Treatments for pelvic floor disorders
This section covers the treatments I use for pelvic organ prolapse, urinary incontinence, and fecal incontinence. Each page explains how a treatment works, who it tends to help, what recovery looks like, and what the tradeoffs are.
How I approach treatment
Most of these conditions have several reasonable options, from physical therapy and pessaries to medications, office procedures, and surgery. You don’t have to try them in a fixed order. We choose together based on how much your symptoms bother you, what you want to get back to doing, your overall health, and how you feel about the risks and recovery of each option.
The type of problem matters too. Stress incontinence (leaking with coughing, laughing, or exercise) and urge incontinence (a sudden, strong need to go) respond to different treatments, so we sort out which one you have before picking a plan.
Treatment sections
- Prolapse treatments: watchful waiting, pelvic floor physical therapy, pessaries, and surgical repair
- Urinary incontinence treatments: behavior changes, physical therapy, medications, Botox, nerve stimulation, urethral bulking, and slings
- Fecal incontinence treatments: diet changes, bowel retraining, physical therapy, the Eclipse device, and sacral nerve stimulation
- Vaginal estrogen: how it’s used, how safe it is, and how it works alongside other treatments
- Treatment comparisons: side-by-side looks at common choices, such as pessary vs surgery or sling vs bulking
Important Note
These pages are general information, not personal medical advice. Talk with me or your own clinician before deciding on a treatment.