About Pelvic Floor Disorders
We offer both conservative and surgical management of pelvic floor disorders. We are lucky to have Dr. Teresa Irwin who is the only board-certified urogynecologist between Austin and San Antonio, TX. At the Caring Center for Women, we offer both conservative and surgical management of pelvic floor disorders (cystocele, rectocele, and perineocele) in our offices in San Marcos and New Braunfels, TX.
Types of Disorders
Women of any age who have had a hysterectomy may develop an anterior vaginal wall prolapse (also called a cystocele). This means that the tissue from the pelvic bone leaving the bladder to drop down into the vagina. Symptoms of a cystocele include feeling the constant urge to urinate, excessive urination in the daytime and nighttime, and feel you have lost all control of your bladder.
When a woman experiences rectocele, the fascia between the vagina and rectum has been disconnected from the pelvic bone. When a rectocele forms, you will see and feel a noticeable bulge in the front wall of the rectum to the back wall of the vagina. Women with this posterior wall prolapse have trouble with painful bowel movements and may have to manually insert their fingers into the rectum or vagina in order to defecate.
A hernia that has found its way in between the rectum and the vagina is called a perineocele. After a hernia has made it through the perineum, you may experience continual pressure in the area, chronic constipation, and obstructed bowel movements.
"Lauren has a great personable presence. She introduced herself and told me about her family-that was awesome. She is good at listening and asking questions. She was genuinely open to helping with issues.I was completely impressed and the office staff was great too."- M.P. / ZocDoc / Mar 28, 2018
"Dr. Fay is the best! She is so kind and always makes me feel so comfortable. She is excellent at explaining things in terms you can understand. She has been my doctor for 8 years. Dr. Fay and Dr. Hermann delivered both of my children. Everyone in the office is so friendly too."- T.M. / Facebook / Jun 08, 2018
"I am a patient of Dr. Fay and have had a great experience so far and am at the 17 week mark. All the staff have been kind and helpful. Dr. Fay takes the time to answer your questions and has a wonderful bedside manner. She makes you feel super comfortable! Highly recommend!"- G.S. / Google / Jun 07, 2018
"Today I met what I thought impossible: a doctor who sat NEXT to me, looked at me in the eye, listened to my medical concerns with obvious empathy, and advised me with knowledge and kindness. Dr. Teresa Irwin is a shining star in my unfortunate experience of medical mediocrity. This beautiful doctor exudes confidence while remaining humble and goes the extra mile to satisfy/relieve suffering patients. I thank her for her service and I recommend her with total and absolute confidence to anyone"- M.P. / Healthgrades / May 17, 2018
"Very professional and informative. Great personality. Made us feel welcome and comfortable."- C.Z. / ZocDoc / May 16, 2018
Each patient is unique in her own way and so should the treatment. After a physical examination with Dr. Irwin or one of our other OBGYNs, Your doctor will provide you with information on how you should treat your pelvic organ prolapse. Some of the recommendations may be:
- Maintaining a healthy weight with proper nutrition
- No heavy weightlifting
- Performing light to moderate exercise is encourage
- Performing Kegel exercise to strengthen weak pelvic floor muscles
- Biofeedback therapy
- Pelvic floor electrical stimulation (InterStim)
- Bulking agent injections
- Pelvic organ prolapse (POP) surgery
- Urinary incontinence surgery
- Bowel control surgery
Plan Your Procedure
Learn more about your options in pelvic floor disorders at a consultation with Dr. Irwin at the Caring Center for Women in San Marcos or New Braunfels, TX. Disorders of the pelvic floor are uncomfortable and interfere in many aspects of your life. Make an appointment today and we will guide you through the process.