor electrical stimulation
Electrical stimulations to rehabilitate weak pelvic floor muscles
Percutaneous tibial nerve stimulation
Minimally invasive form of neuromodulation used to treat overactive bladder
Sacral neuromodulation
An implanted neurostimulator electrically stimulates the sacral nerve to help treat urinary and fecal incontinence
Bladder instillation
A combination drug therapy to help painful bladder or cystitis symptoms
Pessary fitting and maintenance
A removable device that can support areas of pelvic organ prolapse
Pelvic floor trigger point injections
Medication injections into trigger points that help treat chronic pelvic pain syndrome

Surgical Treatments

Our surgical interventions include:

Abdominal sacrocolpopexy
A surgery to correct the supporting muscles, ligaments, and tissues of the vagina
Uterosacral ligament suspension
An operation that restores support to the uterus or vagina
Sacrospinous fixation
An additional operation that restores support to the uterus or vagina
DaVinci robot-assisted prolapse procedures
A minimally invasive way to surgically treat prolapse
Midurethral sling
Provides support under the urethra to prevent it from dropping during physical activity
Burch urothropexy
A surgical procedure in which support is provided to the urethra
Pubovaginal sling
Aa procedure used to manage urinary incontinence
Anterior and/or posterior repairs
Including repairs to both the vagina and the bladder
Fistula repairs
Repairs to vaginal fistulas
Congenital anomaly repairs
Including repairs to many congenital pelvic floor anomalies
Ureteral stents
A thin tube inserted into the ureter to help obstruction of urine flow
Mesh removal
Removal of vaginal mesh that was previously used to treat pelvic problems

Women with incontinence, bladder dysfunction, or infertility conditions can also be treated by our female urology service.

Clinical Trials

As a patient at UT Southwestern, you’ll have access to research treatment protocols developed by the National Institutes of Health's Pelvic Floor Disorders Network and the Urinary Incontinence Treatment Network. Ask your doctor for more information about clinical trials you may be eligible to participate in.

Meet Our Team

Joseph Schaffer, M.D., is the Director of Gynecology and Female Pelvic Medicine and Reconstructive Surgery for UT Southwestern Medical Center, and serves as the Chief of Gynecology for both Parkland Hospital and UT Southwestern. He is a renowned educator and researcher, and has co-authored and edited one of the nation’s leading gynecology textbooks: Williams Gynecology. Other research endeavors include acting as principal investigator for clinical trials within the National Institutes of Health (NIH) Pelvic Floor Disorders Network.

Marlene Corton, M.D., is one of the nation’s leading pelvic anatomists. Her passion in pelvic anatomy has led her to develop a nationally recognized cadaveric pelvic anatomy training program for Ob/Gyn residents and for fellows in female pelvic medicine and reconstructive surgery to learn minimally invasive and complex reconstructive surgical procedures. She is fluent in Spanish.

David Rahn, M.D., serves as a principal investigator for clinical trials funded by the NIH Pelvic Floor Disorders Network and has obtained an NIH grant to investigate improvement of surgical outcomes using vaginal estrogen creams.

Christy Hicks, NP, Women’s Health Nurse Practitioner, screens patients through bladder testing procedures and assists them in their nonsurgical management of pelvic floor dysfunctions. She serves as a writer for the Interstitial Cystitis Association and holds a special interest in interstitial cystitis, pelvic floor disorders, chronic pelvic pain, and sexual dysfunction.

Request an Appointment

To schedule a visit with a pelvic floor specialist at UT Southwestern’s facilities in Dallas or to learn more about our services, request an appointment or call 214-645-3848.