Urogynecology UMassMemorial Health Care
UMass Memorial Health Care is the largest not-for-profit health care system in Central Massachusetts with 1,700 physicians and more than 13,000 employees. Our member hospitals are: • Clinton Hospital • HealthAlliance Hospital • Marlborough Hospital • UMass Memorial Medical Center • Wing Memorial Hospital and Medical Centers Contributions to UMass Memorial Health Care are deeply appreciated. Call 508-856-5520 or e-mail [email protected].
The urogynecology team at UMass Memorial Medical Center in Worcester and Westborough provides you with the expert care you need and deserve. We offer complete evaluation and treatment for UMassMemorial Medical Center a full range of female pelvic floor disorders, including: A Member of UMass Memorial Health Care
UMass Memorial Medical Center is the region's trusted • Pelvic organ prolapse academic medical center, committed to improving the health of the people of Central New England through excellence in clinical • Urinary incontinence care, service, teaching and research. The Medical Center offers a full complement of advanced technology and support services, providing the region with specialists renowned for their expertise • Overactive bladder in clinical areas including cardiology, orthopedics, cancer, diabetes, emergency medicine, surgery, women's health and • Fecal incontinence children's medical services. • Previous surgery with continuing symptoms • Urination and defecation problems Division of Urogynecology UMass Memorial Medical Center – Memorial Campus • Genital fistulas 119 Belmont Street, Worcester, MA 01605 Tel: 508-334-9840
UMass Memorial Gynecology at Westborough 154 East Main Street, Westborough, MA 01581 Tel: 508-870-7281 www.umassmemorial.org UMassMemorial Medical Center ® Botox is a registered trademark of Allergan, Inc. A Member of UMass Memorial Health Care InterStim ® is a registered trademark of Medtronic, Inc. 0411 Why choose UMass Memorial Medical Center urogynecology services?
When you choose UMass Memorial, you choose Our UMass Memorial team offers the most Our urogynecologists are highly trained a team of experts. advanced and innovative therapies for prolapse and experienced. • Our team includes urogynecologists, female and incontinence. • Team members are board certified and have urologists, colorectal specialists, physical therapists, • Minimally invasive robotic surgery advanced fellowship training in the treatment nurse practitioners and other providers with • Minimally invasive repairs through the vagina of pelvic floor disorders. specialized training in pelvic floor disorders. You (without an incision in the abdomen) • As members of the UMass Medical School faculty, can be assured that the best treatment options • Minimally invasive slings our physicians teach tomorrow’s urogynecology are available. surgeons. • InterStim ® neuromodulation • We manage your care in a holistic way, treating ® symptoms and their underlying causes, while using • Botox for overactive bladder Call for an appointment: knowledge from urology, gynecology, geriatrics, • Nonsurgical therapies including medication, Worcester – 508-334-9840 gastroenterology and colorectal surgery. behavioral modification, muscle strengthening Westborough – 508-870-7281 • We encourage you to participate in decision making and support pessaries (silicone devices inserted into concerning your best plan of care. the vagina)
Common Pelvic Floor Disorders
• Stress Urinary Incontinence – Stress urinary when standing up after sitting for a period of time. experience fullness/pressure in the pelvis, vagina or • Anal Incontinence – Anal incontinence occurs when incontinence is the sudden loss of urine during A common cause of these symptoms is overactive lower back. POP can be treated with a pessary or stool or gas comes out without control. The main physical activities like coughing, laughing, lifting, bladder, which can be treated with nonsurgical therapies minimally invasive surgery. cause is damage to the nerves or muscles, often from walking, sneezing, housework and athletics. At the such as dietary and behavioral modification, physical childbirth, surgery, infections, hemorrhoids and/or • Constipation – Infrequent bowel movement (less than Medical Center, nonsurgical treatments such as therapy and/or medications. Our providers also offer other conditions. Initial treatment involves bowel care two per week) is constipation that occurs because the pessaries, behavioral changes and pelvic floor exercises InterStim neuromodulation and Botox, surgical to maintain a soft but formed stool, usually starting bowel’s normal rhythmic movement is slower than are offered to help you regain control of your urine. treatments that can dramatically reduce incontinence. with fiber, fluids or medication. Pelvic floor physical usual. Treatment includes medication and the correction The midurethral sling, commonly called a tension-free therapy and/or surgery can improve continence. • Pelvic Organ Prolapse – Pelvic organ prolapse (POP) of the underlying cause of the slow movement of stool. vaginal tape or TVT, is a highly effective therapy if you occurs when the pelvic organs — the bladder, Rectoceles (bulges) and an inability to relax the pelvic need or desire surgical treatment. uterus/cervix, vagina or rectum — drop from their muscles during a bowel movement are other common • Urge Urinary Incontinence – Women with this type normal position and bulge into the vagina because of a causes of constipation. Management of this condition of “gotta go, gotta go” leakage may urinate often weakening of the pelvic floor. While symptoms aren’t includes behavioral treatments, physical therapy, and during the day, get up to urinate several times at always present, you may have a bulge made worse by surgical repair or correction of the rectocele. night, leak before reaching the bathroom, and leak impact activities like jumping or jogging, or you may