Urogynecology

What is urogynecology?

Urogynecology is a medical specialty focused on gynecology, obstetrics, and urologic conditions. The ability to work with a urogynecologist like Dr. Khamvongsa allows you to receive services from more than one specialty from a professional you know and trust. It also eases scheduling burdens by avoiding the need to book multiple appointments across town. 

What are some conditions a urogynecologist treats?

Dr. Khamvongsa at The Miami Institute for Women's Health has training in the full scope of urogynecology needs. Some of the issues he treats regularly include:

• Urinary incontinence
• Urinary urgency
• Pelvic floor dysfunction
• Pelvic organ prolapse
• Fecal incontinence
• Vaginal or rectovaginal fistulas

If you notice changes in your vaginal or urinary health, schedule an appointment with Dr. Khamvongsa for a thorough diagnostic exam. He offers cystoscopy to view the interior of the bladder, and hysteroscopy or laparoscopy to aid in diagnosing reproductive health issues. Urodynamic testing can also provide insight into urinary function.   

What is pelvic organ prolapse?

Your reproductive organs and bladder are held into position by a network of muscle and other tissues. Pelvic organ prolapse is a condition in which those tissues are no longer able to provide the proper support, allowing one or more reproductive organs to drop into or out of your vagina. 

The symptoms of pelvic organ prolapse include urinary incontinence, sensations of pelvic pressure when standing or coughing, or feelings of aching, fullness, or discomfort in your pelvic region. Pain during sex can also be a sign of pelvic floor prolapse.  

Pelvic organ prolapse can affect your bladder, rectum, or uterus. Vaginal childbirth, obesity, hormonal changes during menopause or the aging process often cause the condition. Even something as simple as frequent constipation or straining during bowel movements can lead to pelvic organ prolapse.  

Pelvic organ prolapse is treatable, and Dr. Khamvongsa has extensive experience in this area. A device called a pessary can be placed in your vagina to provide support for your pelvic organs. Pelvic floor muscle therapy is another option and works to strengthen those muscles. 

Lifestyle modifications can help treat pelvic organ prolapse by preventing constipation, which reduces the pressure placed on your pelvic organs during a bowel movement. Finally, surgical procedures like a pelvic floor sling or the Burch procedure can restore proper organ positioning. 

Learn more about urogynecology during a personalized consultation at The Miami Institute of Urogynecology and Minimally Invasive Surgery. Booking a visit takes just moments over the phone. Online scheduling is also available, allowing you to find an appointment time that fits your busy life.