Women's pelvic health: Treatment for bladder leakage, prolapse and incontinence

Whether you're experiencing bladder leaks, pelvic pressure, or bowel concerns, we're here to help you find relief with personalized care.

Do you leak urine when you laugh, cough or exercise? Feel like you always need to find the nearest restroom? Notice a bulge or pressure in your pelvis? Struggle with bowel control or constipation?

These symptoms are common—but they aren't something you have to live with.

Our urogynecology team provides expert care for women experiencing bladder, pelvic floor and bowel conditions. Whether your symptoms began after pregnancy, developed during menopause or have gradually worsened over time, we'll help you find answers and create a personalized treatment plan that's right for you.

We believe every woman deserves to feel confident, comfortable and in control of her health. Our goal is to improve your symptoms, restore function and help you get back to living life without limitations.

Conditions we treat

We diagnose and treat a wide range of pelvic floor disorders and bladder conditions, including:

Bladder leakage or Urinary incontinence

If you leak urine when you laugh, cough, sneeze, exercise or lift something heavy, you're not alone. Urinary incontinence is common, but it isn't a normal part of aging—and effective treatments are available.

Overactive bladder

Do you frequently feel a sudden, hard-to-control urge to urinate? Overactive bladder can cause frequent bathroom trips, nighttime urination and urge-related urine leakage that disrupts daily life.

Stress urinary incontinence

Stress urinary incontinence occurs when physical activities like laughing, coughing, sneezing or exercising place pressure on the bladder, causing urine leakage. It often develops after pregnancy, childbirth or menopause.

Urge urinary incontinence

Urge incontinence happens when the bladder contracts unexpectedly, causing a sudden, intense urge to urinate before you can reach the restroom. Many women with overactive bladder also experience urge incontinence.

Mixed urinary incontinence

Some women experience both stress and urge urinary incontinence. We identify the cause of your symptoms and develop a personalized treatment plan to address both types of bladder leakage.

Pelvic organ prolapse

Pelvic organ prolapse occurs when the bladder, uterus or rectum drops due to weakened pelvic floor muscles. Symptoms may include pelvic pressure, a vaginal bulge or difficulty emptying your bladder.

Pelvic floor dysfunction

The pelvic floor muscles support your bladder, uterus and bowel. When these muscles weaken or don't function properly, they can lead to bladder leakage, pelvic pain, constipation and prolapse.

Pelvic pressure or vaginal bulging

Feeling heaviness, fullness or a bulge in the vagina can be a sign of pelvic organ prolapse. These symptoms may worsen after standing for long periods or at the end of the day.

Bowel dysfunction and fecal incontinence

Pelvic floor disorders can also affect bowel control. We evaluate and treat accidental bowel leakage, difficulty controlling bowel movements and other conditions that impact quality of life.

Constipation related to pelvic floor disorders

Some women have difficulty emptying their bowels because the pelvic floor muscles don't relax or coordinate properly. Specialized testing and treatment can help restore normal bowel function.

Recurrent urinary tract infections (UTIs)

Frequent UTIs may be related to bladder emptying problems, pelvic organ prolapse or other underlying pelvic floor conditions. Our specialists can help identify the cause and recommend treatment to reduce recurring infections.

Pelvic floor weakness after pregnancy or menopause

Pregnancy, childbirth and menopause can weaken the pelvic floor muscles, leading to bladder leakage, prolapse and pelvic discomfort. Early evaluation and treatment can help restore strength and improve symptoms.Top of FormBottom of Form

Advanced women's pelvic health treatments

Every woman's condition is unique. We offer comprehensive evaluation and advanced treatment options using the latest evidence-based techniques.

Comprehensive diagnostic testing

Multichannel urodynamic testing

Evaluates how well your bladder stores and empties urine to help diagnose urinary incontinence, overactive bladder and other bladder function disorders.

Anorectal manometry testing

Measures the strength and coordination of the muscles involved in bowel movements to help diagnose constipation, fecal incontinence and other bowel disorders.

Comprehensive pelvic floor evaluation

A thorough assessment of your symptoms, medical history and pelvic floor function to identify the cause of bladder, bowel or pelvic support problems and guide personalized treatment.

Non-surgical treatments

Many women improve without surgery. We offer:

  • Pelvic floor physical therapy to strengthen the muscles that support the bladder, bowel and pelvic organs
  • Pessary fitting and management to relieve pelvic organ prolapse without surgery
  • Bladder injections to reduce urgency, frequent urination and bladder leakage caused by overactive bladder
  • Urethral bulking procedures to treat stress urinary incontinence with a minimally invasive approach
  • Lifestyle modifications and bladder retraining to improve bladder control through behavioral techniques and healthy habits

Minimally invasive and surgical treatments

When conservative treatments aren't enough, our urogynecology specialists offer advanced minimally invasive and surgical procedures designed to relieve symptoms, restore pelvic function and improve your quality of life. We take a personalized approach, recommending the treatment that's right for your condition, lifestyle and goals.

Sacral nerve stimulation

This advanced therapy uses gentle electrical stimulation to improve communication between the brain, bladder and bowel. It can effectively treat overactive bladder, urinary retention and bowel control problems when other treatments haven't provided relief.

Robotic assisted minimally invasive gynecologic surgery

Using advanced robotic technology, our surgeons perform many pelvic floor procedures through small incisions, resulting in less pain, shorter recovery times and faster return to normal activities.

Advanced pelvic reconstructive surgery

Pelvic reconstructive surgery restores support to the pelvic organs, helping relieve symptoms of pelvic organ prolapse while improving bladder, bowel and pelvic floor function.

Pelvic organ prolapse repair

This procedure corrects weakened pelvic support structures to relieve pelvic pressure, vaginal bulging and discomfort while restoring normal pelvic anatomy.

Urethral sling surgery

A urethral sling provides additional support to the urethra, making it one of the most effective long-term treatments for stress urinary incontinence and bladder leakage during everyday activities.

Personalized treatment plans

Every woman's needs are unique. Your specialist will recommend the most appropriate minimally invasive or surgical treatment based on your symptoms, diagnosis and personal goals.

Our goal is always to begin with the most conservative treatment option appropriate for your condition. When a procedure or surgery is recommended, we'll take the time to explain your options and help you make an informed decision that's right for you.

Ready to take the next step?

You don't have to live with bladder leakage, pelvic pressure or bowel problems. Dr. Tomas Antonini provides compassionate, personalized urogynecology care using the latest diagnostic tools and advanced treatment options to help women regain confidence, restore pelvic health and improve their quality of life.

Schedule an appointment today and take the first step toward better bladder and pelvic health.