Urogynecology and Reconstructive Pelvic Surgery

To create a nationally recognized Center of Excellence for the diagnosis and treatment of female pelvic floor disorders, technological innovation, and emphasizing quality care, .




Welcome to Urogynecology

Welcome to the Dr okui's Urogynecology Center, Center of Excellence for Female Pelvic Medicine. Our mission is to cure, improve, or comfort all women affected by dysfunction of the pelvic floor and disorders of incontinence.




The daily activities of many women often go interrupted due to common pelvic support problems that cause the condition, known as urinary incontinence. Many times a woman cannot laugh or sneeze without the loss of urine. Over 85 percent of women are affected by this condition that is triggered before their 35th birthday due to childbirth, and early stages of menopause. Although urinary incontinence is curable or improvable, only one third of sufferers are aware of treatment options other than absorbent pads, drugs or surgery. The introduction of minimally invasive surgical procedures and behavioral therapy empowered women to take control in seeking help for a cure instead of combating incontinence with diapers and absorbent products.


What happens to your body

The female body is unique. It progressively changes. When the tissues that support the pelvic organs are stretched and damaged, they allow the organ that they support to drop down and press against the vaginal wall. Sometimes the organ will drop down so far that the bulge sticks out of the vaginal opening and is visible to the eye.

The main causes of pelvic support problems are pregnancy, childbirth and aging. The weight of the baby during pregnancy creates tremendous pressure on the pelvic tissue and muscles. Then, as the baby passes through the vagina during childbirth, the support of the pelvic floor muscles and ligaments may become damaged and weakened.

In later years, when a woman goes through menopause, the loss of estrogen worsens the strength of these delicate tissues. In some women, a familial (hereditary) factor seems to predispose to this problem even without childbirth. The causes may be:
1) Unusual weakening of the vaginal tissue after menopause
2) Abnormal increases in abdominal pressure due to coughing, heaving lifting, obesity, or constipation
3) Hereditary weakness of tissue.


What is Urogynecology?

Urogynecology is the study of pelvic and bladder disorders. Urogynecologists are specifically trained to recognize and treat these problems.


Our Services : Committed to Excellence

The field of female pelvic medicine and reconstructive surgery is dynamic and specialized. Specialized diagnostic tests are mostly needed for a complete and accurate diagnosis of urinary incontinence and pelvic floor disorders. In the past, the care of the patient with these disorders has been undermined by the fragmentation of service, inherent to the lack of a comprehensive facility.

copy:Nobuo Okui & Miyuki Motai, Kodansya

Our Urogynecology Center is the 1st facility dedicated to excellence in the comprehensive care of the patient with prolapse and incontinence. At our Urogynecology Center, we specialize in female pelvic medicine and reconstructive surgery for treatment of these disorders. We are gynecologists trained in the specific identification, evaluation, and treatment of the following conditions:

1) Loss of bladder or bowel control,
2) Difficulty urinating,
3) prolapse (dropped bladder or uterus),
4) Difficulty defecating.

At our center, our clinical professionals carefully evaluate each individual’s special needs based on her debilitating habits and medical history by defining how and why the control of urination has been lost for that particular patient. Then, we will indicate which type of techniques should be designated for proper treatment whether it is medication, physiotherapy, or surgery. During this time, we remain in constant communication with your gynecologist or primary care physician to keep him/her aware of your condition and to ensure the proper care needed for you.