Women’s Urological Care
Specialized, Compassionate Care for Every Stage of Life
At Urology Associates of Cape Cod, we recognize that women experience urologic and pelvic health concerns differently — and often silently. Our team of board-certified urologists and fellowship-trained urogynecologists provides advanced, compassionate care for women dealing with urinary, pelvic floor, and bladder conditions. We combine world-class clinical expertise with a supportive, respectful approach — all close to home on Cape Cod.
Our Approach to Women’s Urologic Health
Women’s urologic conditions can affect comfort, confidence, daily activities, and quality of life. At UACC, we believe care should begin with listening. Our physicians take the time to understand your symptoms, explain your diagnosis clearly, and walk you through all available treatment options. We offer comprehensive evaluation and care using advanced diagnostics, minimally invasive techniques, and evidence-based treatments — with a strong focus on restoring function while preserving dignity and comfort.
What Is Urogynecology?
Urogynecology is a specialized field focused on female pelvic floor and urinary disorders. It bridges urology and gynecology to address conditions affecting the bladder, urethra, and pelvic organs. At UACC, our urogynecology specialists are uniquely trained to diagnose and treat complex pelvic floor conditions using both non-surgical and surgical approaches — always tailored to your individual needs.
Conditions We Treat
Our women’s urology and urogynecology team treats a wide range of conditions. Early evaluation and treatment can significantly improve outcomes and quality of life.
Urinary Incontinence
Stress, urge, and mixed incontinence.
When an individual has lost control of their bladder, they’re more likely to experience urinary leakage. While this may feel embarrassing, you’re not alone. Millions of people across the country struggle with urinary incontinence. There can be a range of conditions that can cause urinary incontinence. Although having any type of medical condition can be frustrating, many urinary disorders are treatable.
Conditions that Cause Urinary Incontinence
If you’re dealing with urinary incontinence, it could be the result of a range of medical conditions. Check out the following section to learn more about those types of problems.
- Weak Pelvic Floor Muscles: These are the muscles that support the bladder in holding or releasing urine. Over time, they can begin to weaken due to factors such as childbirth, pregnancy, aging, and obesity. Without proper care, weak pelvic floor muscles can lead to stress incontinence, where leakage occurs during activities that increase abdominal pressure, such as coughing, sneezing, laughing, or lifting heavy objects.
- Nerve Problems: Nerves play a crucial role in controlling the bladder and signaling when it’s time to urinate. Any type of nerve damage or dysfunction could potentially cause the bladder to become overactive (going to the bathroom too often) or underactive (the bladder doesn’t expel all of the urine). Conditions such as diabetes, multiple sclerosis, or Parkinson’s disease can affect nerve function and contribute to urinary incontinence.
- Overactive Bladder Muscles: Some individuals may experience involuntary contractions of the bladder muscles, leading to an urgent and frequent need to urinate (urge incontinence or overactive bladder). An overactive bladder could be caused by a variety of factors, including neurological conditions, bladder irritation, urinary tract infections, and certain medications.
- Obstruction of the Urinary Tract: An obstruction in the urinary tract can lead to urinary incontinence. In men, an enlarged prostate gland can put pressure on the bladder and urethra. This can make it difficult to start urinating or cause a sensation to urinate more frequently. In women who experience pelvic organ prolapse, where pelvic organs such as the bladder, uterus, or rectum bulge into the vagina. This can lead to urinary incontinence issues.
Pelvic Organ Prolapse
Bladder, uterine, or vaginal prolapse occurs when weakened pelvic floor muscles and supportive tissues allow one or more pelvic organs to shift downward, leading to pressure, discomfort, urinary symptoms, or a visible bulge. At Urology Associates of Cape Cod, our urogynecology specialists provide thorough evaluation and individualized treatment based on the severity of symptoms and a patient’s goals. Options may include conservative therapies such as pelvic floor strengthening, pessary use, or minimally invasive surgical repair. Our focus is on restoring support, improving comfort, and helping patients return to daily life with confidence and dignity.
Overactive Bladder
Overactive bladder is a common condition characterized by a frequent and sudden urge to urinate, often accompanied by urgency, leakage, or nighttime urination. At Urology Associates of Cape Cod, our specialists carefully evaluate symptoms to identify contributing factors and develop a personalized treatment plan. Management may include lifestyle modifications, medication, bladder training, or advanced therapies when appropriate. Our goal is to reduce symptoms, restore bladder control, and help patients regain confidence and quality of life.
Postpartum Pelvic Floor Dysfunctions
Pregnancy and childbirth can bring about various changes to a person’s body, including the pelvic floor. After childbirth, a person can develop postpartum pelvic floor dysfunction. While the issues from this disorder can significantly impact the quality of life, the professionals at Urology Associates of Cape Cod offer a range of treatment options to provide relief and improve bladder control.
Types of Postpartum Pelvic Floor Dysfunctions:
There are many issues that can occur as a result of postpartum pelvic floor dysfunction. If you’re struggling with problems after childbirth, browse the following section to learn more.
- Pelvic Organ Prolapse: This condition occurs when pelvic organs, such as the bladder, uterus, or rectum bulge into the vagina due to weakened pelvic floor muscles. This condition can cause discomfort and pressure, as well as issues with urinating and passing stool.
- Urinary Issues: Urinary incontinence (inability to hold urine) and retention (trouble emptying all of the urine out of the bladder) are two issues that people may experience after childbirth. Oftentimes, they occur as a result of weakened pelvic floor muscles and nerve damage.
- Pelvic Pain: After childbirth, many people experience pain throughout their pelvic region, lower abdomen, and lower back. There’s a range of factors that can cause pelvic pain such as vaginal delivery, prolonged/complicated labor, tailbone injury, diastasis recti, SI joint dysfunction, and pubic symphysis.
