Urogynecology specializes in the correction of pelvic floor problems. The pelvic floor consists of muscles, ligaments and nerves that support and control the rectum, uterus, vagina and bladder.

Problems include:

• Incontinence—loss of bladder or bowel control
• Prolapse—descent of pelvic organs into the vagina, creating a bulge or dropped bladder, uterus or rectum
• Emptying disorders—difficulty urinating or having bowel movement
• Pelvic pain—discomfort often aggravated by sexual activity
• Overactive bladder—frequent need to urinate or difficulty holding back a full bladder

The pelvic floor may be injured by childbirth, surgery or chronic strenuous activity. Injury is frequently accompanied by alterations in sexual, bladder and bowel function.

Many women never mention this problem to their doctors. They often think urinary incontinence is simply a normal part of growing older. However, pelvic floor problems are treatable.