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For more Doylestown Health COVID-19 information, visit our COVID-19 Update page.

Pelvic Health Program

Pelvic floor dysfunction is a common problem affecting millions of Americans, but unfortunately, it goes mis- or undiagnosed. The Doylestown Health Pelvic Health Program treats pelvic floor dysfunction in men and women through urology and rehabilitation services, ensuring the best possible functioning and management of the bladder, bowel and reproductive organs.

What is the Pelvic Floor?

The pelvic floor is a complex muscle structure suspended between the pelvic bone in the front and the tailbone in the back, forming a sling, or hammock. These muscles, nerves, connective tissues and skeletal structures support the bladder, rectum, uterus and vagina (in women) and prostate (in men). Having a strong pelvic floor is essential for proper bladder and bowel function, comfort, sexual performance, and pelvic stability with movement.

Symptoms You Might Experience with Pelvic Floor Dysfunction

  • Urinary Tract: urgency, frequency, leakage, discomfort, difficulty urinating
  • Gastrointestinal Tract: low back pain, bloating, rectal pressure, constipation, fecal incontinence
  • Genital Tract: pelvic pain, pressure, prolapse, pain during or after intercourse, pain with ejaculation, erectile dysfunction

Possible Causes

  • Traumatic injury to pelvic area
  • Pregnancy/ childbirth
  • Endometriosis or surgery resulting in scar tissue adhesions
  • Pelvic radiation treatments that lead to scar tissue
  • Obesity
  • Menopause, aging
  • Heavy lifting
  • Overuse of pelvic muscles caused by interstitial cystitis or IBS
  • Stress and anxiety

Visit Doylestown Health Urology

Doylestown Health Urology will conduct a thorough pelvic health assessment which includes:

  • The review of your health history
  • A physical exam
  • Measurements to see if the bladder or uterus have dropped
  • A urinalysis
  • Ultrasounds to rule out stones or blockages
  • Video urodynamic testing to assess bladder function, allowing for more complex measurements and additional visualization

You will be provided with treatment options that are optimal for you and may include:

  • Behavior Modification
  • Doylestown Health Pelvic Floor Physical Therapy for men and women
  • Medication
  • Neuromodulation- stimulation of the nerves that enervate the bladder
  • Pessary- a device which can be an alternative to surgery for prolapse
  • Minimally invasive surgery for stress incontinence
  • Botox
  • Bladder pacemaker implants - including bladder pacemakers and reconstructive vaginal repairs
  • Urogynecologic surgery - minimally invasive, robot-assisted pelvic reconstructive surgery, including urinary incontinence and pelvic organ prolapse procedures

Team

Doylestown Health Urology

Heather Gottlieb, DO
Alex Soriano, MD

Doylestown Health Rehabilitation Therapy

Locations

Doylestown Health Urology

Doylestown

102 Progress Drive
Suite 101
Doylestown, PA 18901
Get Directions

Make an Appointment Today

Call 215.230.0600

Warminster

205 Newtown Road
Suite 102
Warminster, PA 18974
Get Directions

Make an Appointment Today

Call 215.672.0500

Wrightstown

2189 Second Street Pike
Wrightstown, PA 18940
Get Directions

Make an Appointment Today

Call 215.863.8864

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