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ABOUT OUR SPECIALTIES

Please click on each drop-down to learn about our specialties.


  • Accidental Bowel Leakage/Fecal Incontinence
  • Urinary Incontinence
  • Fistulas
  • Pelvic Pain
  • Intertitial Cystitis (IC)
  • Urinary Tract Infection (UTI)
  • Pelvic Organ/Vaginal Prolapse
Accidental Bowel Leakage/Fecal Incontinence

Accidental Bowel Leakage (ABL), also known as Fecal Incontinence (FI), affects tens of millions of people in the United States each year. ABL is the unintentional loss of liquid or solid stool not associated with temporary sickness. Common symptoms associated with ABL include:

– Intense urge to rush to the bathroom
– Accidents without warning
– Frequent bowel movements
– Constipation and/or loose stool

Unfortunately, studies show that less than 50% of people speak up about their symptoms. If you are experiencing loss of bowel control, please call for a consultation to discuss your treatment options.

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Urinary Incontinence

What is it?
Urinary (yer-ih-nair-e) incontinence (in-kon-tih-nens) is not being able to control when you urinate. People often call this “having an accident” or “wetting yourself”. Urinary incontinence is not a normal part of aging as many people believe this is a condition that can be often improved with treatment and many times cured. Over 25 million adults in the United States suffer from urinary incontinence. It affects both men and women. The prevalence increases with age. Many people are so embarrassed about having urinary incontinence that they won’t talk to their doctor. But, urinary incontinence can be treated if caregivers know about your problems.

There are different types of female urinary incontinence:
STRESS INCONTINENCE: involuntary loss of urine during physical activity, such as cough, sneeze, lifting, exercise, daily activity
URGE INCONTINENCE: sudden onset of the strong desire to urinate and subsequent loss of urine
MIXED INCONTINENCE: combination of STRESS and URGE incontinence
OVERFLOW / ENURESIS: involuntary loss of urine without any associated urge to urinate or physical activity. For example- wetting the bed while sleeping.

Causes of female urinary incontinence: Following are some of the many causes of Urinary Incontinence.

  • Blocked urethra – from prolapse of the vaginal walls (often described as a bulge from the vagina creating vaginal pressure). The urethra may also be blocked from having previous vaginal or incontinence surgery.
  • Constipation.
  • Hormonal imbalances in women. (Atrophic Vaginitis)
  • Being immobile (not being able to move around).
  • Overactive bladder muscles.
  • Some medicines.
  • Urinary tract infection.
  • Vaginal infection.
  • Weakness of the bladder or the muscles that hold it in place.
  • Weakness of the muscles that keep the urethra closed.

Signs and Symptoms: The symptoms of Urinary Incontinence are different depending on which type of Urinary Incontinence that you have. Please review the various bladder problems to the left or make an appointment with Florida Urogynecology today.

Fistulas

A fistula is an abnormal connection between two organs that normally do not connect. There are many types of fistulas- some of the more common include:

VESICOVAGINAL fistula: connection between the bladder and the vagina. This results in a continuous uncontrollable drainage of urine from the bladder into the vagina. They typically occur after pelvic surgery (hysterectomy), childbirth, and radiation exposure.

RECTOVAGINAL fistula: connection between the rectum and the vagina. This results in the passage of gas and possibly stools from the rectum into the vagina. This may occur after childbirth and may be associated with certain diseases of the gastrointestinal tract.

Since Dr. Thompson specializes in both urological and gynecological procedures, he can help you.

Pelvic Pain

There are many possible reasons for one to experience ongoing pain in the bladder and genital area. The causes of pain and the perception of pain severity vary tremendously from person to person. Because there are so many structures that pass through the pelvis it is often difficult to determine the underlying source or multiple sources of the pain. Because both urologic and gynecologic sources may be involved it is very important to see the “whole picture” and not approach this only through the eyes of a gynecologist or  urologist, therefore a Urogynecologist, like Dr. Thompson is most capable of developing a treatment plan for your chronic pelvic pain.

Some of the main pain categories include:

INTERSTITIAL CYSTITIS (IC) – also known as the painful bladder syndrome. It affects women of all ages. In general it feels like a bladder infection (UTI) that never seems to go away. It is often misdiagnosed as a recurrent UTI. Patients often experience pain in the mid lower pelvis and or in the vaginal area. Please see the Interstitial Cystitis section of our website for more information.

