Urogynecology and Reconstructive Pelvic Surgery

We offer expert, comprehensive and compassionate care for pelvic organ prolapse, urinary incontinence and other female pelvic floor disorders.

Urogynecology and Reconstructive Pelvic Surgery

We offer expert, comprehensive and compassionate care for pelvic organ prolapse, urinary incontinence and other female pelvic floor disorders.

Clinical Trials

Participating in a clinical trial gives you access to new and promising therapies.

Find an open trial

Donations

Support our efforts to advance and innovate urogynecological care.

Support Us

Complete Care for Female Pelvic Floor Disorders

If you are a woman experiencing pelvic floor disorders, including conditions such as pelvic organ prolapse, urinary incontinence, urinary tract infections (UTIs) and issues after pregnancy and childbirth, our USC Urogynecology and Reconstructive Pelvic Surgery Program offers comprehensive, state-of-the-art care to help you find symptom relief and restore your well-being.

Our experienced urogynecologists are expertly trained in urogynecology and reconstructive pelvic surgery, offering the latest treatment therapies — from nonsurgical to surgical options, minimally invasive approaches and care for the most complex female pelvic floor disorders.

We specialize in and treat the full spectrum of urogynecology and pelvic conditions, including:

  • Pelvic organ prolapse
  • Overactive bladder
  • Stress urinary incontinence
  • Urinary tract infections
  • Uterine fibroids causing pelvic floor disorders
  • Childbirth-related pelvic floor trauma
  • Fistulas of the genitourinary tract
  • Hematuria (blood in urine)
  • Bowel incontinence

As part of our patient-focused, multidisciplinary approach to care, we work in close collaboration with doctors from across our medical enterprise, ensuring seamless referrals and access to renowned specialists.

We understand that the symptoms of pelvic floor disorders may be disruptive, socially isolating and difficult to talk about, so we focus on diagnosing your condition and designing a personalized treatment plan tailored to meet your care needs and improve your quality of life.

Advanced Treatment for Pelvic Organ Prolapse and Urinary Incontinence

  • We are highly experienced in the full spectrum of female pelvic floor disorders, including pelvic organ prolapse, urinary incontinence and other pelvic floor disorders.
  • As trained gynecologists, we only focus on women’s health.
  • We work in close collaboration with specialists in colorectal surgery, urology, gastrointestinal medicine, primary care and physical therapy to meet all your care needs.
  • Our urogynecologists take the time to learn about your needs and answer your questions so that you are empowered throughout your treatment journey.
  • We are highly experienced in treating women of all ages and backgrounds and prioritize understanding your unique symptoms and wellness goals.
  • Our urogynecology and reconstructive pelvic surgery specialists are leaders in female pelvic health research, giving you access to clinical trials and therapies.

Conditions We Treat

  • Pelvic organ prolapse
  • Overactive bladder
  • Stress urinary incontinence
  • Urinary tract infections
  • Uterine fibroids causing pelvic floor disorders
  • Childbirth-related pelvic floor trauma
  • Fistulas of the genitourinary tract
  • Hematuria (blood in urine)
  • Bowel incontinence

Treatments and Services We Offer

  • Surgical options for pelvic floor disorders
  • Comprehensive, office-based evaluation and procedures, including botulinum toxin treatment for the bladder, posterior nerve stimulation and pessary fitting and maintenance care
  • Conservative treatment options for pelvic floor disorders
  • Minimally invasive surgical options (laparoscopy, robotic-assisted, vaginal)
  • Gynecologic surgery consultations (benign conditions such as fibroids)
  • Behavior modification counseling and pelvic floor physical therapy

Frequently Asked Questions

What is urogynecology and reconstructive pelvic surgery?

Urogynecology is a subspecialty that focuses on conditions affecting the female pelvic floor, a group of muscles and tissues that support the bladder, uterus, rectum and vagina. Pelvic floor muscles also play a role in urinary and bowel continence and sexual function.

Reconstructive pelvic surgery is used to repair or reconstruct the pelvic floor. This type of surgery may be used to treat conditions such as pelvic organ prolapse, urinary incontinence, overactive bladder and more.

Our urogynecologists are highly experienced in a full range of reconstructive pelvic surgeries, including minimally invasive procedures, such as robotic and laparoscopic surgery, vaginal surgery as well as surgical therapies for more complex conditions.

What is pelvic organ prolapse?

Pelvic organ prolapse (POP) is a condition in which the muscles and tissues that support the pelvic organs — the uterus, bladder and rectum — become weak or tear. When this occurs, one or more of the pelvic organs may drop or protrude into or through the vagina. Some people may see or feel tissue coming out of the vagina.

POP is a very common condition and may be caused by pregnancy and childbirth, aging, menopause, genetics, extreme or repeated heavy lifting and certain health conditions, such as chronic cough, constipation and obesity.

What is urinary incontinence?

Urinary incontinence (UI) is characterized by the loss of bladder control, which affects the ability to control urination. There are many different types of UI, but the most common types in women are stress incontinence, overactive bladder (without leakage), nocturia, urge incontinence and mixed incontinence.

Stress incontinence is the loss of urine when you cough, sneeze, laugh or exercise. It is caused by weakened pelvic floor muscles. Common causes for stress incontinence include pregnancy and childbirth, aging, chronic coughing, constipation, obesity, smoking and extreme or repeated heavy lifting.

Urge incontinence is the sudden and uncontrollable need to urinate. It is caused by overactive bladder muscles that squeeze the bladder too often, even when it is not full. Mixed incontinence is a combination of stress incontinence and urge incontinence.

Treatment options for urinary incontinence may include pelvic floor exercises and therapy, bladder retraining, medications, pessary, bladder botulinum toxin treatment or surgery.

How urgently should I get care for pelvic floor disorders?

Our patients often start by asking us if their condition is “urgent.” They are worried that their anatomy can “break” or worsen quickly.

For people with pelvic organ prolapse, we start the care journey with education so that they understand their condition and the available treatment options. Our goal is to reassure our patients that they have time to consider all the treatment therapies and make informed decisions on their care plan.

If a patient needs care for incontinence, which can often affect their quality of life, we like to start with basic behavior management based on data they provide. This allows our patients to feel very engaged in their own care. If pelvic floor exercises and pelvic floor therapy does not help incontinence symptoms, then we move into more interventional treatment therapies.

How do I schedule an appointment at the USC Urogynecology and Reconstructive Pelvic Surgery program?

You can call (800) USC-CARE to schedule an appointment with our renowned urogynecology team. You may be asked to provide more information on the history of your condition as well as prior imaging (ultrasound, CT), pap smear results and urinalysis reports.

Clinical Trials

Participating in a clinical trial gives you access to new and promising therapies.

Find an open trial

Donations

Support our efforts to advance and innovate urogynecological care.

Support Us

World-Class Leadership

Our internationally renowned physicians and clinicians are dedicated to delivering high-quality, comprehensive care. We are leaders in cutting-edge treatments, breakthrough research and exceptional outcomes.

Tanaz R. Ferzandi, MD, MBA

Director, Urogynecology and Reconstructive Pelvic Surgery

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