The Center for Pelvic Health

Pelvic Floor Disorders Treatment at St. Joseph Hospital

The Center for Pelvic Health

The Center for Pelvic Health at St. Joseph Hospital offers treatment for patients throughout Orange County and surrounding areas who experience physical, emotional and social issues associated with pelvic floor disorders.

Pelvic floor disorders, such as incontinence and pelvic organ prolapse, are common conditions, affecting approximately one in three women nationwide. While pelvic floor disorders affect millions of people in the United States, patients are often reluctant to discuss these issues with their health care providers due to embarrassment. The urogynecologists at the Center for Pelvic Health are committed to helping women find relief from pelvic floor disorders and improve their quality of life.

Common Pelvic Floor Disorders

The pelvic floor is made up of muscles, ligaments and connective tissues that are located at the lowest part of the pelvis. The pelvic floor is responsible for supporting the internal pelvic organs (bladder, vagina, uterus and rectum). Loss of support or dysfunction of these structures can lead to the following pelvic floor disorders.

  • Loss of Bowel Control - Accidental bowel leakage can occur due to many factors, including dietary choices, bowel motility issues and the strength of the pelvic floor muscles.

  • Pelvic Organ Prolapse - Child bearing can result in stretching of the tissues that support the vaginal walls. When these tissues become stretched, prolapse of pelvic organs occurs. This is often referred to as a "dropped bladder."

  • Urinary Incontinence - The most common bladder control problems can be broadly divided into two groups:

    • Group one is called stress urinary incontinence and is characterized by leakage of urine with activities like coughing, laughing or sneezing.
    • Group two is called overactive bladder. Patients with this condition often have a strong desire to go to the bathroom very frequently and sometimes leak urine on the way.

Treatment for Pelvic Floor Disorders

Depending on your condition, our urogynecologists offer the following treatment options:

  • Medication - Many medications are available to assist in the management of bladder and bowel control issues. These include oral medications and topical creams for you to use at home.
  • Pessary - A pessary is a ring-shaped device that is inserted into the vagina. A pessary provides support for the pelvic organs and can be a very effective treatment for stress urinary incontinence or pelvic organ prolapse. The device is easily removable and can be used for as long as a patient desires to do so. Pessary fitting can be done during a visit to your doctor's office.
  • Pelvic floor physical therapy - Physical therapists are an integral part of treatment for women with pelvic floor disorders. In addition to teaching patients how to improve the strength of their pelvic floor muscles, physical therapists will provide a whole-body evaluation to assess the functional relationships between other parts of the body and the pelvic floor.
  • Office procedures - Our urogynecologists offer outpatient, office-based procedures, including Botox treatments for overactive bladder, PTNS (an acupuncture-like treatment for the nerves of the bladder), and urethral bulking for stress urinary incontinence.
  • Surgical procedures - When non-surgical options are not sufficient, our team of pelvic floor disorder specialists provides the best in leading-edge surgical treatments. We offer our patients the latest technologies, such as minimally-invasive robotic surgery and other treatment options, which result in no visible scaring. For bladder or bowel control problems, we offer sacral nerve modulation.

For additional information, or to schedule a consultation, please call (714) 734-3113.

The Center for Pelvic Health is located on the Garden Level of
The Center for Cancer Prevention and Treatment:
1000 W. La Veta Ave., Suite 0302
Orange CA, 92868