- Dyspareunia (Pain During Intercourse): Having any type of pain during intercourse is very uncomfortable. More than 62% of people experience dyspareunia in the first three months after delivery. It can be caused by a variety of things including hormones, scar tissue restriction, and tense pelvic floor muscles.
- Pelvic Floor Muscle Weakness: Pregnancy and childbirth can weaken the pelvic floor muscles, leading to issues such as urinary incontinence, bowel incontinence, and pelvic organ prolapse. Strengthening exercises and pelvic floor rehabilitation can help strengthen the muscles.
Urethral Diverticula
Urethral diverticula are pocket-like outpouchings that form along the urethra and can lead to symptoms such as recurrent urinary tract infections, pain, urinary leakage, or discomfort during urination or intimacy. At Urology Associates of Cape Cod, our specialists use advanced diagnostic tools to accurately identify this condition and determine the most appropriate course of care. Treatment is individualized and may include careful monitoring or surgical repair when symptoms are significant. Our team prioritizes precise diagnosis, effective treatment, and compassionate support to help patients achieve lasting relief and improved quality of life.
Urogenital Fistulas
Urogenital fistulas are abnormal connections between the urinary tract and nearby organs, which can result in continuous urine leakage, recurrent infections, or significant discomfort. They most often develop after surgery, childbirth, radiation therapy, or trauma. At Urology Associates of Cape Cod, our specialists provide careful evaluation and advanced reconstructive treatment tailored to each patient’s condition. Using meticulous surgical techniques and a compassionate approach, our goal is to restore normal function, relieve symptoms, and help patients regain comfort, confidence, and quality of life.
Vaginal Mesh Excision
Vaginal mesh excision is a specialized surgical procedure performed to address complications related to previously placed mesh used for pelvic organ prolapse or urinary incontinence. Symptoms may include pain, erosion, infection, or urinary and pelvic discomfort. At Urology Associates of Cape Cod, our fellowship-trained urogynecology specialists carefully evaluate each patient to determine whether mesh removal or revision is appropriate. When surgery is indicated, the procedure is performed with precision and care, with the goal of relieving symptoms, preserving pelvic function, and improving overall quality of life.
Interstitial Cystitis
Interstitial cystitis, also known as painful bladder syndrome, is a chronic condition characterized by bladder pressure, pelvic pain, and frequent or urgent urination without an identifiable infection. Symptoms can vary in intensity and may significantly impact daily life. At Urology Associates of Cape Cod, our specialists take a comprehensive, individualized approach to diagnosis and management. Treatment may include lifestyle modifications, medication, bladder therapies, or other advanced options aimed at reducing discomfort, improving bladder function, and enhancing quality of life.
Fecal Incontinence
Fecal incontinence is the inability to control bowel movements, leading to accidental leakage that can be distressing and disruptive to daily life. It may result from pelvic floor muscle weakness, nerve injury, childbirth, surgery, or other medical conditions. At Urology Associates of Cape Cod, our specialists provide a respectful, comprehensive evaluation to identify contributing factors and develop an individualized treatment plan. Management options may include pelvic floor therapy, medical treatment, or advanced interventions designed to improve control, restore confidence, and enhance quality of life.
Recurrent Urinary Tract Infections
Recurrent urinary tract infections (UTIs) are defined as multiple infections occurring over a short period of time and can cause ongoing discomfort, disruption, and frustration. At Urology Associates of Cape Cod, our specialists work to identify underlying causes such as anatomical changes, bladder dysfunction, or hormonal factors. Treatment focuses on both resolving active infections and preventing future episodes, and may include targeted antibiotic therapy, lifestyle guidance, preventive strategies, or advanced diagnostic evaluation. Our goal is to reduce recurrence, protect urinary health, and help patients return to daily life with confidence.
Hematuria
Hematuria, or blood in the urine, can be visible or detected only through laboratory testing and may be caused by a wide range of conditions, from infections and kidney stones to more serious urologic concerns. At Urology Associates of Cape Cod, our board-certified urologists perform thorough evaluations to determine the underlying cause using advanced diagnostic tools and imaging. Prompt assessment is essential, and our team is committed to identifying the source of hematuria quickly and developing an appropriate treatment plan to ensure patient safety and peace of mind.
Advanced Treatment Options
UACC offers a full spectrum of treatments for women’s urologic conditions — from conservative therapies to advanced surgical care. Our physicians carefully match each patient with the least invasive and most effective treatment option whenever possible.
Non-Surgical & Minimally Invasive Care
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Pelvic floor therapy coordination
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Behavioral and lifestyle interventions
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Medication management
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Bladder instillation therapies
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Advanced diagnostic testing and imaging
Surgical & Reconstructive Procedures
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Minimally Invasive Pelvic Reconstructive Surgery
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Sling Procedures for Urinary Incontinence
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Pelvic Organ Prolapse Repair
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Cystoscopy and Diagnostic Procedures
Why Choose UACC for Women’s Health?
Urology Associates of Cape Cod is where world-class urologic care meets the warmth and convenience of a community practice. We are proud to serve women throughout Cape Cod and Southeastern Massachusetts with care that is as thoughtful as it is advanced.
Board-Certified Expertise
Highly skilled physicians committed to excellence.
Advanced Diagnostics and Treatment
Access to state-of-the-art technology and surgical care.
Compassionate, Personalized Care
We listen, educate, and collaborate with you on your health plan.
Convenient Locations
Three offices on Cape Cod make access simple and stress-free.
Take the First Step Toward Relief
You don’t have to live with discomfort, uncertainty, or disruption to your daily life. The women’s urology team at Urology Associates of Cape Cod is here to help you regain comfort, confidence, and control.
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