About Our Practice
Because each woman is unique, we listen carefully, examine carefully, test carefully, and analyze carefully before designing a treatment plan specifically tailored to each woman’s individual needs and clinical presentation. In addition, it is our goal that each woman feel like her pelvic floor concerns have been heard and understood by the team, and that the treatment options are fully explained in a way that she can understand. This is why we refer to our approach as Personalized Pelvic Floor Care.
At PFI, we also have close working relationships with other specialists in Urology, Colorectal surgery, Physical Therapy, and Gastroenterology. These relationships allow us to provide complete, integrated diagnosis and treatment for our patients with complex pelvic floor problems. Additionally, our hospital partners offer advanced surgical facilities and equipment, which allows PFI surgeons to offer sophisticated options to our patients who need a surgical intervention.
Q: What are Pelvic Floor Disorders?
Pelvic floor disorders is the name given to abnormal conditions affecting the female pelvic organs and tissues. These include urinary incontinence, vaginal prolapse, fecal incontinence, myofascial pain, bladder pain, pain with urination, pain with intercourse, recurrent bladder infections, bladder control problems, and bowel control problems. Many of these conditions can be treated successfully by a qualified pelvic floor specialist like Dr. Hoyte.
Q: What are some nonsurgical therapies used to treat Pelvic Floor Disorders?
Nonsurgical therapies for treating pelvic floor disorders include medication, physical therapy, and tibial nerve stimulation for urge urinary incontinence, pessaries and physical therapy for stress urinary incontinence, pessaries for pelvic organ prolapse, and pelvic floor physical therapy for myofascial and bladder pain.
Q: What is Minimally invasive surgery?
Minimally invasive surgery refers to surgery performed via very small incisions or via natural body openings (like the vagina). Many pelvic surgery procedures like hysterectomy and prolapse repair that were performed previously via large “open” abdominal incisions, can now be done laparoscopically and robotically via much smaller incisions, using small instruments to cut, dissect, stitch, and repair the tissues with excellent outcomes, minimal blood loss, and faster recovery.
Q: What is Personalized Pelvic floor care?
Personalized Pelvic Floor Care refers to our approach of creating evidence-based, patient-specific treatment solutions for our patients with pelvic floor disorders. We begin by listening carefully to our patients in order to learn of the pelvic floor symptoms that are most bothersome to them, and to discover what their treatment goals are. Once we understand the patient’s symptoms and goals, we then set out to thoroughly examine her, and obtain or perform any tests necessary to help us understand the cause of her symptoms. We then carefully analyze the exam and test results in order to determine the cause of the patient’s symptoms. When we determine the most likely cause of the patient’s symptoms, we work with the patient to design treatment options which fit with the patient’s stated goals, and her individual clinical situation. When we agree on a treatment plan with the patient, the next step is to carry out the plan. Sometimes the plan calls for a surgical intervention, which is performed by Dr. Hoyte. Sometimes the plan calls for a nonsurgical solution like pelvic floor physical therapy, in which case we refer the patient to a professional in our network of highly trained female pelvic floor physical therapists, and follow up on the progress of the therapy. Sometimes we determine that a patient is best served by another subspecialty like Colorectal Surgery or Gastroenterology. In these cases we refer them to our highly trained colleagues in Colorectal Surgery and/or Gastroenterology. Sometimes the cause of the symptoms is not clear, and in those cases we will take intermediate treatment steps to help improve our understanding of the cause of the symptoms. We refer to this “patient-specific” treatment approach as “personalized Pelvic Floor Care.