Pelvic Medicine, Continence & Sexual Health
If pelvic floor disorders, sexual function concerns, incontinence, bladder dysfunction or pelvic organ prolapse are impacting your quality of life, the team of pelvic medicine specialists at Concord Hospital Urologic Institute's Pelvic Medicine, Continence and Sexual Health Program can offer you a full spectrum of services to diagnose and treat your condition.
They diagnose your condition, form a comprehensive treatment plan and, if needed, consolidate multiple surgical procedures in a single surgery. For you, this collaborative multidisciplinary approach often means fewer appointments, shorter length of treatment and fewer surgeries for urologic and urogynecologic conditions.
- Fecal incontinence
- Female sexual dysfunction
- Female urinary incontinence and dysfunction
- Genital syndrome of menopause
- Inflammatory vaginitis
- Obstructive voiding and urinary retention
- Pelvic floor disorders in females
- Pelvic organ prolapse
- Post-prostatectomy incontinence
- Refractory urgency and nocturia
- Urethral disorders and strictures
- Urinary tract infections
- Vaginal/vulvar skin conditions (lichen sclerosis and lichen planus)
- InterStim® Therapy
- Minimally invasive surgery
- Robotic-assisted surgery
- Pudendal nerve block injection
AnneMarie McCormack of New Hampton jokes that before being cared for at Concord Hospital Urologic Institute, she could have written a travel guide for roadside rest areas.
Read AnneMarie's Story
You Benefit from an Integrated Approach to Care
When you're a patient of the Urologic Institute's Pelvic Medicine, Continence and Sexual Health Program you benefit from an integrated approach to care that involves experts from across multiple disciplines.
- Physical therapists
- Behavioral therapists
- Social workers
- Advanced practitioners
- Nurse specialists
- Scheduling coordinators
For example, our physical therapists help you cope with bladder and bowel dysfunction and recovery from surgery. Specially trained pelvic floor physical therapists are an integral part of the program. Sheryl Cheney and Stacey Lillios are experts in assessing musculoskeletal disorders affecting the pelvis and collaborate with the Pelvic Medicine Program physicians. Their care pairs with medical and surgical treatment to offer a comprehensive program to successfully manage chronic and complex disorders affecting intimate functions of bladder/bowel elimination and intimacy.
If you're experiencing chronic pelvic conditions or sexual dysfunction you may need behavioral health support. A clinical mental health counselor is available to help you cope with anxiety; post-traumatic stress; or sexual, physical or emotional abuse that might be associated with your condition.
The integrated approach to care means fewer appointments and surgeries, shorter length of treatment and fewer Emergency Department visits.
Advanced Care Treatment Options Benefit You
InterStim® Therapy for Urinary & Fecal Incontinence
When other treatments for urinary and fecal urgency or incontinence fail for you, InterStim® Therapy can help. The therapy involves implanting a small device under the skin that sends mild electric current to nerves that control the bladder and bowel, helping temper false signals of urgency and enabling you to regain control.
Pudendal Nerve Block & Trigger Point Blocks
If you live with a painful condition affecting the pudendal nerve between the anus and testicles or vagina, a pudendal nerve block injection into the nerve is considered the first-line treatment for managing symptoms and diagnosing the condition. Trigger point injections involve using a thin needle to break up small deformities in muscles called trigger points that can cause pain in the pelvic region and pudendal nerve.
Minimally Invasive Assisted-Robotic Surgery
If you need surgery pelvic medicine specialists employ minimally invasive robotic-assisted procedures, most often for reconstructive surgery or to repair pelvic organ prolapse, when pelvic organs drop from their original position. Most patients are women, but men also are treated for pelvic pain or for bladder control following prostate surgery.
Complex Vaginal/Vulvar Skin Conditions
Dr. Yi specializes in complex or persistent vaginal/vulvar skin conditions for which previous treatment has not been successful or by referral from primary care providers. These problems affect intimacy, bladder and bowel functions and also can be a precursor for vulvar cancer. They include rare skin conditions (lichen sclerosis and lichen planus), as well as non-infectious inflammatory vaginitis (inflammation of the vaginal lining) and genital syndrome of menopause — various symptoms associated with physical changes after menopause.
Expert Urology Care Close to Home
In addition to its office on Concord Hospital’s campus, the Institute's board-certified urologists practice in New London, Plymouth, and Wolfeboro, making it convenient for you to be seen close to home no matter where you live in Central New Hampshire.