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, as well as Mount Pleasant, 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: Vaginal prolapse with or without urinary incontinence Neurogenic bladder dysfunction/neurological disease Interstitial cystitis Prior pelvic radiotherapy for cancer Urinary fistula Urethral diverticula Urinary retention Other conditions
Advanced diagnostic capabilities include: Urine analysis Computerized uroflowmetry Post void residual urine determination Videourodynamics Ultrasound Fiber optic and rigid cystoscopy
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 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
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