Saint Anne'sServices and Clinical CentersWomen's Health

Urogynecology: Pelvic Floor Services

Saint Anne’s urogynecology services, an extension of our women’s health services, focuses on helping women relieve the symptoms associated with weakening of the pelvic floor muscles.  These may include pelvic pressure or discomfort, a bulge or fullness in the vagina, painful intercourse, and/or urinary incontinence.

The main focus of our urogynecology services is to provide a comprehensive evaluation of the problem and an effective treatment plan using conservative methods.  Surgical options are also available if less invasive methods are ineffective or undesirable.

Our treatment philosophy

Our goal is to return our patients to a life of health, wellness and independence.  We are committed to providing excellence in the treatment of pelvic floor disorders by utilizing the most effective diagnostic and therapeutic techniques available.

Our team

Our urogynecology services team consists of clinicians specially trained in the care of women's pelvic floor issues. Our team includes: 

 Dr. Brenda Roy Brenda N. Roy, PhD, MD, FRCSC
 Dr. Robert Salk Robert A. Salk, DO

Together, our team's expertise and sensitivity can help you return to the life you love.

Who can benefit from treatment?

A broad range of conditions and disorders can cause pelvic floor problems for women. Some groups and their conditions include:

  • New mothers: The stress of childbirth often weakens the muscles that regulate urine flow. As a result, many new mothers experience urine loss.
  • Active lifestyles: Unfortunately, sometimes the pursuit of fitness can worsen the symptoms of incontinence.  The force associated with activities like walking up stairs, jogging or aerobics can lead to urinary leakage.
  • Older women: Contrary to popular belief, incontinence is not a normal part of aging. However, many women in mid- to late-life do suffer from incontinence and/or overactive bladder due to changes associated with menopause, surgery, or general muscle weakening.

Urinary incontinence

Urinary incontinence, the involuntary loss of urine from the bladder which causes a social or hygienic problem, is one pelvic floor condition.  There are several different types of urinary incontinence:

  • Stress incontinence is the involuntary loss of urine with laugh, cough or sneeze; the amount of urine loss is small and usually occurs in spurts.
  • Urge incontinence is the involuntary loss of urine associate with a strong desire to urinate; the need to void frequently or after bedtime is common.
  • Overactive bladder involves urinary urgency and frequency (greater than 8 times/day), with or without incontinence.
  • Mixed incontinence is a combination of both urge and stress incontinence.

Urinary incontinence can happen at any age and be caused by a variety of conditions. Many cases, such as infection or irritation caused by medication, are temporary and can be managed with simple treatment.  Even causes that are not temporary, such as weakness of pelvic muscles, can be treated effectively.

Urinary incontinence is more than just a physical problem. There are significant emotional and social effects on lives of those affected.  Millions of women suffer in silence from urinary incontinence.  Most do not seek help due to embarrassment or the false belief that it is a normal part of aging.

Below are useful online tools to help you determine how urinary incontinence may be affecting you:

Treatment options:

We provide a range of treatment options for pelvic floor disorders and incontinence .  We can help you regain control of your bladder with careful guidance and support so that you may resume your favorite activities and return to a life that is controlled by you – and not your bladder.

We offer a complete evaluation, including urodynamic testing to assess and type and causes of your urinary problems.  Then we review and discuss various treatment options with you, simply, supportively and sensitively.  Following a complete and thorough examination, you may be eligible for treatment options that include:

Learn more

If you would like to learn more, please ask your doctor, or call 508-689-3500.

Pelvic Floor Services
Saint Anne's Hospital
222 Milliken Blvd, 4th Floor
Fall River, MA 02721

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