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A pelvic floor is a group of muscles and other tissues that, in women, hold the uterus, bladder, bowel, and other pelvic organs in place so that they can work properly.

The pelvic floor can become weak or be injured. Pelvic support defects and prolapse are very common conditions that occur predominantly in perimenopausal and postmenopausal women. However, symptoms can occur at any age. Women usually become symptomatic when the prolapsing organ descends to the level of the vaginal opening or beyond. Common risk factors include multiple vaginal childbirths, prolonged labor, and instrumented delivery. Other causes include COPD, chronic cough, hereditary connective tissue weakness, radiation treatment, surgery, obesity, and aging.

A women may experience any of the following symptoms of pelvic prolapse:

  • Sensation of a bulge or a ‘ball’ at the vaginal opening
  • Pelvic Pain or Pressure
  • Urinary frequency or inability to completely empty bladder
  • Constipation or inability to completely evacuate bowel
  • Loss of control of bowel movements
  • Needing to place your fingers inside the vagina (splinting) in order to void or have a bowel movement
  • Pain during sexual intercourse (dyspareunia)
  • Loss of sexual sensation
  • Vaginal Bleeding
  • Urinary incontinence

Treatment options

As a multichannel urodynamic testing facility, we can provide diagnosis with examinations and special tests that can all be performed in our office. Treatment options include conservative therapy with pelvic floor exercises or fitting for a pessary, a removable support device. If symptoms are not relieved by these therapies, Dr. Farnam offers a wide range of minimally invasive surgical options to correct the issue.

Dr. Farnam’s Surgical Experience

  • Has performed more than 2,000 robotic surgeries
  • Has performed more than 3,500 minimally invasive surgeries
  • Has performed more than 1,800 laparoscopic hysterectomy procedures
  • Has performed more than 400 total sacrocolpopexy procedures
  • Performs more than 350 major MIS and urogynecologic surgeries per year
  • First Physician in Texas to Perform a Single Incision Laparoscopic Hysterectomy
  • First Gynecologist in the United States to Perform a Single Incision Robotic Hysterectomy
  • First doctor in the world to use the IS-001-Ureter Fluorescent Dye to improve surgical safety