Urogynecology is the treatment of women with Pelvic Floor Disorders such as Urinary Incontinence and Pelvic Organ Prolapse. Interstitial Cystitis is also part of urogynecology. We provide consultation, evaluation and diagnostic testing for disorders affecting the female pelvic floor and bladder.
Dr. Peter Mann is the only board-certified urogynecologist and reconstructive pelvic surgeon in Gwinnett County and is one of only sixteen in the state of Georgia.
Interstitial Cystitis (IC) also known as painful bladder syndrome, is a chronic inflammatory condition affecting the lining of the bladder. It is a recurring discomfort or pain in the bladder or surrounding pelvic region. Symptoms vary from patient to patient. Diagnostic testing includes urinalysis, urine culture, PST and cystoscopy.
The problem of urinary incontinence affects one in four women ages 30-59, but it is a common problem that affects women of all ages. It is commonly thought to be associated with childbirth or menopause, but it can also affect women who have never been pregnant. There are numerous causes of urinary incontinence, but the two most common causes are stress incontinence (the loss of urine with an increase in abdominal pressure such as coughing or sneezing) and urge incontinence (the loss of urine associated with an involuntary contraction of the bladder).
Although our physicians have the skill to correct the stress and urge incontinence with surgical techniques, not all patients require surgical correction. We have long had the capability of doing urodynamics evaluations in our office to separate those patients requiring medical treatment versus surgical treatment.
Treatment is individualized, but will frequently begin with behavioral modification and medication if an unstable bladder is diagnosed. The NeoControl® pelvic floor therapy system uses magnetic fields to stimulate the pelvic floor muscles. It is a painless non-surgical method to treat stress and mixed incontinence. Other patients will require surgery. Treatment is based on the results of physical exam, urodynamic testing and a voiding diary.
Urodynamics testing is a study to evaluate the function of the bladder and urethra in storing and releasing urine. Problems in the urinary system can be caused by aging, illness, or injury. The muscles around the bladder and urethra tend to become weaker with age.
The test begins by urinating in a special chair to measure the rate and flow of urine. Then a catheter will be used to evaluate the amount of urine left in the bladder after voiding. At this point two small catheters will be placed, one in the rectum to measure abdominal pressure and one in the bladder. The bladder will then be slowly filled. You will be instructed during the filling process to indicate fullness at various times. You will also be asked to cough and "bear down" to reproduce circumstances that provoke leaking. Once the bladder is full, the measurement process is repeated and you will be allowed to empty your bladder.
You may notice some burning upon urination for the first day or so after the procedure. This is due to irritation from the catheterization. Drink plenty of water for your symptoms to clear up.
Preparation for Urodynamics
- You may eat normally prior to your procedure, but you will need to have a full bladder to begin the test.
- You may take all medication as normal the morning of the procedure with the exception of bladder control medication.
- If you are ill the morning of the test, please call to reschedule. This procedure is designed to study your bladder in it's normal state, and if you are not feeling well we cannot accomplish this goal.