CENTER FOR PELVIC HEALTH CENTER FOR PELVIC HEALTH

Suffolk Location 661 Deer Park Avenue Keith Downing, MD, Babylon, NY 11702 MS, MPA, FACOG, FPMRS Dr. Downing is board certified in Obstetrics/ Gynecology and Female Pelvic Medicine Nassau Location and Reconstructive Surgery. He received 2000 N. Village Avenue his Doctor of Medicine degree from the Suite 310 University of Rochester School of Medicine Rockville Centre, NY 11570 and Dentistry and completed a residency in Obstetrics and Gynecology at the renowned Brigham and Women’s Hospital and Massachusetts General Hospital For more information or to combined residency program. He completed schedule a consultation a fellowship in Female Pelvic Medicine at either location Pelvic Floor Disorders Program and Reconstructive Surgery at Montefiore please call Medical Center-Albert Einstein College of Medicine, where he subsequently became (631) 376-3880 faculty, rising to the rank of Associate Professor. www.chsli.org/womenshealth As a urogynecologist, Dr. Downing keeps his practice focused solely on the care and management of women with pelvic floor disorders. Treating everything from simple to complex conditions such as urinary or bowel incontinence, pelvic organ prolapse, overactive bladder, pelvic pain, and other benign gynecologic conditions. His extensive experience combined with (631) 376-3880 his compassionate, comfortable demeanor, www.chsli.org helps patients to feel at ease discussing Facebook “f” Logo CMYK / .eps Facebook “f” Logo CMYK / .eps these sensitive conditions. www.chsli.org Center for Pelvic Health Conditions Treatment The Center for Pelvic Health provides a Pelvic Organ Prolapse occurs when the Most often pelvic floor disorders can be comprehensive approach in the evaluation uterus, bladder, or rectum descends treated with non surgical therapies that may and treatment of pelvic floor disorders (PFD) into the vagina. You may feel pressure in include: for women. From diagnosis to treatment Dr. the vagina, abdomen or lower back, or • medication Keith Downing and a team of experienced experience difficulty with urination or bowel • pelvic floor muscle exercise nurses and support staff understand the movements. Some women may see or feel • dietary modifications sensitivity of PFD and treat all patients with something falling out of the vagina. • biofeedback care and compassion. Treatment options Rectocele occurs when the rectovaginal • electric stimulation are carefully explained in a way patients septum (the area between the vagina and understand so they can make the best If surgical treatment is recommended, rectum) becomes weak. decisions for their health. minimally invasive vaginal and laparoscopic Cystocele occurs when the tissue between approaches can be performed which result the bladder and vagina becomes weak, in patients experiencing minimal pain and Pelvic Floor Disorders allowing the bladder to fall into the vagina. faster recovery. And for some patients no hospital stay is needed. In women, the pelvic floor is made up of Stress Urinary Incontinence occurs when a the muscles, ligaments, connective tissues woman laughs, sneezes, coughs or strains and nerves that help support the bladder, and unexpectedly loses urine. If you suffer from any of urethra, uterus, vagina and rectum. Pelvic Overactive Bladder occurs when a woman floor disorders occur when these tissues has difficulty holding her urine and feels the these symptoms there is become damaged or weak. It is estimated need to empty her bladder frequently during help! that nearly 25% of women will experience a the day or at night. pelvic floor disorder during their lifetime. • Losing urine, stool or gas when laughing, Urethral Diverticulum a pocket or pouch coughing, sneezing, straining or with exercise Symptoms may include urinary or fecal that forms along the urethra and can fill with incontinence, recurrent urinary tract urine leading to infection, pelvic pain or UTI. • Loss of urine, stool or gas during or after infections (UTI), pelvic organ prolapse, pregnancy overactive bladder, bowel dysfunction or pain • Going to the bathroom to urinate more than or burning in the genital area. PFD can affect eight times a day, or 2 or more times at night. women of all ages from the child bearing DID YOU KNOW ? years to menopause and beyond. Genetic • Frequent urinary tract infections makeup, childbirth, aging, chronic disease, Half of all • Feel vaginal pressure or a vaginal bulge women surgery or even repeated heavy lifting can • Pain in the lower abdomen, vaginal or contribute to PFD. are likely to rectal area. experience some • Fear of leaving the home due to bladder incontinence or bowel problems