OC  Pelvic Wellness

Advanced Center for 
Pelvic Medicine and Reconstructive Surgery

Abdominal Sacral Colpopexy- An abdominal repair for advanced prolapse, using mesh to secure the vagina or cervical stump to the ligament along the front of the sacrum. Can be done open or laparoscopic/robotic.

Anal Sphincter- Made up of internal and external sphincter muscle- responsible to bowel control.

Anorgasmia- Acquired or primary inability to achieve orgasm.

Atrophic Vaginitis- also know as vulvovaginal atrophy VVA- lack of estrogen in the vulvovaginal tissues leads to thinning, dryness, pain with intercourse, vaginal and bladder infections. Typically occurs after menopause or from anti-estrogen treatment post breast cancer, can occur on birth control pills. 

Anterior Repair- Vaginal surgery to repair a cystocele.

Bowel Incontinence- Involuntary loss of stool.

Clitoris- A small sensitive and erectile part of the female external genitals at the top of the labia minora

Clitoral Hood- A fold of skin that surrounds and protects the glans of the clitoris

Constipation- Difficulty with evacuation of bowels, hard stools, infrequent stools.

Cystocele- Relaxation of the anterior wall of the vagina. Can lead to sensation of pressure or bulge, incomplete voiding.

Cystoscopy- Office procedure to look into bladder with thin camera.

Dyspareunia- Pain with intercourse or intimacy, can be acquired or  primary, temporary or long term, caused by many different issues: VVA, dryness, vulvar vesitibulitis, episiotomy scar, pelvic floor muscle spasm, lichen sclerosis, psychological.

Estradiol- Main female hormone that receptors all over the body; hair, skin, genital

Lichen SclerosisA condition that creates patchy, white skin that's thinner than normal.

Lubricant- Used to help with intercourse when feeling dry; water-based-glycerin-free, water-based-glycerin based, silicon based, oil based.

D-Mannose- Supplement that coats the bladder to help prevent/reduce bladder infections.

Enterocele- Vaginal hernia where a peritoneal sac containing small bowel extends into the rectovaginal space between the posterior surface of the vagina and the anterior surface of the rectum.

Genital Arousal Disorder- Reduced sensation in genitals or reduced orgasm.

Hypoactive Sexual Desire Disorder- Lack of or decreased interest in sex.

Interstitial Cystitis- A condition defined by urgency, frequency, and bladder pain for > 6 weeks with no identifiable cause.

Hysterectomy- Removal of the uterus, with or without the tubes and ovaries-can be done open, vaginal, laparoscopic, robotic.

Labia- Minora- thin lips inner lips of the vulva- meet superiorly at the clitoris-vary in size and shape, Majora-larger lips with hair

Labiaplasty- Procedure to reduce size of labia

Levator muscles- "kegel" muscles- group of muscles that make up the pelvic floor.

Menopause- Cessation of menstrual cycle > 12 months; average age 52 yo

Mesh- Material used in most slings for stress incontinence, also used in prolapse repairs for advanced prolapse.

Mid-Urethral Sling- A surgery to treat stress incontinence- >85% dry rate. 

Pelvic Floor Myalgia- tightness in the pelvic floor muscle; can lead to pain, leakage, pressure, urgency and frequency.

Pelvic Organ Prolapse- Relaxation in the pelvic/vaginal walls: cystocele, rectocele. enterocele, uterine, vaginal vault.

Pelvic Physical Therapy- Specially certified physical therapists who treat pelvic floor disorders; leakage, prolapse, pain.

Posterior Repair- Vaginal repair of a rectocele.

Rectocele- Relaxation of posterior wall of vagina. Can to lead sensation of pressure or bulge, rectal pressure, incomplete evacuation. 

Recurrent Urinary Tract Infections (UTI)- > 4 UTIs in 1 year.

Sexual Dysfunction- 45% of women report problems related to sex causing them distress.

Spincteroplasty- Repair of an anal sphincter tear- almost always from childbirth. Better results if done closer to delivery, however can be done at any age, if stool loss and tear are present. 

Stress incontinence-  The involuntary loss of urine with activity or cough.

ThermiVa- Radiofrequency device used to treat vaginal dryness and laxity. 

Urge incontinence- The loss of urine when desire to void or urge causes leakage. 

Urinary Incontinence- involuntary loss of urine. 

Urinary tract infection- Term often used to describe a bladder infection; cystitis.

Urodynamics- A bladder function test done to evaluate urinary leakage.

Vaginal Vault- Top or apex of vagina once uterus has been removed.

Vaginal Vault Prolapse- Relaxation and prolapse of the top/apex of vagina.

Vaginal Vault Suspension- Repair of vault prolapse through the vagina- sacrospinous, iliococcygeus, uterosacral suspensions or through the abdomen-uterosacral or sacral colpopexy.

Vaginitis- Inflammation of the vagina, either due to infection, bacterial imbalance, or allergic.

Vulva- Made up of the labia majora, minora, clitoris, vestibule, urethral opening

Vulvodynia- A condition describing chronic pain of the vulva-generalized or localized.