Pelvic Floor ​Disorders & Incontinence

Urogynecology is the study and treatment of female pelvic medicine, pelvic floor reconstruction and incontinence. Urogynecologists combine expertise from both urology and gynecology — focusing on the female urinary and reproductive systems and the pelvic floor.

Women can develop pelvic floor disorders, or weakness of the pelvic muscles or tears in the pelvic connective tissue after childbirth, surgery, or for a variety of other reasons.  These issues can often lead to other medical issues, including:

  • Incontinence — 11 Million American women suffer from urinary incontinence, the leakage of small amounts of urine or frequent and sometimes uncontrollable urination. 
  • Pelvic Organ Prolapse — It is estimated that 35% of women will develop pelvic organ prolapse, or dropping of pelvic organs below their normal location in their lifetime. 
  • Chronic Pelvic Pain — This can cause discomfort, burning or other uncomfortable pelvic symptoms.
  • Overactive Bladder — Symptoms include the frequent need to urinate, uncomfortable bladder pressure, urge incontinence, and difficulty holding a full bladder.
  • Emptying Disorders — Some women experience difficulty urinating or moving bowels.

MetroWest Medical Center offers a personalized, comprehensive, and multidisciplinary approach to diagnosing and treating these and other pelvic floor disorders.

Treatment options include both surgical and non-surgical options, including physical therapy, in-office treatments, biofeedback and pessaries. 

Physical Therapy Program for Incontinence

If you are suffering from pelvic pain or experiencing problems with bowel or bladder control, MetroWest Medical Center’s Rehabilitation Services may be able to help.

When you visit the rehabilitation department, you’ll work with a physical therapist with extensive experience and training in pelvic floor issues to evaluate your pelvic health for spine and pelvic mobility, muscle strength and function. Our caring staff provides individualized pelvic health rehabilitation and private treatment areas to discuss your symptoms and treatment options, which may include:

  • Individualized training of pelvic floor muscle exercises, including biofeedback, electric stimulation, accessory muscle training, core strengthening and ergonomics education
  • Analysis of behavioral elements that affect the pelvic floor
  • Manual therapy techniques to relieve pain and improve mobility

With exercises and behavioral modifications, many people can find relief after just a few sessions. Some commonly problems that we treat include:

  • Urinary urgency and frequency
  • Urinary and fecal incontinence 
  • Constipation
  • Pelvic or organ prolapse
  • Coccydinia
  • Pelvic pain associated with pregnancy
  • Urogenital prolapse

After your evaluation, your physical therapist with help you develop an individualized therapy regimen to help you regain your pelvic function, as well as reduce incontinence and pain issues.

Learn More

To learn more about the Pelvic Floor ​Disorders and Incontinence Program at MetroWest Medical Center or schedule an appointment, please contact us at (508) 271-2083 for more information.