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gynecologic oncology services

Urogynecology Services

Incontinence, pelvic organ prolapse and overactive bladder can be embarrassing problems. If you are one of the millions of women who have these very common conditions, there is no need to suffer in silence. Our specialists treat pelvic floor disorders with a blend of compassion and expertise. 

Together, we work with you to find a treatment plan that suits your lifestyle—from surgical and non-surgical treatments to physical therapies and biofeedback. Our goal: To help you regain your quality of life, free from discomfort and embarrassment.

To make an appointment, call us at 714-456-2911.

  • We take a total approach to your care, working across teams to help you. We have an on-site pelvic floor physical therapist as well as a strong collaboration with colorectal surgery and urology services.
  • We have access to the state-of-the-art da Vinci Surgical System®, which uses smaller incisions and has a faster recovery time than regular surgery.
  • Our program is the first in Orange County to offer InsterStim® as a treatment for voiding dysfunction, including overactive bladder and urinary retention.
  • We are the only center in Orange County that offers comprehensive electrodiagnostic evaluation of the pelvic floor.

Pelvic floor disorders needlessly impact the quality of life of millions of women in the United States. Often, women suffer in silence, too embarrassed to talk to their doctors about these common and treatable problems.

We treat thousands of women experiencing some of the following conditions:

  • Urinary incontinence

There are two main types of incontinence: stress and urgency. Stress loss typically occurs during activities such as coughing, sneezing and laughing, as well as during exercise. It often occurs because the pelvic floor muscles are stretched and the muscles around the urethra fail to tighten properly.

Urgency incontinence typically occurs in association with an urge to urinate that is difficult to put off. The bladder has an involuntary contraction, resulting in urinary incontinence. This type of incontinence can be caused by chronic bladder infections, previous pelvic surgery, as well as conditions such as diabetes, stroke, nerve diseases and multiple sclerosis, though most of the time, we don’t know what causes urge incontinence.

Our urogynecologists perform extensive evaluations to determine the best treatment options for incontinence.

  • Fecal incontinence

The inability to control bowel movements or gas is also known as anal incontinence. It affects 6 percent of women under 40 and 15 percent of older women. The condition can stem from injury sustained at the time of vaginal delivery or surgery, or from conditions such as neuropathy, diabetes and aging.

  • Overactive bladder

Overactive bladder is characterized by a frequent need to urinate (more than seven times a day), having to urinate more than once at night, an inability to postpone the need to urinate or uncontrolled urine leakage associated with a strong urge to urinate.

  • Pelvic organ prolapse

Prolapse occurs when the pelvic muscles and tissues are weakened or damaged, shifting the pelvic organs out of position. This may lead to the bladder, rectum or uterus descending down and outside of the vagina leading to pelvic pressure and pain. Urogynecologists at UC Irvine can help women manage their symptoms with pelvic floor physical therapy, support devices (pessaries) or surgery.

  • Fistula

Fistula, or abnormal connections between the bladder and vagina or the rectum and vagina, can develop after trauma, childbirth or surgery. Women can subsequently suffer from constant and debilitating leakage of urine or stool. Proper repair of these abnormal connections is crucial in their resolution. Urogynecologists at UC Irvine Health have the expertise to diagnose, surgically repair and help women heal from fistula.

Pelvic pain can be caused by multiple issues such as scar tissue formation inside the body following surgery, pelvic infection, injury or even sexual abuse. Pelvic pain can also be a symptom of another disorder such as pelvic organ prolapse or endometriosis. Learn more about our pelvic pain services ›


There are many treatment options for pelvic floor dysfunction. We work with you to design a treatment plan that is compatible with your lifestyle and personal preferences. Some of the treatments available here include:

  • Pelvic floor rehabilitation

Pelvic floor rehabilitation includes working with our specially trained physical therapists to improve your strength and function.

  • Biofeedback

With biofeedback, you are connected to sensors that help you receive and measure information about your body. Biofeedback teaches you how to make subtle changes in your body to achieve the results you want.

  •  Pessary

    A pessary is a soft, silicone device
    similar to a diaphragm—that is placed in the vagina to reduce prolapse or treat incontinence without surgery. There are many different shapes and sizes to accommodate the individual woman.

  • Office-based procedures

Office-based procedures include the use of bulking agents to treat stress incontinence, as well as:

Botox® injections to treat refractory overactive bladder.

Percutaneous tibial nerve stimulation (PTNS), a procedure used to treat overactive bladder and urgency incontinence.

The InterStim procedure, which also has an office-based trial period to evaluate the efficacy of the therapy prior to the patient committing to the therapy.

Solesta, a gel that can improve the bulk and thickness of the anal wall to reduce anal incontinence.

  • InterStim therapy

InterStim therapy is a minimally invasive treatment for urinary control and bowel control. The system is similar to a "pacemaker" for the pelvic floor and has been successfully used to treat thousands of people for urge incontinence, urgency-frequency syndrome, urinary retention and, more recently, fecal incontinence.

  • Surgery

Surgical options for pelvic organ prolapse include vaginal, laparoscopic and robot-assisted procedures. Robot and laparoscopic-assisted procedures are less invasive than traditional open abdominal procedures as they do not require large incisions. They are ideal for delicate and complex gynecological surgeries. For stress urinary incontinence, midurethral slings can be an effective treatment.

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