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Welcome

Pelvic floor disorders are a complex combination of medical problems that threaten the quality of life for people of all ages. These conditions include urinary and fecal incontinence, rectal and vaginal prolapse and complex combinations of these disorders, as well as interstitial cystitis, and other pelvic pain syndromes.

Conservative estimates are that at least 25-40 million Americans suffer from these conditions. Although both men and women are affected, women are represented in disproportionate numbers with as many as 1 in 3 affected by some level of bladder leakage. Since many of these disorders co-exist, comprehensive evaluation and therapy is absolutely essential. Fortunately, over the past few years, more accurate diagnosis has led to improvement in non-surgical and surgical outcomes, and better patient satisfaction.

The multidisciplinary MUSC Bladder and Pelvic Health Program is a regional and national program for the evaluation, diagnosis and treatment of all non-cancerous disorders of the pelvis. Through the combined experience and cooperation of three well-established disciplines at the Medical University of South Carolina: urology, gynecology and colorectal surgery, we offer an efficient, cost-effective and comprehensive evaluation and treatment program.

Department of OB/GYN

The department of OB/GYN at MUSC is an integral part of the MUSC Bladder and Pelvic Program. Together, with the department of urology, the program is able to provide multidisciplinary and comprehensive care to its patients.

 

Our Services

We see, and care for, all forms of pelvic floor dysfunction from new patients without prior treatment to complicated patients with multiple problems and failed prior treatments. Pelvic floor dysfunction is our specialty. At the MUSC Bladder and Pelvic Health Program, we treat patients from the Charleston area, and also have patients referred from all over the Southeast including upstate South Carolina, Georgia, North Carolina, Florida, and beyond.

Our advanced diagnostic techniques, nationally and internationally-renown physicians, and full range of therapeutic options including non-invasive, minimally-invasive/day surgical procedures, and ability to do complex pelvic floor reconstructive surgery make us the provider of choice. As part of the Medical University of South Carolina, we take care of patients with pelvic floor disorders who are relatively healthy and patients with pelvic floor disorders who are very sick. In fact, we welcome patients with complications who have experienced failed therapies or surgeries elsewhere. We have helped many individuals who were considered “hopeless” by others. We also welcome individuals seeking second opinions. With offices in downtown Charleston, Mount Pleasant and North Charleston, we combine the expertise of the Medical University of South Carolina with the comfort, convenience and service of a suburban office.

We provide individualized care. There is no single solution that fits all persons with pelvic floor disorders. We, therefore, take into account each individual’s needs, wants, desires and limitations, and construct an individualized program for that person. Using state-of-the-art diagnostic techniques, we carefully and completely evaluate the whole person. We prescribe a treatment plan only after carefully examining the alternatives, pros and cons, as well as the risks and benefits of each course of therapy. We strive to produce an outstanding level of service and care at all times. We maintain privacy, and professionalism as we work to restore dignity and to improve quality of life for our patients.

We treat the following conditions:

Uncomplicated pelvic floor disorders

  • New or preexisting urinary incontinence (female and male)
  • Overactive bladder
  • Urinary frequency, urgency
  • Nocturia (waking up at night to urinate)
  • Pelvic floor (vaginal) prolapse (cystocele, rectocele, “dropped bladder”, etc.)
  • Urinary tract infections (cystitis, etc.)
  • Enlarged prostate (BPH) and other prostate problems
  • “Dropped bladder”
  • Urinary tract obstruction
  • Other conditions

Complex and/or complicated

Advanced diagnostic capabilities

Therapies, treatments, interventions

  • Non-surgical therapies of UI, pelvic floor dysfunction, IC, etc
  • Dietary, fluid, lifestyle interventions, etc.
  • Behavior modification/coping skills to maximize bladder control
  • Pelvic floor physiotherapy
  • Biofeedback
  • Electrical stimulation
  • Pessary
  • Implementation of the use of appropriate collection devices, catheters or products (to include management strategies where appropriate)
  • Other

Minimally Invasive Surgery

  • DaVinci Surgical System
  • Laser surgery
  • “Keyhole” surgery
  • Outpatient/same day surgery procedures (“in and out”) for incontinence
  • Injectable therapy for incontinence
  • Slings: male and female
  • Neuromodulation
  • Other

Complex surgery

  • Reoperative surgery, previously failed surgery
  • Urinary diversion (continent and incontinent reconstruction)
  • Urinary fistula
  • Urethral diverticula
  • Incontinence following prostate surgery
  • Incontinence associated with radiation, neurologic
  • Bladder enlargement
  • Artificial urinary sphincters
  • Anorectal (stool or bowel) incontinence
  • Urethral stents
  • Other

 

Our Team

 

Patient Resources

Health Information

Please make a selection using the links below to search our health information section. Please be aware that the information in this section does not substitute for the advice provided by your health care provider. Always seek the advice of your physician or other qualified health care provider before starting any new treatment or if you have any questions regarding a medical condition. Call your health care provider or dial 911 immediately if you think you may have a medical emergency.

Research

Currently, we are engaged in multiple cutting-edge research projects. These are desirable trials, and because of our reputation, we are often invited to participate. Frequently, this research allows us to offer the latest technological advancements in bioengineering, biotechnology, and products from the pharmaceutical industry to our patients before they are available to the general public. Participation in such research endeavors is ALWAYS disclosed ahead of time, is entirely voluntary, and usually free of charge. For detailed information about research activities related to our program, visit the Department of Urology Research.

Related Links

For more information on pelvic floor dysfunction, please visit the following sites:

American Urological Association

American Urogynecologic Society

American College of Obstetricians and Gynecologists

Society for Urodynamics and Female Urology

International Continence Society

National Association For Continence

UrologyHealth.org

 

Locations

Downtown Charleston Office

MUSC Rutledge Tower
135 Rutledge Avenue
Charleston, SC 29425

Parking for Rutledge Tower is available in the Ashley-Rutledge parking garage, accessible from both Ashely and Rutledge Avenues.

MUSC Urology Mount Pleasant Office

MUSC Health East Cooper
1600 Midtown Avenue
Mt. Pleasant, SC 29464

MUSC Urology North Area Office

MUSC Health North Charleston
8992 University Boulevard
North Charleston, SC 29406