Female Pelvic Medicine

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 www.everyday-freedom.com

  • Watch videos to hear what doctors and patients have to say about InterStim Therapy.
  • Register to receive email updates and the Everyday Freedom newsletter via email.
  • Track bladder symptoms.
  • Get answers to common questions, including the benefits and risks associated with InterStim Therapy.
  • Get matched up with a volunteer patient ambassador to discuss their real-life experiences with InterStim Therapy.


Interstitial Cystitis

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 demonstrative infection.

What is the cause or symptoms?

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 interstitial cystitis?

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.