The Urogynecology Center At VPFW
Incontinence and other pelvic floor problems affect many activities
If you are one of the 1 in 3 women who experience bladder control problems when you exercise, sneeze or even laugh, there may be problems with your body’s pelvic floor. You may also feel pain during intercourse due to pelvic floor disorders. These are common problems that can be the result of childbirth, menopause, genetics, health problems, or lifestyle factors like diet, caffeine intake, or physical exertion.
Many women who suffer from urinary incontinence (leaky bladder), pelvic organ prolapse (dropped bladder or uterus) or other pelvic floor issues think their only option is to just live with it. At the Urogynecology Center at VPFW, our top-rated urogynecologists’ goal is to help you find relief.
We are able to see new and current patients in-office or via virtual telehealth visits during this time of social distancing.
Urogynecology issues we treat:
- Urinary incontinence or fecal incontinence – lack of bladder or bowel control and involuntary leakage when you cough, sneeze or exercise
- Overactive bladder– Frequent and sudden urges to urinate even when your bladder is not full
- Pelvic organ prolapse – when the muscles and tissues supporting the pelvic organs (the uterus, bladder, or rectum) become weak or loose, allowing the pelvic organs to drop or press into the vagina
- Vaginal mesh complications – if you have already been treated with surgical mesh, you may need a revision
- Recurring urinary tract infections
- Recurring blood in urine
Our urogynecologists can help you find the treatment you need
Our top-rated urogynecologists will diagnose your condition and work with you to figure out the best treatment plan for you – from urodynamic testing, to physical therapy, to minimally-invasive surgery or robotic-assisted procedures.
Both Dr. Ramzi Aboujaoude and Dr. Boyd Clary are board-certified urogynecologists who are well-established in the Richmond community. They are highly trained experts on urinary incontinence and pelvic floor disorders and are passionate about helping their patients find relief.
“Dr. Aboujaoude is a very compassionate urogynecologist. He has provided me with the utmost care and concern. I had been searching for years to find someone to help me find relief for my urinary incontinence and prolapsed uterus. He is a Godsend who keeps abreast with the latest technology and medical innovations. He is my hero!” -Patient Survey Response, April 2020
“Dr. Clary is an exceptional physician. He is patient and takes the time to answer any and all questions thoroughly. He is a highly trained and skilled surgeon. I am grateful to be in his care. It is a plus that he has great people skills and a terrific bedside manner. I trust him completely.” -Patient Survey Response, February 2020
Urogynecology Center Locations
Call 897-2100 to schedule or request an appointment at one of our Urogynecology Center locations.
Southside Urogynecology Center – Dr. Ramzi Aboujaoude
Koger Center (formerly Midlothian Turnpike)
1212 Koger Center Blvd
North Chesterfield, VA 23235
Prince George / Colonial Heights
1775 Lake Harley Drive
Prince George, VA 23875
West End Urogynecology Center – Dr. Boyd Clary, III
5875 Bremo Road, Suite 201
Richmond, VA 23226
7605 Forest Avenue, Suite 206
Richmond, VA 23229
When To See A Urogynecologist in Richmond, VA
The human body has a limited number of ways to tell you that there’s something wrong, which is why it’s difficult to diagnose based on one or two symptoms. Below are a few signs it’s time to visit the Urogynecology Center at Virginia Physicians for Women in Richmond, VA.
Chronic Lower Back Pain
Lower back pain can be a sign of pelvic floor issues. The pelvic floor muscles support the lower back For those who need to see a urogynecologist due to lower back pain, this can be a sign of an issue such as ovarian cysts, which causes persistent pain that radiates into the lower back.
Discomfort or Pain During Sexual Intercourse
Painful or uncomfortable sexual intercourse is always a cause to see a doctor. Painful sexual intercourse doesn’t have to impact your life, and it’s important to have a doctor determine the cause of the issue to prevent further problems.
Pelvic Muscles Spasms
Pelvic muscle spasms occur when there are involuntary contractions of the pelvic floor muscles. The pelvic floor muscles support the bladder, vagina, rectum, and uterus. Sometimes the course of treatment for pelvic muscle spasms is posture improvement, but other treatments might be needed.
Sometimes, you may not feel pain but feel pressure in the pelvic region. This can be due to uterine fibroids, a prolapse, an enlarged uterus, or other conditions. Uterine fibroids are one of the most common causes of pelvic pressure and pelvic pain.
Incontinence is another reason to visit a physician specializing in urogynecology in Richmond, VA. A weak pelvic floor causes issues with bladder or bowel control, or makes it difficult to properly empty your bladder or bowels. Pelvic floor issues affect people of all ages and affect those who are obese, experience chronic constipation, or are pregnant or have had children.
How Does A Urogynecologist Treat These Issues?
There are several ways that we treat the issues our patients present to us. In some instances, it’s fairly easy to resolve the issue with special exercises, but other options include medication, injections, and nerve stimulation, which is sometimes used to treat overactive bladder.
Once properly identifying their pelvic muscles, individuals can strengthen their pelvic floor muscles. These exercises include kegels, squats, glute bridges and bird dogs. With Kegels, the individual contracts and relaxes their pelvic floor muscles three times daily. With the bird dog exercise, not only do they engage their pelvic core, but they also improve balance and stability.
There are a few reasons why a urogynecologist would recommend surgery. Sometimes the pelvic floor becomes weakened to the point where it’s necessary to rebuild the pelvic floor support. Surgery is also necessary to repair any prolapse of the bladder, rectum, uterus, or vagina, or repair damage to muscles in the pelvic floor.