Compassionate care for bladder and pelvic concerns

Urogynecology at Anna Jaques Hospital

It’s common to experience conditions that affect your bladder and pelvic floor, the muscles and connective tissues that support the pelvic organs. These conditions can significantly and negatively affect your health and lifestyle.

At Anna Jaques Hospital, our urogynecologists can help you find relief from those conditions. In nearly all cases, symptoms improve with treatment. Our gynecologists and urologists work closely to ensure you receive the best care possible. After review of your non-surgical and surgical options, with shared decision making, the most appropriate treatment for you is selected.

Expert, Convenient Care

Anna Jaques provides high-quality, compassionate care in a wide range of specialties, all in a convenient setting close to home. The hospital’s surgical team includes highly regarded community-based surgeons, as well as specialty surgeons from Beth Israel Deaconess Medical Center (BIDMC) in Boston.

We treat a wide range of urogynecology conditions and offer a variety of testing options, including urodynamic testing. This specialized test identifies the exact cause of bladder incontinence.

Our close affiliation with tertiary care Urogynecology specialists at Mount Auburn Hospital and Beth Israel allows for easy consultation and referral of the more complex cases.

Pelvic Floor Disorders

Our providers treat a variety of pelvic floor disorders, including genital prolapse (dropped bladder, uterus, rectum or vagina), painful intercourse due to vulvodynia (unexplained pain around the vaginal opening), vaginismus (the body's automatic reaction to the fear of some or all types of vaginal penetration), vulvar hypertrophy and imperforate hymen.

You do not have to live with vaginal pressure of genital prolapse, vulvovaginal pain or incontinence. Various treatment options for these conditions include:

Non-surgical approaches to pelvic floor disorders include:

  • Medications
  • Pessaries (vaginal inserts that reduce the prolapsing organ)
  • Pelvic floor physical therapy
  • Biofeedback
  • Electrical stimulation
  • Urge suppression
  • Pelvic floor reeducation
  • Behavioral and medical management of urinary incontinence

Surgical approaches to pelvic floor disorders include:

  • Minimally invasive hysterectomies (vaginal or laparoscopic)
  • Midurethral slings
  • Sacral nerve stimulation
  • Bladder botox injection
  • Bladder or rectal prolapse repair
  • Post-hysterectomy vaginal prolapse repair
  • Urethral diverticulum surgery
Urinary Incontinence and Overactive Bladder

Urinary incontinence is the inability to control urine leakage due to problems with your bladder and/or urethra (the tube that connects your bladder to the outside of your body). Overactive bladder is a common condition that causes women to use the bathroom more urgently and frequently and experience uncontrollable urgency to urinate which may lead to urine loss. Stress incontinence refers to loss of urine with cough, sneeze and excessive pressure on your pelvic floor with strenuous activities like heavy lifting or exercising.

Your urogynecology provider will perform a comprehensive physical exam, asking you a series of questions about your health history and symptoms. Depending on your exact situation, your provider may recommend a specialized urodynamic test. This test can help them determine the exact cause of your incontinence. Your provider uses the results of your tests to diagnose your exact condition and develop a customized treatment plan that fits your needs.