Female Urology

Bladder Health

Bladder Prolapse

What is Bladder Prolapse or Cystocele?

Cystocele occurs when the bladder wall collapses or weakens and presses against the wall of the vagina in women. Cystocele is easily diagnosed by a physical exam conducted by a physician. A development of a cystocele is often related to multiple vaginal childbirths.

What are the symptoms of Bladder Prolapse?

For most, symptoms are mild, and they may not appear until years after childbirth.

Symptoms can include:

  • Difficult urination
  • Incontinence – involuntary release of urine
  • Recurrent urinary tract infections (UTIs)
  • Pain during intercourse

How do you diagnose and treat Bladder Prolapse?

Dr. Price can diagnose Bladder Prolapse with a physical exam and a pelvic exam. He will ask questions about pregnancies and your health history.

Bladder Prolapse can be treated with a surgical procedure to strengthen the vagina wall with reconstruction to correct issues of incontinence caused by the prolapse. This procedure will be done in the hospital and require an overnight stay.

Interstitial Cystitis

What is Interstitial Cystitis?

Also known as Bladder Pain Syndrome, patients feel pain in their bladder or pelvis. It creates an urgent and frequent need to urinate. Occurs at any age.

What are the symptoms of Interstitial Cystitis?

Pain is the primary symptom. It can range from mild to severe but almost always goes away right after you urinate. Other symptoms include:

  • Urinating often, both day and night
  • Feeling pressure, discomfort and a persistent need to urinate
  • Pain in the lower belly or pelvis
  • A burning sensation during urination

How do you diagnose and treat Interstitial Cystitis?

Interstitial Cystitis can be diagnosed with a physical exam and diagnostic testing.

The condition can be treated in several ways including bladder training and physical therapy, including exercises patients can do at home to strengthen the pelvic floor, medication and surgical options such a bladder distention.

Changing dietary habits is often very successful. Dr. Price may ask you to eliminate certain foods and/or drinks, including caffeine, fruits and fruit juices, tomatoes and other foods high in acid.

Dr. Price will work with you to determine the best treatment options to fit your life.

Pelvic Organ Prolapse

What is Pelvic Organ Prolapse?

Pelvic Organ Prolapse occurs when the structures, such as the uterus, rectum, bladder, urethra, small bowel or the vagina itself begin to fall out of their normal positions. There is a network of muscles, ligaments and tissues and skin around the vagina that acts as a complex support structure to hold the pelvic organs in place.

These muscles and ligaments can weaken or break causing the prolapse.

What are the symptoms of Pelvic Organ Prolapse?

  • Pelvic pressure and discomfort
  • Vaginal discomfort and odor
  • Incontinence
  • Constipation
  • Recurrent Urinary Tract Infections (UTI)
  • Pressure along the wall of the vagina, which can make intercourse painful. The vagina may extend beyond the vaginal opening in severe cases.

How do you diagnose and treat Pelvic Organ Prolapse?

About 40 percent of women develop some presentation of Pelvic Organ Prolapse following menopause, childbirth or a hysterectomy. While most women are over the age 40, many do not seek medical treatment because of the embarrassment. Also, many women do not experience any symptoms.

Dr. Price can diagnose the condition with a physical exam and medical history.

Treating Pelvic Organ Prolapse is determined on the severity of the condition. Dr. Price will work with each patient to determine the course of treatment.

In minor conditions, exercises can help strengthen the pelvic muscles to better hold the organs in place.

In the more serious conditions, surgery may be required. In many cases, a minimally invasive procedure or robotic surgery ( Robotic Sacrocolpopexy) can be used. Dr. Price will consult with you and develop the best course of treatment for your specific case.

Urinary Tract Infections

What is a Urinary Tract Infection?

Your urinary tract is the system that makes urine and carries it out of your body. It includes your bladder and kidneys and the tubes that connect them. When germs get into this system, they can cause an infection.

Most urinary tract infections are bladder infections. A bladder infection usually is not serious if it is treated right away. If you do not take care of a bladder infection, it can spread to your kidneys. A kidney infection is serious and can cause permanent damage.

What are the symptoms of Urinary Tract Infection?

  • Fever, chills, back pain
  • Painful urination
  • Daytime leakage
  • Discoloration of urine- cloudy
  • Strong odor of urine
  • Blood in the urine - becomes pink or red
  • Frequent urination, constant urge to urinate

How do you diagnose and treat Urinary Tract Infections?

Dr. Price can determine the infection through a lab test on your urine. To determine the cause of recurrent infections, he can use other lab tests and imaging tests to determine the cause. By determining the cause, he can set up a course of treatment. Based on a medical exam and medical history, Dr. Price can determine if you have recurrent infections and will develop a plan with you to treat the condition.