Urology & Urogynecology
Our team of experienced urologists and urogynecologists provides comprehensive, compassionate care for conditions affecting the urinary tract in both men and women, the male reproductive system, and the female pelvic floor.
About
From routine screenings to complex surgical procedures, we use the latest technologies and evidence-based practices to ensure the best possible outcomes for our patients.
Our Services
Your urological and pelvic health is fundamental to your overall well-being. Our multidisciplinary team combines clinical expertise with the latest medical technology to provide personalized, compassionate care for men and women. Whether you are seeking solutions for common conditions or complex reconstructive needs, our specialists are dedicated to restoring your comfort, confidence, and quality of life through state-of-the-art diagnostics and minimally invasive treatments, including advanced robot-assisted surgery.
Urology
Comprehensive Solutions for Urological & Pelvic Health
Our team provides expert diagnosis and advanced treatment for a wide range of urological conditions. We use leading-edge technology—including robot-assisted surgery and the latest pharmaceutical approaches—to ensure you receive the most effective care with the fastest recovery possible.
- Prostate Health: Benign Prostatic Hyperplasia (BPH) and prostate cancer diagnosis (see more below).
- Kidney Health: Kidney stones and renal (kidney) cancer.
- Bladder Health: Bladder cancer, urinary tract infections (UTIs), and bladder pain syndrome.
- Incontinence: Solutions for male and female urinary incontinence, overactive bladder, and fecal incontinence.
- Sexual Health: Evaluation and treatment for erectile dysfunction and Peyronie's disease.
- Pelvic Floor: Pelvic organ prolapse (POP) and chronic pelvic pain.
Advanced Treatment Options:
- Minimally Invasive Surgery: Expertise in robotic and laparoscopic techniques to reduce discomfort and recovery time.
- Medical Management: Non-surgical approaches for managing BPH and overactive bladder.
- Advanced Diagnostics: High-resolution imaging and specialized procedures for accurate, timely diagnosis.
Prostate Health & Surgical Prostatectomies
Our urologists specialize in comprehensive prostate care, from screening and early detection to advanced treatment options like surgical prostatectomy and management of post-surgical effects.
A prostatectomy is a surgical procedure to remove all or part of the prostate gland. It is primarily performed to treat prostate cancer, but can also be used in some severe cases of benign prostatic hyperplasia (BPH) when other treatments have failed.
Types of Surgical Prostatectomy
- Radical Prostatectomy: This procedure involves removing the entire prostate gland, seminal vesicles (glands that produce semen), and sometimes nearby lymph nodes. It is a common and effective treatment for localized prostate cancer. Our surgeons are adept at performing:
- Open Radical Prostatectomy: A traditional approach through an incision in the lower abdomen.
- Laparoscopic Radical Prostatectomy: A minimally invasive approach using small incisions and specialized instruments.
- Robot-assisted Laparoscopic Radical Prostatectomy: The most advanced minimally invasive technique, offering enhanced precision, magnified 3D visualization, and greater maneuverability for the surgeon. This often leads to less blood loss, less pain, shorter hospital stays, and quicker recovery times compared to open surgery.
Urogynecology
Dedicated Care for Women’s Pelvic Health
Urogynecology is a specialized field focused on the unique disorders of the female pelvic floor. At Holy Cross Hospital - Salt Lake, our team understands that pelvic health issues can significantly impact your daily life. We offer a supportive environment and personalized care plans designed to help you regain your independence and quality of life.
- Pelvic Organ Prolapse: Correcting the descent of the bladder, uterus, or rectum.
- Urinary & Fecal Incontinence: Advanced management of stress, urge, or mixed leakage.
- Chronic Pelvic Issues: Painful bladder syndrome (interstitial cystitis) and pelvic floor dysfunction.
- Recurrent UTIs: Identifying and addressing the root causes of recurring infections.
Our Treatment Approaches
- Lifestyle & Therapy: Guidance on dietary changes, fluid management, and targeted pelvic floor physical therapy.
- Non-Surgical Interventions: Use of pessaries and medication management.
- Precision Surgery: Minimally invasive and robotic-assisted surgical techniques to repair prolapse and treat incontinence with enhanced precision.
Pelvic Floor Physical Therapy
Pelvic Floor Rehabilitation
Pelvic floor physical therapy is a cornerstone of recovery for many urological and urogynecological conditions. We collaborate closely with specialized physical therapists who understand the complex connection between the pelvic muscles and your overall health. By focusing on coordination and strength, we help you regain control and alleviate chronic discomfort.
- Symptom Assessment: Detailed questioning about incontinence type (stress, urge, mixed, fecal), frequency, severity, triggers, and impact on quality of life.
- Functional Assessment: Evaluation of posture, breathing patterns, movement mechanics, and core stability.
- External Pelvic Assessment: Evaluation of perineal skin integrity, muscle tone, scarring, and posture.
- Internal Vaginal/Rectal Examination: (With patient consent) To assess pelvic floor muscle strength, coordination, endurance, tenderness, fascial restrictions, and identify trigger points.
- Palpation: Manual assessment of individual pelvic floor muscles.
