When you have a urological problem or concern, it is a very personal issue. Come to the urology practice in Bellingham that consistently delivers personalized care. Pacific Northwest Urology Specialists focus on the health problems that men face and delivers practical answers.
When you have a urological problem or concern, it is a very personal and intimate issue. For many, it can be embarrassing and too often women don't seek treatment because they feel there is nothing that can be done. Pacific Northwest Urology Specialists have female urology experts that specialize on the health problems that women face and find solutions that get you back to the activities that you enjoy. Want to learn more? See some of the many conditions we treat.
Pelvic Organ Prolapse
A strong, sudden urge to urinate, is the most common symptom of OAB. You may be worried that you won't make it to the bathroom in time. You may or may not leak urine after feeling this urge. It can also be associated with voiding very frequently. Learn more.
The first line of therapy is pelvic floor exercises to strengthen and tone the support muscles. We are experts in Intone to help you in the privacy of your home. Physical therapy is also a great option, and Bellingham is blessed with great female pelvic therapists.
The second line of therapy is medications, of which the most common are anticholinergics. They are a prescription and work by calming down the bladder muscle. Common side effects are dry mouth and constipation.
If medications aren't a good option for you, have you considered Botox? A 5 minute procedure in the office can give months of lasting treatment, and most insurances cover it well after the FDA approved it for OAB in 2013.
InterStim is a therapy that modulates sacral nerves with electrical pulses to help the brain and nerves communicate to help relax the bladder. It is a solution for women with refractory OAB, not responsive to other treatments. It also works well for women who have trouble emptying their bladder all the way. It is placed under local anesthetic or sedation with no hospital stay required!
Are you limited in your activities because you leak? SUI is leakage with cough, sneeze, or exercise. It is a result of weak pelvic floor muscles or a weak urinary sphincter.
First line therapy is pelvic floor exercises, commonly known as Kegels. You can do this on your own but sometimes that is not enough. Physical therapy is also a great option, and Bellingham is blessed with great female pelvic therapists. We can refer you and usually insurance covers this well.
Intone is a great tool to use at home for treatment of SUI and we are trained in its use and adjustments.
Urethral bulking is a procedure done in office for women who haven't been successful with pelvic exercises. It usually lasts a few years, requiring repeat injections over time.
Mid urethral slings are the most common surgery done in America for SUI. This is a minimally invasive option, requiring only 30 minutes under anesthesia. Like all surgery, there are risks, so choose a provider who does many a week and is open to discussion about the pros and cons of this surgery.
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Vaginal Bulge and Pelvic Organ Prolapse (POP)
The bladder, rectum and uterus are held in place by a "hammock" of supportive pelvic floor muscles and tissue. When these tissues are stretched and/or become weak, as a result of genetics, childbirth, weight gain or just the tincture of time, these organs can drop and bulge through this layer and into the vagina. This results in bladder prolapse, also called a cystocele. A rectal bulge called a rectocele.
In severe cases, the prolapsed organs can appear at or past the opening of the vagina. Prolapse is common in women. The symptoms of POP can be bothersome but can be treated. Non-operative options include pelvic physical therapy for mild POP, or a pessary for any type of POP.
At Pacific Northwest Urology Specialists, our providers are experts in the diagnosis and management of urological malignancies. We provide advanced diagnostic and therapeutic options for the treatment of cancer including robotic surgery. In addition to receiving the most advanced treatments for your cancer, we are committed to providing compassionate care.
Have questions or want to schedule an appointment?
Call us at 360-733-7687
Pacific Northwest Urology Specialists provide urological care for the needs of pediatric patients in the Bellingham area from infancy through adolescence. We strive to provide compassionate care to the pediatric patient and understand that children's health issues are also frightening for parents. We emphasize education and an open dialogue to help address complex issues for families.
Over 1 million American's had a kidney stone last year and that number is rising. They can be one of the most painful experiences in one's life and lead to a significant number of emergency room visits and hospitalizations. We are experts at treating kidney stones in minimally invasive and endoscopic fashion and getting you back to your normal routine as quickly as possible. More importantly, we are committed to find out what is causing you to form stones and help prevent them in the future. Find out more about our treatment of stone disease.
Bladder stones are a buildup of mineral deposits that occur in your bladder. Most often, this occurs in people who are unable to empty their bladders completely. They can cause pain, difficulty with urination, and hematuria (blood in the urine). The vast majority of bladder stones can be treated endoscopically (without incisions).