Pelvic pain in women is one of the most frequently encountered problems in the typical practice of obstetrics and gynecology. It presents a challenge for the patient, her family, and her co-workers, as well as the physicians involved in her care. In the past, pelvic pain in women has been treated solely as a gynecologic problem. As a result, traditional treatments and surgeries directed at the female reproductive organs have been utilized first, prior to consideration of other approaches to managing the pain. It was only after all gynecologic approaches had been exhausted that a more multidisciplinary approach has been taken.
In our Center for Pelvic Pain Management, it is our goal to address all issues that the patient with pelvic pain may have — be they gynecologic or not. From the very beginning, our goal is to determine both the cause(s) of pain as well as the best way to treat and manage it. Sometimes the response is rapid and permanent, while in other cases the response comes more slowly and may have a variable course. Regardless, our personnel is dedicated to working with the patient in an individualized manner to identify what works best for her.
In a perfect world, every patient with pain will be totally cured permanently. Realistically, however, both the patients and our personnel must understand that there are cases in which the cause of pain and/or an ideal treatment is not found. Regardless, we pledge to continue to work with you, the patient, to do whatever we can in the diagnosis and treatment of your pain and to improve your quality of life. It is a lofty goal, but one to which we are dedicated.
Surgery for pelvic pain has been an effective tool in many cases. It is not always the answer, but can be used both as a diagnostic tool (try to find out what is causing the pain) as well as a therapeutic method (treat/cure the problem). For some patients, surgery may be recommended by someone else, and our Center can provide a "second opinion" about the necessity of the surgery proposed. For other patients, we perform surgery that is designed to fit into a broader therapy, which might include medicine, counseling, and other treatments. In some cases, surgery is not necessary at all.
Because the causes of pelvic pain are many, the types of medications that are used are, by necessity, wide-ranging also. Our use of medications is always based on the individualized needs of each patient. Hormones sometimes are an important part of the treatment, as are medications to treat each disorder that might cause pain that is felt in the pelvic region. Some patients may require pain medications. In keeping with the philosophy of the Center, each patient's needs are determined individually and appropriate use of pain medications are monitored carefully.
At our Center, every attempt is made to include any treatment method that might be of help to the patient. This might include counseling, physical therapy, and other treatments that expand our ability to help each patient. Healthcare providers from outside the Center may be involved with the management of some patients to maximize the effectiveness of our team approach.
Our physicians are continually doing research in the area of pelvic pain and have already published widely on the subject. In addition, they are invited to speak on the topic to audiences around the country. They have provided consultations to other physicians and their patients for 25 years with referrals literally coming from areas throughout the United States.
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Urogynecology is a subspecialty of obstetrics and gynecology that deals with the diagnosis and treatment of urinary incontinence and dysfunction of the pelvic floor. A urogynecologist is an obstetrician/gynecologist who has specialized and received additional training in the care of women with urinary disorders and pelvic floor dysfunction. The pelvic floor includes the muscles, ligaments, connective tissue, and nerves that help support and control the rectum, uterus, vagina, and bladder. The pelvic floor can be damaged by childbirth, repeated heavy lifting, chronic disease, or surgery. Some problems due to pelvic floor dysfunction and their symptoms include:
Specialized diagnostic services are available for pelvic floor disorders including:
In-office diagnostic testing services include bladder ultrasound, complex urodynamic testing, cystoscopy, anal manometry, anal ultrasound, and electromyographic testing of pelvic nerves.
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In almost all cases, disorders of the pelvic floor and incontinence can be treated in some way, allowing you to return to an active and fulfilling way of life. A variety of therapies are available to cure or relieve symptoms of prolapse, urinary or fecal incontinence, or other pelvic floor dysfunction symptoms. Both conservative (nonsurgical) or surgical therapies may be used depending on the severity of your condition and your general health. All of the available options to treat your specific problem(s) will be discussed before you are asked to make a treatment decision.
A variety of treatment approaches are utilized in the Center for management of pelvic floor dysfunction. These approaches include:
Women's Health Specialists and the Center for Urogynecology and Pelvic Surgery are committed to the education of patients, physicians, and physicians in training. Our specialists provide:
The Center for Urogynecology and Pelvic Surgery is actively involved in clinical research. This allows the physicians to stay on the cutting edge and bring the newest treatments to women with pelvic floor dysfunction. Ongoing research is investigating new medical therapies for overactive bladder problems.
In addition, clinical trials are being conducted to evaluate surgical treatment for urinary incontinence and prolapse. As a patient, you may choose to participate or choose not to participate in one of these investigative trials.
Gynecology deals with the diagnosis and treatment of conditions that affect women. However, children and adolescents can also have problems that affect the female reproductive tract. These problems are usually very different depending on the age of the girl or young woman. Our physicians can help sort out what are sometimes complicated situations.
The Center for Pediatric and Adolescent Gynecology offers a comprehensive program for evaluation, specialized treatment and follow-up care for unique medical and surgical gynecologic problems of the infant, child, young adolescent and teen by internationally renowned specialists.
Treatment for ALL types of pediatric and adolescent gynecologic problems including:
Gynecologic problems in children and adolescents often require an interdisciplinary approach calling on the skills of the gynecologist, family physician, pediatrician and other health care providers. Medical conditions, medications, psychological concerns, relationship and family issues can all play a role in gynecologic problems of children and adolescents. In fact, many of these issues can be more important than the medical treatment itself. Our Center includes not only highly-trained physicians, but also on-site physical therapy, counseling, and imaging facilities.
We realize that if your child is having a problem, then the problem affects the parents as well. At our Center, every attempt is made to include any treatment method that might be of help to the patient and her family. Healthcare providers from outside the Center are often involved in the management of some patients to maximize the effectiveness of our team approach.
Women's Health Specialists and the Center for Pediatric and Adolescent Gynecology are committed to the education of patients, their parents and physicians. Therefore, we provide:
Our physicians are continually doing research in many areas of gynecology and have published hundreds of scientific articles. In addition, they are invited speakers to audiences around the country. As they have done for over 25 years, our physicians continue to provide consultation to other physicians and their patients with referrals coming from areas throughout the United States.
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Pediatric & Adolescent
Vanessa M. Givens, MD
Sherri Li, MD
Frank W. Ling, MD
Thomas G. Stovall, MD
Margaret Z. Summitt, MD
Robert L. Summitt, Jr., MD
Val Y. Vogt, MD
Women's Health Specialists
7800 Wolf Trail Cove
Germantown, TN 38138