We provide services to our patients for the diagnosis and
treatment of incontinence and pelvic organ prolapse. This
includes urodynamic testing to help evaluate and determine the
appropriate treatment for the various types of incontinence and
pelvic organ prolapse. Our comprehensive pelvic medicine
center specializes in:
- Diagnostic Testing
- Behavior Modification
- Drug Therapy
- Non-Surgical Management of Prolapse
- Minimally Invasive, in-office treatment for Incontinence
- Surgical Repair
- Sacral Neuromodulation (Interstim®)
Urinary incontinence, the loss of voluntary control over urinary
function, affects more than 17 million Americans, and is often
associated with prolapse of the bladder, uterus or rectum.
There are multiple conservative and surgical options for treating
these conditions. It is important for patients to discuss
these problems with a physician who is specifically trained in
treating all forms of prolapse and incontinence to ensure that they
enjoy a successful treatment outcome. These problems can be
treated successfully, if they are correctly diagnosed and the
appropriate therapy is selected. At the USO Female Pelvic
Medicine Center, we take a comprehensive approach utilizing
state-of-the-art technology to diagnose each patient's
problem. Treatment is then individualized for each
patient. We offer a full spectrum of treatment options
ranging from in-office procedures to minimally-invasive and
innovative surgical techniques. You do not have to live with
urinary incontinence or pelvic prolapse. Dr. Scott Litwiller,
Dr. Curt Powell and Dr. Sunshine Murray are physicians dedicated to
treating the urologic needs of women. They are
fellowship-trained and are recognized experts in the fields of
female urology, incontinence and pelvic organ prolapse.
For additional information on InterStim Therapy, visit
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- Get answers to common questions, including the benefits and
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- Get matched up with a volunteer patient ambassador to discuss
their real-life experiences with InterStim Therapy.
What is it?
Interstitial cystitis is a chronic inflammatory
disorder of the bladder characterized by the findings of bladder
pain or discomfort associated with urinary urgency and frequency.
Interstitial cyctitis is also characterized by the absence of a
What is the cause or
Most commonly in female patients, a long history
of recurrent bladder infections can be obtained. This is not always
the case but is probably the most common risk factor for ultimately
developing interstitial cystitis. In men, the cause of interstitial
cystitis is not as clearly noted by history. However, interstitial
cystitis in men is underdiagnosed.
How is it diagnosed?
The most common method of diagnosing i
interstitial cystitis isn the United States is looking in the
bladder under anesthesia and gently overdistending the bladder. In
60-80% of cases, small red spots representing ruptured blood
vessels just under the lining of the bladder will appear, which are
called glomerulations. However, these are not always present. About
5-10% of patients also demonstrate ulcers in the bladder, which
represents a more painful presentation of interstitial cystitis.
Interstitial cystitis in its early phases may be suspected or
diagnosed clinically without proceeding with cystoscopy or looking
into the bladder.
What are the treatments of
The treatments progress in a logical course beginning with
dietary modifications, stress modification, and in some cases
pelvic physical therapy. Following these measures, the use of
medications such as Elmiron, Hydroxyzine, and Amitriptyline are
frequently helpful. Bladder analgesics may also be employed.
Additionally, the use of intra-bladder medications may be helpful.
However, in some patients, these treatments actually will flare the
pain. As mentioned earlier, pelvic physical therapy can be of great
benefit for patients who demonstrate pelvic floor spasm in response
to their bladder discomfort. The use of medications to relax the
urgency and frequency to urinate, are frequently employed.
Additional treatments for this particular symptom include the use
of an InterStim pacemaker or the injection of Botox into the
bladder wall. More complex medical management includes use of
immune modulators such as cyclosporine. In patients with severe
chronic pain, chronic pain management strategies are often employed
in conjunction with pain management specialists. In the most
extreme cases which have been present for a long period of the
time, removal of the bladder may be contemplated.