VULVODYNIA – This condition results in ongoing vaginal pain. The pain is often exacerbated by any contact to the vaginal area such as wearing tight clothing or sitting on a hard seat. It often times makes sexual intercourse very painful or impossible.

Helpful links: http://www.nva.org/about_vulvodynia/what_is_vulvodynia.html

LEVATOR SYNDROME (pelvic floor dysfunction) – This condition is thought to be caused by spasms in the pelvic floor muscles. These muscle spasms result in ongoing vaginal pain that is often felt deep in the vagina or at the bladder. Often times pelvic floor muscle spasms will feel like a urinary tract infection. Stress, sexual intercourse, a full bladder, constipation or any of the many pelvic pain syndromes often exacerbates it. In addition to pain, the tightening of the pelvic floor (levator) muscles may make it difficult to pass urine and stool.

ENDOMETRIOSIS – This condition often results in either constant pain or more commonly pain that fluctuates with the menstrual cycle. It is believed to be caused by abnormal deposits of endometrium (the hormone sensitive lining of the uterus) throughout the pelvis. The endometrial tissue may even deposit in the bladder and cause you to have blood in your urine at the time of your period.

Helpful links: http://www.endometriosis.org/endometriosis.html

URETHRITIS / URETHRAL SYNDROME – Pain that originates from the urethra- often results in burning during urination and sexual intercourse. Again, the symptoms may be similar to those of a UTI however the urine culture is negative.

Helpful links: http://www.emedicine.com/med/topic3081.htm

URETHRAL DIVERTICULUM – The urethra is the tube that carries urine from the bladder out of your body. A diverticulum is an out pouching or a pocket that forms in the urethra. It may present as a firm mass protruding from the vagina. It is associated with causing pain during sexual intercourse, recurrent UTIs and dribbling urine when you stand after urinating (post void dribbling). When they are symptomatic that may be treated surgically. In many cases they are found during a gynecological exam and otherwise do not cause any symptoms- and can be left alone.

Intertitial Cystitis (IC)

INTERSTITIAL CYSTITIS (IC) – also known as the painful bladder syndrome. It affects women of all ages. In general it feels like a bladder infection (UTI) that never seems to go away. It is often misdiagnosed as a recurrent UTI. Patients often experience pain in the mid lower pelvis and or in the vaginal area. IN GENERAL the pain is worse as the bladder becomes full. For some people it may be triggered by stress, certain foods (tomato based foods, spicy foods, acidic foods- certain juices) and by sexual intercourse. Patients typically must frequently urinate to help reduce the pain. The symptoms often increase and decrease over time for no apparent reason. The only way to help differentiate IC symptoms from those of a UTI is to have your urine sent to a laboratory for a culture (NOT an in office urine analysis). There are many effective treatments for IC- unfortunately there is no standard treatment for everyone. Treatment becomes a process of trial and error to establish what treatment works specifically for you.

Dr. Thompson, has had tremendous success treating IC symptoms with various medications, bladder instillations, pelvic floor rehab and nerve blocks. Here are some links you may find helpful for more information on IC or chronic pelvic pain:

The IC Network: http://www.ic-network.com/
Interstitial Cystitis Association: http://www.ichelp.org/

Urinary Tract Infection (UTI)

UTI’s occur when bacteria migrate up the urethra and into the bladder. The bacteria irritate the bladder (cystitis)-resulting in frequent urges to urinate small amounts of urine and burning with urination (lower tract symptoms). If the bacteria migrate out of the bladder and up to the kidneys (pyelonephritis) this may result in back pain, fever, chills, nausea and vomiting.

UTIs often occur after sexual intercourse and or they may occur sporadically without associated triggering factors. Some of the underlying causes of recurrent UTI’s include: incomplete bladder emptying, foreign bodies in the urinary tract (sutures or other surgical materials in the bladder from prior surgery) stones, urethral diverticulum, etc.

A urine CULTURE confirms the diagnosis of a UTI. The culture report will indicate the name of the bacteria causing the infection AND the type of antibiotic(s) that will treat your specific UTI. If your UTI SYMPTOMS do not improve after given a random antibiotic it may mean that you don’t really have a UTI.

Pelvic Organ/Vaginal Prolapse

Vaginal prolapse is a lack of support for the pelvic structures (Uterus, intestines, bladder and/or rectum) that results in a hernia or bulging of these organs into the vagina. Women with this problem often have the sensation of pressure in the pelvis or “something falling out of me.” In more extreme cases the prolapse is outside the vagina and will block the flow of urine and or bowel movements. The condition is usually painless but can cause “discomfort”. The symptoms tend to worsen as the day progresses and you are up on your feet.

