Pelvic floor disorders

Incontinence and vaginal prolapse

Duke’s urogynecologists and urologists are specially trained to treat pelvic floor disorders including incontinence and dropped bladder (vaginal prolapse). Our specialists undergo advanced training in urology and gynecology, and are expertly equipped to treat women with pelvic floor problems, including bladder leakage, pelvic organ prolapse (dropped bladder, vagina, uterus or rectum), recurrent urinary tract infections, voiding difficulties and vaginal fistulas. We help you resume your normal activity quickly.

Comprehensive care for pelvic floor disorders

Nearly half of all women experience bladder control issues such as urinary incontinence, dropped bladders, fecal incontinence, or a heaviness or bulging feeling in the vaginal area that may indicate vaginal prolapse, which translates to “fall out of place.” Childbirth, constipation, obesity, respiratory problems and other conditions can weaken the pelvic muscles. In advanced cases, the upper section of the vagina or portions of the pelvic area drop into the vaginal canal. Too often, women don’t seek medical care because they are embarrassed, or don’t realize treatments can help.

Depending on your condition, a variety of effective options are available, ranging from healthy lifestyle changes and medications to nonsurgical techniques. If your pelvic floor has weakened to the point that surgery is necessary, our female urologists and urogynecologists are nationally recognized for their expertise in minimally invasive techniques that hasten your recovery, and help you return to your normal activities.  

Choose Duke for your pelvic floor disorder treatment because we offer:

  • Nationally recognized leaders. Our gynecology and urology programs are ranked among the nation’s best by U.S. News & World Report. Our surgeons work closely with leaders in pelvic medicine to help set standards and treatment guidelines. We are known for our work in helping to develop surgical treatments and implantable stimulators that are the gold standard of treatment today.
  • Surgical expertise. We developed one of the most effective minimally invasive options used today to treat recurrent pelvic organ prolapse, which results in smaller scars and fewer complications when compared to open surgery. Our surgeons have completed advanced fellowship training in female pelvic medicine and reconstructive surgery, and have a wealth of experience using robotic minimally invasive surgical techniques. As a result you experience less pain, shorter hospital stay and faster recovery.
  • Transvaginal mesh placement experts. Our specialists are trained and experienced in the latest advances used to place transvaginal mesh which holds pelvic organs in place. We are a national referral center for patients with severe complications related to transvaginal mesh, including scarring, fistulas, and vaginal mesh erosions.
  • A team of specialists. We frequently collaborate with pelvic floor physical therapists, neurologists, and colorectal surgeons so you receive the most comprehensive care. Our urogynecologists and urologists are board certified, meaning they have undergone advanced training and certification in female pelvic medicine and reconstructive surgery.
  • Access to our clinical trials. We are one of eight centers in the nation funded by the National Institutes of Health as a pelvic disorder network site. This means you may have access to new therapies to treat incontinence and prolapse before they become widely available.  Learn more about the NIH-funded clinical trials we are involved with.


  • Opening Up About Vaginal Prolapse



After a consultation, your doctor will perform a pelvic exam and will determine whether additional tests are needed. They may include:

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