On average, women with pelvic floor disorders such as pelvic organ prolapse and urinary incontinence wait four to six years before seeing a doctor. Why wait another year when you can take charge of your life right now?

Why Ochsner for Female Pelvic Medicine?

One in three women will experience a pelvic floor disorder in her lifetime. To treat these conditions, Ochsner offers a wide range of options ranging from lifestyle changes and medication to minor procedures and robotic surgery. What’s more, we do it in a caring, compassionate setting.

At Ochsner, we treat each of our patients with respect and dignity. Pelvic floor disorders are more common than some types of women’s cancer and we want women to know that they do not need to suffer alone.

Meet Our Team

The Female Pelvic Medicine team is made up of experienced, highly skilled board-certified physicians in Female Pelvic Medicine and Reconstructive surgery with backgrounds in gynecology and urology. In addition, we have highly skilled urodynamics nurses. We pride ourselves on care that is both cutting edge and compassionate.

Joanna Togami, MD

Leise R. Knoepp, MD

Laurephile Desrosiers, DO

Colin Goudelock, MD

Howard Woo, MD

Conditions We Treat

Common conditions we treat include:

Stress Incontinence - Approximately 1 out of 3 women over the age of 45, and 1 out of every 2 women over 65 have sudden urinary incontinence (SUI) Some women may have leaking urine with common activities such as sneezing, laughing and coughing. This is known as stress incontinence.

Urge Incontinence or Overactive Bladder (OAB) - OAB occurs when a woman feels a sudden “gotta go, gotta go” feeling. Often, she is not able to make it to the bathroom on time. We can address these issues and discuss your treatment options.

Fecal Incontinence - Fecal incontinence (also called defecatory disorder) can range from an occasional loss of gas to a complete loss of bowel control. This condition can be caused by aging, vaginal childbirth, diet and other factors. While it can be embarrassing and isolating, there are solutions. Now is the time to find out if we can help.

Pelvic Organ Prolapse - Pelvic organ prolapse is the descent or "drooping" of the pelvic organs. A woman may feel like everything is "falling out.” This could be the uterus, front or back vaginal walls or the top of the vagina after a hysterectomy. Prolapse is a very common problem that can be treated in several different ways, including vaginal and abdominal approaches.

We also diagnose and treat:

  • Genitourinary fistula ¬(when there is an abnormal tract between the vagina and bladder, ureters or urethra)
  • Interstitial cystitis ¬(also known as bladder pain syndrome or BPS)
  • Recurrent urinary tract infections (UTIs)
  • Urethral diverticulum (when the urethra or the periurethral glands push into the connective tissue layers surrounding it)
  • Complications from urinary incontinence treatment (such as obstruction and mesh erosion)
  • Voiding dysfunction (poor coordination between the bladder muscle and the urethra)
  • Bladder disorders associated with spinal cord injury or other neurological conditions

Treatments We Offer

We offer a wide range of treatment options, including:

  • Anterior Colphorrphaphy (cystocele repair)
  • Behavior modification, biofeedback therapy along with other physiotherapeutic approaches
  • Bladder instillations
  • Botox intravesical injections
  • Bulking agent injections
  • Cystoscopy
  • Genitourinary fistula repair
  • Genitourinary reconstruction
  • Laparoscopic and robot-assisted procedures
  • Pelvic reconstruction (with and without mesh)
  • Pelvic ultrasound
  • Posterior colporrhaphy (rectocele repair)
  • Pudendal neuromodulation
  • Robot-assisted laparoscopic abdominal sacrocolpopexy
  • Sacral neuromodulation
  • Tension-free vaginal tape procedure (TVt surgery) and other mid-urethral slings
  • Ureteral re-implantation
  • Urinary diversion

Urodynamic Testing

Urodynamic tests are used to determine how well the bladder, sphincters, and urethra are at storing and releasing urine. They are used to measure nerve and muscle function, pressure around and in the bladder, flow rates, and more. Urodynamics can help explain the following symptoms:

  • Frequent urination
  • Painful urination
  • Problems emptying the bladder completely
  • Problems starting a urine stream
  • Recurring urinary tract infections (UTIs)
  • Strong, sudden urges to urinate but nothing comes out

Urodynamic tests available at Ochsner include:

  • Cytometric test
  • Electromyography
  • Leak point pressure measurement
  • Postvoid residual measurement
  • Pressure flow study
  • Uroflometry
  • Video urodynamic tests

      Make an Appointment

      At Ochsner, we want to make the most of your time when you come – especially when you come in from out of town. Your first visit will begin with a review of a list of questions available to you ahead of time through your MyOchsner account. These questions will ensure that you don’t forget to tell your doctor about any little symptoms you might have experienced. Also, if you have a CD and op notes, make sure you bring them with you.

      To make an appointment, call 842-4083.

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