Urogynecology

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Urogynecology

Urogynecological conditions are extremely common, but many women suffer in silence.

If you are struggling with a pelvic floor or related disorder, including pelvic organ prolapse or urinary or fecal incontinence, you can trust the team at Tidelands Health to help.

As our region’s MUSC Health affiliate, our team of compassionate care providers has extensive experience treating a wide range of urogynecological conditions.

Conditions treated

Advanced care

When you choose Tidelands Health for your urogynecological needs, our medical professionals will develop a treatment plan that’s right for you.

For many women with pelvic floor conditions, the first step is pelvic physical therapy, which is available through Tidelands Health Rehabilitation Services, one of the largest rehab providers in South Carolina. Pelvic physical therapy seeks to restore normal function by strengthening pelvic muscles and reestablishing their normal movement.

Other options include medication and surgery, depending on your condition, personal preference and health goals. Many urogynecological conditions can be treated with minimally invasive procedures, which can help you recover faster and with less discomfort.

Treatments offered

Surgical mesh revision is a procedure to replace surgical mesh that has eroded over time – a potential serious complication of a prior procedure. In some cases, revision surgery may be needed to remove the defective mesh.


Sling procedure is a surgical procedure used to treat urinary incontinence, the accidental leakage of urine caused by pelvic organ prolapse. Incontinence occurs when the urethra, the tube that carries urine out of the body, has dropped out of place or when the sphincter muscle that controls the opening and closing of the urethra is weak, allowing leakage.


InterStim therapy is a reversible therapy used to treat urinary incontinence, frequency and incomplete bladder emptying. An implantable device is placed, and it sends mild electrical pulses to the sacral nerves. Located near the tailbone, the sacral nerves control the bladder and muscles related to urinary function.


Laparoscopic sacrocolpopexy is a surgical technique for repairing pelvic organ prolapse. Reconstruction is achieved with an open abdominal technique or with the use of minimally invasive techniques. The specific treatment approach is determined by the type and degree of pelvic organ prolapse, as well as the severity of symptoms.


Vaginal suspension is a urogynecology surgery for women who have had a vaginal vault prolapse. This type of vaginal reconstructive surgery is required when the upper part of a woman’s vagina folds into the lower part. It can even end up pushing outside the vaginal opening.


Pessary fitting is placement of a prosthetic device into the vagina to treat stress urinary incontinence or pelvic organ prolapse. For stress urinary incontinence, the pessary helps stop urine leakage, and for pelvic organ prolapse, it helps maintain the location of organs in the pelvic region. Pessaries come in different shapes and sizes, and to avoid complications, it is important that individuals be fitted for a pessary by a health care professional.

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