Gynecologic Surgical Services at NYP/Queens
56-45 Main Street, WW LL
Flushing, NY 11355
Phone (718) 670-1170
From pelvic organ prolapse to incontinence, the specialists at NewYork-Presbyterian Queens can offer advanced symptom relief and treatments. Urogynecology is a subspecialty of gynecology that treats problems related to the pelvic floor, pelvic organ anatomy, and urinary tract function in women. This includes urinary and fecal incontinence, pelvic organ, prolapse genitourinary fistulas, and congenital female genital anomalies.
At NewYork-Presbyterian/Queens, many pelvic floor conditions can be managed with minimally invasive therapies with a fast recovery time. We use state-of-art diagnostic equipment, in-office multi-channel urodynamic testing, cystoscopy, and proven therapies.
What is the Pelvic Floor?
The pelvic floor is a term we use to describe the muscles, ligaments, and connective tissue that provide support for a woman’s internal organs (including the bowel, bladder, uterus, vagina, and rectum). Not only does the pelvic floor prevent these organs from falling down or out, but it also plays a very important role in making the organs function properly. The brain controls the muscles of the pelvic floor by way of nerves. Any medical conditions or injuries that impact the health of nerves (such as diabetes, Parkinson’s disease, stroke, back surgery, spinal stenosis, or childbirth trauma) can result in weakness of the pelvic floor muscles.
What are Pelvic Floor Disorders?
Women with weakness of the pelvic muscles or tears in the connective tissue may begin to have problems controlling their bladder and bowels. They often describe urine leakage (urinary incontinence), bowel gas or stool leakage (anal incontinence), difficulty emptying their bladder (voiding dysfunction), overactive bladder, or having a bowel movement (constipation). Some women also feel or see tissue coming out of the opening of their vagina. This can be a prolapse of the uterus or the walls of the vagina. We provide surgical correction of the pelvic floor to treat pelvic prolapse. Pelvic prolapse can manifest in the form of a “bulge” from the vagina. This “bulge” may be a cystocele, rectocele, enterocele, or prolapse of the uterus. In most cases, this can be repaired vaginally through a variety of procedures to restore the normal anatomy. Often a laparoscopic approach can be performed to achieve restoration of the normal anatomy. This involves the suspension of the pelvic organs and various pelvic ligaments. It is possible to experience one or several of these signs and symptoms of pelvic floor disorders. We encourage you to contact us and learn how we can help improve your quality of life by treating your incontinence or prolapse issues.
At NewYork-Presbyterian Queens we offer a range of treatment options for patients, including non-surgical and conservative methods, medication therapy and surgical options.
Conservative (Non-Surgical) Treatment
• Pelvic floor behavioral therapy
• Pelvic floor exercises
• Placement of pessary
• Urethral bulking for management of stress urinary incontinence
Medication Therapies Available for the Following Conditions
• Overactive bladder syndrome and detrusor overactivity
• Stress urinary incontinence
• Vaginal reconstructive surgery
• Abdominal reconstructive surgery
• Laparoscopic (minimally invasive) reconstructive surgery
• Pubovaginal slings
• Sacral nerve stimulation
• Robotic-assisted laparoscopic surgery
To schedule an appointment, call (718) 670-1170