Urogynecology at The Medical Group of New Jersey
Pelvic Floor, Bladder, and Women’s Pelvic Health Care
Overview
At The Medical Group of New Jersey, our urogynecology specialists diagnose and treat conditions affecting the bladder, pelvic floor muscles, and pelvic organs. These issues are common and often under-reported, but they are also highly treatable with the right evaluation and care plan.
Our team provides a supportive, comfortable environment where patients can discuss sensitive concerns and receive personalized treatment, ranging from pelvic floor therapy and medications to minimally invasive surgical options.
Why Choose The Medical Group of New Jersey for Urogynecology Care
- Fellowship-trained urogynecologists specializing in bladder and pelvic floor disorders
- Personalized treatment plans emphasizing comfort, dignity, and long-term symptom relief
- On-site pelvic floor physical therapy and advanced diagnostic testing
- Minimally invasive and robotic-assisted surgical options when needed
- Coordinated care with Gynecology, Urology, Gastroenterology, and Physical Therapy teams
Top Conditions We Treat
Below are the most common conditions managed by our urogynecology team. Each links to a detailed Clinical Patient Journey page explaining symptoms, diagnosis, and treatment steps.
Unintentional urine leakage caused by stress incontinence (leakage with coughing/exertion), urge incontinence (overactive bladder), or mixed patterns. Diagnosis includes a focused history, bladder diary, and sometimes urodynamics. Treatment ranges from pelvic floor therapy and lifestyle adjustments to medications, nerve stimulation, or minimally invasive surgery when symptoms are more severe.
Weakening of pelvic support structures allows the bladder, uterus, or rectum to descend, causing pelvic pressure or a noticeable bulge. Diagnosed by pelvic exam, prolapse can be managed with pelvic floor strengthening, pessary support, or pelvic reconstructive surgery, depending on severity and patient goals.
A condition marked by urinary urgency, frequency, and nocturia—with or without leakage. Diagnosis is primarily clinical. Treatment includes bladder training, medications, pelvic floor therapy, and advanced options such as Botox injections or neuromodulation for persistent symptoms.
Recurrent Urinary Tract Infections (UTIs)
Defined as ≥2 infections in 6 months or ≥3 in one year. Patients may experience burning, urgency, or pelvic discomfort. Evaluation includes urine culture and assessment of contributing factors. Management may involve targeted antibiotics, vaginal estrogen (post-menopause), hygiene strategies, or preventive regimens.
Abnormal connections between pelvic organs—most commonly vesicovaginal or rectovaginal fistulas—resulting in continuous leakage of urine or stool. Diagnosis may require dye testing or imaging. Treatment typically involves surgical repair by a urogynecology specialist.
Painful Bladder Syndrome / Interstitial Cystitis
A chronic bladder condition causing pain, pressure, and urinary frequency without infection. It is a diagnosis of exclusion. Treatment includes dietary modification, bladder instillation therapy, pelvic floor physical therapy, and oral medications tailored to symptom patterns.
Occurs when pelvic muscles are weak, tight, or uncoordinated—leading to pelvic pain, urinary leakage, constipation, or difficulties with bladder emptying. Diagnosis is made with a pelvic exam and sometimes urodynamics. Treatment focuses on pelvic floor physical therapy, biofeedback, relaxation techniques, and, when necessary, procedural interventions.
Post-Menopausal Genitourinary Syndrome (GSM)
Low estrogen after menopause can cause vaginal dryness, irritation, painful intercourse, and recurrent UTIs. Diagnosis is clinical, and treatment includes lubricants, moisturizers, and low-dose topical estrogen therapies to restore comfort and protect vaginal tissue.
Concerns related to low sexual desire, arousal challenges, painful intercourse, or difficulty with orgasm. Causes may be hormonal, muscular, emotional, or multifactorial. Treatment includes pelvic floor therapy, counseling, hormonal options, and personalized supportive care.
Pain, erosion, exposure, or infection following the placement of surgical mesh for incontinence or prolapse. Evaluation includes a pelvic exam and imaging when needed. Management may involve partial or complete mesh revision/removal, often performed using minimally invasive approaches.
Our Approach to Care
- Whole-person pelvic health care: Focused on restoring comfort, confidence, and bladder control.
- Coordinated specialty care: Collaboration with gynecology, urology, gastroenterology, and pelvic floor therapy.
- Evidence-based treatment: Following national guidelines for pelvic health and bladder disorders.
- Convenient access: On-site pelvic floor PT, imaging, diagnostics, and minimally invasive procedures.