- Observation of Contraction/Relaxation: Assessing patient's ability to contract and relax muscles.
- Anatomy and function of the pelvic floor muscles
- Understanding urinary, bowel, and sexual health
- Body mechanics and posture
- Fluid intake and dietary irritants
- Bladder and bowel habits
- Pain science education
- Pelvic Floor Muscle Training (PFMT) / Kegel Exercises:
- Manual Biofeedback: Therapist's fingers provide feedback during internal palpation.
- Verbal Cueing: Guided instruction on correct contraction and relaxation.
- Targeted Strengthening & Endurance Training: Customized programs for individual muscle deficits.
- Coordination Training: Teaching patients to engage muscles appropriately during functional tasks (e.g., coughing, lifting).
- Biofeedback (external and internal):
- Surface Electromyography (sEMG) Biofeedback: Uses electrodes (external or internal) to display muscle activity on a screen, allowing patients to visualize and learn to control pelvic floor muscle contractions and relaxation.
- Pressure Biofeedback: Using a perineometer or similar device to quantify pelvic floor muscle strength.
- Neuromuscular Electrical Stimulation (NMES):
- Application of low-level electrical current to muscles via internal or external probes to: Improve muscle strength and endurance (for weak muscles).Decrease urgency/frequency by calming overactive bladders.Reduce pain.
- Urge Suppression Techniques: Behavioral strategies to manage bladder urgency.
- Bladder Retraining: Gradually increasing the time between voids to improve bladder capacity and control.
- Bowel Management Strategies: Education on diet, fluid intake, toileting positions, and techniques to manage constipation or fecal incontinence.
- Core Stabilization & Functional Movement Training: Integrating pelvic floor muscle activation with global core strength, posture, and body mechanics during daily activities.
- Patient-Specific Exercise Programs: Tailored home exercise programs to maintain and progress gains.
- Myofascial Release: Gentle, sustained pressure to release tightness and restrictions in connective tissue of the abdomen, hips, low back, and pelvic floor (internal/external).
- Trigger Point Release: Applying pressure to hyper-irritable spots within muscles to alleviate pain and dysfunction.
- Scar Mobilization: Gentle massage and stretching techniques to improve pliability and reduce pain/restriction from surgical scars (e.g., C-section, episiotomy, prostatectomy, hysterectomy).
- Visceral Mobilization: Gentle manual techniques to address restrictions in the mobility of internal organs.
- Joint Mobilization: For hip, sacroiliac (SI), and lumbar spine joints that may contribute to pelvic pain or dysfunction.
- Dilator Therapy: (For dyspareunia, vaginismus) Gradual use of dilators to gently stretch and desensitize vaginal tissues.
- Vaginal Trainers/Weights (Cones): For strengthening pelvic floor muscles.
- Diaphragmatic Breathing Techniques: To promote relaxation, improve core cylinder function, and reduce tension.
- Therapeutic Exercise: Targeting specific muscle groups (adductors, glutes, core) to support pelvic health.
- Cold/Heat Therapy: For pain management.
- Diastasis Recti Abdominis (DRA) Rehabilitation: Specific exercises and education to restore abdominal wall integrity.
- Perineal Tear Management: Scar tissue mobilization and pain management after episiotomy or tearing.
- Postpartum Return to Exercise Guidance: Safe and progressive return to physical activity.
- Pubic Symphysis Dysfunction (PSD) and Sacroiliac Joint (SIJ) Pain Management
- C-Section Recovery: Scar massage, abdominal bracing, and functional movement.
- Post-Prostatectomy Rehabilitation: Pre-operative (prehab) and post-operative PFMT for urinary incontinence and erectile dysfunction after prostatectomy.
- Chronic Pelvic Pain Syndromes (CPPS): Addressing muscular tension, trigger points, and nerve involvement.
- Pudendal Neuralgia: Specific techniques to decompress and desensitize the pudendal nerve.
- Erectile Dysfunction (Musculoskeletal Causes): Addressing pelvic floor muscle imbalances.
- Fecal Incontinence: Tailored strategies for bowel control.
- Strengthening: Targeted exercises to support the pelvic organs and improve bladder/bowel control.
- Relaxation: Techniques to address tightness or spasms causing pelvic pain.
- Functional Training: Coordinating pelvic muscles with daily activities to reduce symptoms and improve quality of life.
- Collaborative Care: Our physical therapists work directly with your urologist or urogynecologist to ensure your recovery plan is integrated into your overall treatment journey.
Conditions We Treat
- Kidney Stones
- Urinary Incontinence
- Overactive Bladder (OAB)
- Benign Prostatic Hyperplasia (BPH) / Enlarged Prostate
- Prostate Cancer (diagnosis and treatment)
- Renal (Kidney) Cancer
- Bladder Cancer
- Erectile Dysfunction & Men's Sexual Health
- Peyronie's Disease
- Male Infertility
- Testicular Pain
- Penile Reconstructive Surgery
- Urinary Tract Infections (UTIs)
- Pelvic Organ Prolapse (POP)
- Fecal Incontinence
- Pelvic Pain & Bladder Pain Syndrome
- Interstitial Cystitis
- Pelvic Floor Dysfunction
Providers
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