Eastern Virginia Medical School Sentara Healthcare
Sentara EVMS

Sentara · EVMS Comprehensive Pelvic Floor Center

Make an appointment
Appointments or Questions
1-855-512-4010

Location

Located on the campus of Sentara. Princess Anne Hospital in Virginia Beach

Diagnosis & Treatment

The Center offers the full range of state-of-the art diagnostic and therapeutic services for a broad array of pelvic floor disorders experienced by men and women. Our care team helps patients with disorders of the bladder, vagina and bowel (prolapse and/or incontinence) in addition to those with pelvic pain.

The Center provides expert diagnosis, consultation and innovative care options for:

  • Fecal Incontinence

    Incontinence is the involuntary release of either urine or feces. There are many causes of incontinence and diagnosis of these types of conditions requires a thorough workup by the physician. Once the cause of the problem is identified the physicians will develop a treatment plan specific to your situation.

    Fecal incontinence symptoms may be seen as:

    • Anal leakage is the condition in which small amounts of stool or staining is found when wiping an hour after a bowel movement or in the undergarments.
    • Overflow incontinence occurs when liquid stool bypasses the hard mass in the colon.
    • Urge incontinence occurs with a sudden, irresistible need to have a bowel movement and an inability to hold stool.
  • Urinary Incontinence

    Incontinence is the involuntary release of either urine or feces. There are many causes of incontinence and diagnosis of these types of conditions requires a thorough workup by the physician. Once the cause of the problem is identified the physicians will develop a treatment plan specific to your situation.

    Urinary incontinence symptoms may be seen as:

    • Stress Incontinence occurs when an activity, such as coughing or sneezing, causes a small amount of urine to leak from the urethra, which is the tube urine passes through.
    • Urge Incontinence is the strong, sudden need to urinate due to bladder spasms or contractions.
    • Overactive Bladder is similar to urge incontinence.
    • Voiding dysfunction is a general term to describe the condition where there is a lack of coordination between the bladder muscle (detrusor) and the urethra.
  • Chronic Constipation

    Constipation is infrequent bowel movements or difficult passage of stools. The causes of constipation are numerous, and may range from simple dietary changes to a serious symptom of other disease processes. See your doctor if you experience an unexplained onset of constipation or change in bowel habits or if symptoms are severe and last longer than three weeks.

    • Dyskinesia of rectum occurs when the muscle tone within the rectum has been weakened so the ability to excrete stool is diminished.
    • Disordered defecation can occur due to one or both of the following: inappropriate contraction of the pelvic floor muscles and /or inadequate propulsive forces within the rectum.
  • Pelvic Organ Prolapse

    Pelvic organ prolapse occurs when a pelvic organ drops from its normal spot in your lower belly and pushes against the walls of another organ. This can happen when the muscles that hold your pelvic organs in place get weak or stretched from childbirth or surgery. More than one pelvic organ can prolapse at the same time. Organs that can be involved when you have pelvic prolapse include the:

    • Bladder (This is the most common kind of pelvic organ prolapse)
    • Urethra
    • Uterus
    • Vagina
    • Small bowel
    • Rectum
  • Fistulas

    Fistulas are an abnormal connection between 2 structures. Below are the types of fistulas that can develop:

    • Recto-vaginal: a fistula between the rectum and the vagina that allows feces to pass from the bowel into the vagina
    • Vesico-vaginal: a fistula between the bladder and the vagina that allows the continuous involuntary discharge of urine into the vagina
  • Interstitial Cystitis/Painful Bladder Syndrome

    Interstitial Cystitis/Painful Bladder Syndrome is a condition that results in recurring discomfort or pain in the bladder and the surrounding pelvic region. Symptoms may include an urgent need to urinate, a frequent need to urinate, or a combination of these symptoms. Pain may change in intensity as the bladder fills with urine or as it empties. Women's symptoms often get worse during menstruation. They may sometimes experience pain during vaginal intercourse.

  • Pelvic Pain

    Pelvic pain occurs mostly in the lower abdomen area. The pain might be steady, or it might come and go. If the pain is severe, it might get in the way of your daily activities. Pelvic pain can be a sign that there is a problem with one of the organs in your pelvic area, such as the uterus, ovaries, fallopian tubes, cervix or vagina. It could also be a symptom of infection, or a problem with the urinary tract, lower intestines, rectum, muscle or bone. If you're a man, the cause is often a problem with the prostate.

    Pain during Intercourse (dyspareunia) is defined as persistent or recurrent genital pain that occurs just before, during or after intercourse. Painful intercourse can occur for a variety of reasons — ranging from structural problems to psychological concerns.

You should call or be referred to the Center when you have incontinence, pelvic pain, pelvic organ prolapse, severe constipation, or when your primary care doctor recommends a consultation. Quality of care and quality of life is your measure of success. The multidisciplinary care team reviews patient cases and coordinates individualized comprehensive treatment options optimized for each patient.