Incontinence and Prolapse problems can afflict women of any age and cause significant life style impairment. Childbirth, abdominal surgeries, certain types of heavy activities, or lack of appropriate exercise can cause weakening of pelvic support structures that keep the pelvic organs in place. The result is what is referred to as prolapse. There are different types of prolapse caused by different pelvic organs pressing onto or out of the vagina, including:

  • Bladder (Cystocele)
  • Small bowel (Enterocele)
  • Rectum (Rectocele)
  • Uterus (Uterine Prolapse)
  • Vagina (Vaginal vault), which can happen after hysterectomies.

Certain types of prolapse can cause incontinence, while others cause pelvic, back, or vaginal discomfort. Prescription medications and/or pessaries are sometimes helpful, but a more effective treatment involving surgical reconstruction is often needed.To identify the underlying cause and determine the best approach for each patient, Dr. Heidtke does a detailed exam. If thought to be helpful,, urodynamic testing can be done in our office. After a thorough discussion with you regarding findings and treatment options, she helps you choose the best approach