Urinary Incontinence & Pelvic Organ Prolapse Care

Urinary incontinence and pelvic organ prolapse are common — but they are not something you have to live with. At Lyndhurst OBGYN, we provide expert evaluation and personalized treatment options for women experiencing bladder leakage, pelvic pressure, or vaginal bulging. Our goal is to restore your comfort, confidence, and quality of life with compassionate, evidence-based care.

What Is Urinary Incontinence?

Urinary incontinence refers to the involuntary leakage of urine, affecting millions of women of all ages — especially after childbirth or during menopause. It can range from occasional leaks during activities like coughing or exercising, to a frequent and urgent need to urinate that’s difficult to control.

Common Types of Urinary Incontinence We Treat:

  • Stress Incontinence: Leaks triggered by physical activity, sneezing, laughing, or lifting
  • Urge Incontinence: Sudden, strong urges to urinate followed by accidental leakage (overactive bladder)
  • Mixed Incontinence: A combination of stress and urge symptoms
  • Overflow Incontinence: Leakage due to incomplete bladder emptying

What Is Pelvic Organ Prolapse?

Pelvic organ prolapse occurs when the muscles and connective tissues of the pelvic floor weaken, causing organs such as the bladder, uterus, or rectum to descend into the vaginal canal. It may feel like a bulge or pressure in the vagina, and is especially common after childbirth, surgery, or menopause.

Common Symptoms of Prolapse:

  • Vaginal pressure or fullness
  • A sensation of something “falling out” or bulging
  • Trouble emptying the bladder or bowels
  • Discomfort during intercourse
  • Lower back pain
  • Recurrent urinary tract infections (UTIs)

Diagnosis & Evaluation

At Lyndhurst OBGYN, we begin with a thorough pelvic exam, symptom review, and bladder function assessment. In some cases, we may recommend urodynamic testing, pelvic ultrasound, or cystoscopy to better understand the cause and severity of your condition.

Treatment Options We Offer

We take a personalized approach to pelvic floor disorders — prioritizing your lifestyle, goals, and comfort. Treatment may include:

Non-Surgical & Conservative Therapies:

  • Pelvic floor therapy
  • Bladder retraining and fluid management techniques
  • Pessary fitting – a small device inserted into the vagina to support prolapsed organs or control leaks
  • Medications for urge incontinence or overactive bladder
  • Vaginal estrogen therapy to strengthen tissue in postmenopausal women
  • Vaginal Rejuvenation – non-hormonal intravaginal therapies for pelvic floor laxity and atrophy.

Minimally Invasive & Surgical Options:

  • Bladder Botox – a safe and effective treatment option for overactive bladder
  • Urethral sling procedures for stress incontinence
  • Anterior (Bladder) and Posterior (Rectum) repairs
  • Hysterectomy with vault suspension (if uterine prolapse is involved)
  • Perineal body revisions / repair

Our providers will discuss the risks, benefits, and expected outcomes of each option, so you can make informed decisions about your care.