Urogynecology Services

Urinary incontinence and pelvic prolapse is a sometimes embarrassing condition that women don’t often discuss with each other or their primary care provider. Many women live with this problem for years before seeking care. But it is a very common problem that is not normal and is often treatable. We understand how difficult it can be to take the step of acknowledging and then taking action to seek treatment. No woman should have to live with urinary incontinence and pelvic organ prolapse. We specialize in the care and treatment of these conditions.

When should I seek help?

No woman should have to live with:

  • The leakage of urine which:
    • Prevents activities that you want to do
    • Causes embarrassment
    • Began or continued after a surgery
  • Difficulty or the inability to urinate
  • Urinary frequency that is not caused by a urinary tract infection
  • Needing to rush to the bathroom and sometimes not making it
  • Pain with urination
  • Frequent bladder infections
  • Feeling as if something is protruding from the vagina
  • Difficult bowel movements
  • Pelvic pressure or heaviness

What are the causes of leaking/incontinence?

  • Urge incontinence/Overactive Bladder (OAB) - the inability to hold urine long enough to make it to the bathroom
  • Stress urinary incontinence- incontinence when coughing, laughing, sneezing, running, or other things that put pressure on your bladder
  • Incomplete bladder emptying - when the bladder chronically remains really full and stretched out - only a small amount of urine overflows from the bladder
  • Recurrent urinary tract infections
Give us a call to schedule
an appointment
(304) 599-7075

Evaluation and Treatment of UroGynecology Problems:

Urinary Incontinence

Evaluation

When you come for your visit these are some of the types of tests that we may do or offer:

  • Urinalysis
  • Urine culture
  • Measurement of postvoid residual volume (bladder scanning)
  • Voiding diary
  • Urine cytology
  • Cystoscopy
  • Renal Ultrasound
  • CT Urogram
Treatment

There are many ways to treat urinary incontinence and depending on your condition, we may offer:

  • Pelvic floor muscle exercises (Kegel exercises)
  • Dietary changes (avoid caffeine, excessive fluids, drinking fluids in the evening)
  • Weight loss (5-10% weight loss can decrease urinary incontinence by 50%)
  • Bladder training (timed voiding)
  • Pessary
  • Medication
  • Posterior Tibial Nerve Stimulation (Uroplasty)
  • ApexM
  • Pelvic Floor Physical Therapy
  • Biofeedback
  • Surgery
  • Information about incontinence products and perineal care
    • Iconundies.com (stylish incontinence products)

Other options: (Periurethral bulking, Botox, Interstim–these are not options that our practice offers, but we work closely with other practices who do offer these services)

Pelvic Organ Prolapse

Can happen alone or in combinations:

  • Cystocele
    when the vaginal wall under the bladder sags into the vagina “bladder dropped”
  • Rectocele
    when the vaginal wall on the rectal side bulges into the vagina
  • Enterocele
    when the small intestines are bulging into the vagina
  • Uterine prolapse
    when the uterus sags towards the vaginal opening
  • Vaginal vault prolapses
    when the vaginal wall sags after a hysterectomy
  • Complete procidentia
    when the vagina completely turns inside out and there is a large protrusion outside of the body

Fecal Incontinence (aka Accidental Bowel Leakage)

  • Fecal incontinence is the accidental loss of stool or solid, liquid stool or gas
  • Most commonly caused by childbirth causing anal sphincter weakness
  • May also be caused by loss of feeling in the rectum, the inability of the rectum to stretch and store stool, or stool that is too liquid or loose
  • Hemorrhoids
  • Certain medications
  • Bowel problems (irritable bowel disease, inflammatory bowel disease, rectal cancer)

Childbirth Injuries

Childbirth via vaginal delivery can affect the muscles and nerves of the pelvic floor and cause:

  • Pelvic prolapse
  • Urinary incontinence
  • Fecal incontinence
  • Pelvic/perineal pain
  • Non healing of episiotomy or vaginal tear

Usually after a few months the initial symptoms improve and no further treatment is required but if not, conservative treatments can usually improve these symptoms especially in women who would like to have more children.

Fistula (abnormal connection between bowel or bladder and the vagina) is a very rare but serious condition causing uncontrolled leakage of urine or stool. Fortunately, this can usually be repaired as an outpatient procedure through the vagina and there are few long term consequences.

In Office Urogynecology Procedures

In office procedures performed by Dr. Capelle and the nurse practitioners

urogynecology services: pessary fitting, Bladder scanning, Cystoscopy, PTNS
  • Pessary fitting
  • Cystoscopy
  • Complex cystometrics/urodynamics
  • Bladder scanning (for measurement of residual urine)
  • PTNS (percutaneous tibial nerve stimulation)

Office hours

Monday - Thursday
7:30am - 4:30pm

Friday
7:30am - 1:30pm

Address

3496 University Avenue
Morgantown, WV 26505

Contact Numbers

Phone: (304) 599-7075

Nursing: (304) 599-7898

Fax: (304) 581-6800

Billing: (304) 581-6802

Surgery Scheduling:
(304) 581-6929

Online

Link to Patient Portal

View our space - Women’s health care in Morgantown, WV