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, .




Our Services : Physical Assessment

If your physician is not able to treat you or requires assistance, he/she may refer you to a dedicated facility, such as our Urogynecology Center. We specialize in the management of pelvic floor disorders. On your first medical consultation, your voiding habits will be studied, your current bladder support will be assessed, and the function of the surrounding nerves that control the urine will be evaluated. A urine analysis and culture will be conducted to detect a possible infection. The evaluation may then be followed by a study of the bladder’s function called Urodynamics. It is during this procedure that the type of incontinence becomes evident by reproducing the episodes of urine loss under computerized monitoring and expert clinical supervision. In some cases, a view of the lower urinary tract through a telescopic lens or urethrocystoscopy is warranted to clarify the diagnosis. This thorough investigation does not require anesthesia and can be coordinated in a few visits.



What to Expect at the Center

Most patients experience improvement after the first consultation. Your beginning to understand these conditions will aide you to participate in the direction of your care. This means, you make the final decision under our experience and compassionate medical advice.


Copy: Nobuo Okui & Miyuki Motai Kodansya

We have worked in making you feel at ease during your visits to our center. From the design of our urodynamics suite to the quietness of our therapy room, every exam is followed by a counseling session using written and video material as appropriate to the specific clinical situation.

Depending on the type of treatment or procedure needed, we have the following rooms available:

Endoscopy Laborator
Typical Gynecological Exam Rooms
Education Center-literature and videos
Pelvic Physiotherapy Rehabilitation Room


Cystocele (bulging of the bladder into the vagina)
Enterocele (bulging of the intestine into the upper part of the vagina)
Rectocele (bulging of the rectum into the vaginal wall)


Treatments Available

With a clear picture of the type of incontinence, the patient can be treated in several ways depending on her specific needs.

Cutting down on caffeine (coffee, tea, soda), embracing a high-fiber diet, and eating a well-balanced meal can help with bladder and bowel control.

Special medicines in the form of pills exist to control urination. These drugs can suppress bladder contractions while other drugs will help prevent leakage by increasing the pressure inside the urethra. In most cases, medication can be combined with exercises and physical therapy. Sometimes medication might not be recommended for treatment based on your age, medical background, and current health condition.

Pelvic Physiotherapy

Pelvic Physiotherapy is one of the least invasive procedures in treating incontinence. At our Urogynecology Center, your physician uses a machine with electrical stimulation and biofeedback to help patients increase their pelvic floor strength by isolating and exercising their pelvic floor muscles. These rehabilitating exercises are also known as Kegel Exercises. They are used to strengthen the muscles around the urethra, vagina, and rectum. With the help of the physiotherapy machine, your physician or nurse can help you learn to perform these exercises properly and effectively. You may be told to contract these muscles several times a day on your own. Improvements in holding urine can be seen within weeks.

Special diets help improve one’s pelvic support problems as well. Your doctor may request that you drink plenty of fruit juices to help reduce the risk of bladder infections. You may also need to cut down on caffeine found in coffee, soda, and tea, which act as a diuretic.

In those cases where surgery is recommended and chosen to cure pelvic support problems, the use of innovative techniques has reduced the operating and recovery time considerably. Surgery may be done through the abdomen or vagina depending on the type of problem you have. Through an incision of one centimeter in length or less, an operating telescope can be applied to restore the support of the anterior wall of the vagina that holds the bladder in place.

It is important to discuss these surgery options with your physician if you are still considering childbirth.

Symptoms may relieve some, but not all, of the symptoms associated with pelvic support problems. It is important to control your weight, avoid constipation, and ward off activities that put pressure on these muscles.