This condition has various degrees of progression. It is a quality of life condition. No one knows exactly why it occurs. It is associated with childbirth, obesity, chronic straining (constipation, heavy lifting), and smoking. It can also occur for no reason at all.

There are both surgical and non-surgical ways to treat prolapse. Traditionally, surgery has had a high failure rate with prolapse coming back almost 50% of the time. The key to proper management of your prolapse is a detailed evaluation.

Evaluation of prolapse:

There are multiple portions of the vagina that can be involved in prolapse. It is important to determine which portion(s) of the vagina and what underlying organs (bladder, rectum, uterus, intestines and to what degree) are involved in your prolapse. In some cases prolapse does not cause any symptoms. When prolapse is bothersome it is very important to determine what portion(s) of your prolapse is causing your particular symptoms and most importantly that you see a Board Certified Urogynecologist who has expertise in both urological and gynecological procedures.

Surgery:
Traditionally surgery is performed either through the abdomen or the vagina and may involve a hysterectomy. Vaginal procedures are most commonly performed. Vaginal repairs traditionally incorporated various plication procedures using the patient’s native tissues. These techniques relied upon the hope that the scarring from the surgical repair would be adequate to hold the prolapsed segment(s) of the vagina in place. Unfortunately the failure rate was high. Advances in the surgical management of prolapse have incorporated the use of biological and or synthetic grafts to augment the patient’s deficient tissues. Many new surgical devices have facilitated the use of graft augmentation. Your Dr. will determine which procedure is appropriate for you.

Non–surgical management:
The pessary is the mainstay of non- surgical management of prolapse. A Pessary is a silicone vaginal insert that holds prolapse in place. Pessaries are available in many sizes and shapes. It is typically inserted and removed by the patient. With a properly fit pessary you won’t even know it’s there.

Pelvic floor exercises (KEGEL EXERCISES) / Pelvic Floor Rehab
These exercises help to strengthen the pelvic floor musculature. These exercises will not reverse prolapse but may prevent or at least slow down the progression of prolapse.

Female problems of the urinary and gynecological systems are often times very complex and intimately related. Therefore, these problems are not adequately addressed independently by a urologist or a gynecologist so patients are “bounced” between two specialists. Florida Urogynecology offers expertise in both female urology and gynecology to address all aspects of your problem.

There are many ways to address urogynecological problems – both surgical and non- surgical. These issues, such as urinary incontinence, have a tremendous impact on your quality of life and are commonly accepted as a “natural part of growing older”. That is simply not true. Our goal is to do a thorough evaluation of your problem and provide the information for you to have a better understanding of your problem. By working together we will tailor a plan specific to your needs. Your insight allows you to take control of the situation and make informed decisions.

NON SURGICAL OPTIONS
– Pessaries
– Pelvic Floor Rehabilitation

– Medical Management

PROCEDURES
– Incontinence Sling
– Urethral Bulking
– Vaginal Prolapse Repair (abdominal / vaginal /robotic approaches)
– Cystocele Repair (Bladder Repair)
– Rectocele Repair (Rectal Repair)
– Enterocele Repair (Bowel hernia at the top of the vagina)
– Vaginal Vault Suspension
– Uterine Suspension
– Endometrial Ablation
– Nerve blocks for pain
– Cystoscopy
– BOTOX injections
– Neuromodulation for overactive bladder, significant urgency, frequency,  nonobstructive

urinary retention  and fecal incontinence.
– Fistula Repair
– Perineoplasty
– Labiaplasty

Not all doctors have the same training and experience to address urogynecological problems. When surgery is an option, your best chance for long-term success is with your initial procedure. It is important to seek expert evaluation from the start.

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Welcome to the website of Florida Urogynecology and Reconstructive Pelvic Surgery, P.A. We are a regional referral center for the treatment of female gynecologic and urologic disorders (Urogynecology).

Contact Us

Phone: 904.652.0373

Email: djones@flurogyn.com

Fax: 904.652.0378

Address: 6885 Belfort Oaks Place Building 100 Jacksonville, Florida 32216

Appointment FAQ’s

For appointments with Dr. Thompson, Lindsay Mason A.R.N.P. and Cystoscopy please check in at Building 100.

For Urodynamic Studies and Pelvic Rehab, please check in at Suite 210.

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