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.
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
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.
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.