Hallmark Health's Pelvic Health Center provides patients with an integrated and interdisciplinary medical approach to identify and treat pelvic floor disorders and related conditions, such as urinary incontinence, pelvic organ prolapse and pelvic pain.
While pelvic floor dysfunction affects both men and women, it is generally more prevalent in women. Studies have shown that one in three American women develop symptoms that can range from mild to severe at some point in their lifetime. The Pelvic Health Center doctors and allied health professionals work with patients to identify the source of the problem and then develop a coordinated, personalized treatment plan ensuring the best possible outcome.
Evaluation, diagnosis and non-surgical and surgical treatments are provided for:
- urinary incontinence
- neuro-urologic disorders
- pelvic organ prolapse
- fecal incontinence
- structural abnormalities of the pelvic floor (rectocele, cystocele, enterocele, sigmoidocele)
- pelvic pain
The Pelvic Health Center's multidisciplinary team provides patients individualized therapy of the highest quality. The team consists of a gynecologist, gastroenterologists, specially-trained psychotherapists and physical therapists. After assessing the patient's symptoms and addressing any concerns, the team collaborates on and develops a personalized treatment plan.
Wanda Blanton, MD
Roy Epstein, MD
Aarti Kakkar, MD
Michael Newman, MD
Kenneth Shieh, MD
Amanda E. Finn Holmes, PT, MS
Nell Fay, PT, DPT
Pelvic Floor Disorders
Pelvic disorders can affect both women and men. The pelvic floor is the group of muscles, ligaments and tissues that support the organs of the pelvis. Pelvic floor organs include the bladder, vagina, and rectum. Pelvic floor disorders may be acquired due to tears, weakness, structural abnormalities, or poor coordination of the muscles, nerves, or organs in the pelvis. Examples of pelvic floor disorders include:
This is a loss of bladder control leading to urinary leakage. Urinary incontinence affects one in three women. Two common types of urinary incontinence are urge incontinence (urinary leakage with the sudden need to urinate) and stress incontinence (urinary leakage that occurs with physical effort, such as coughing, sneezing or exercising).
Pelvic organ prolapse
These pelvic support problems occur when one or more of the organs in a woman’s pelvis—the uterus, vagina, bladder or rectum—shifts down and creates a bulge in the vaginal canal, making everyday activities extremely uncomfortable. Women with pelvic organ prolapse may see or feel a bulge in the vagina.
This is a loss of bowel control leading to leakage of stool. This problem can be caused by muscle damage during childbirth, constipation, anal injury, nerve injury or rectal prolapse.
This condition refers to problems emptying the bowels. Symptoms may include the frequent and uncomfortable urge to have a bowel movement, constipation, and leakage of gas, diarrhea or solid stool.
This term refers to a variety of conditions that lead to the inability to empty the bladder normally. Examples include weakness of the bladder muscle and mechanical obstruction.
Pelvic Floor and Continence Rehabilitation Program
Hallmark Health's Pelvic Health Center offers a specialized rehabilitation program for individuals who are diagnosed with pelvic floor and continence disorders. The Pelvic Floor and Continence Rehabilitation Program is led by a specially trained and experienced physical therapist certified in pelvic floor and continence physical therapy. The program provides high-quality, personalized care for women and men. By age 55, nearly half of all women will develop some type of pelvic floor, bladder and/or bowel condition. Early diagnosis and treatment is the key to retaining normal function and quality of life as quickly as possible.
After being diagnosed, usually by a specialty physician, patients often are referred to physical therapy for further evaluation and treatment. The Pelvic Floor and Continence Rehabilitation Program's physical therapist works closely with patients and their referring physicians to develop the most appropriate treatment plan. The program offers a comfortable, private and compassionate environment. Patients have access to the most up-to-date therapies for pelvic floor disorders, including biofeedback, electrical stimulation, vaginal dilators, manual therapy and visceral mobilization techniques.
The patient is encouraged to check with their health insurer, but usually the insurance plan's coverage, deductibles and co-pays that apply to physical therapy will also apply to pelvic floor physical therapy.
The Pelvic Floor and Continence Rehabilitation Program is conveniently located at Hallmark Health System's Stoneham Outpatient Campus at 41 Montvale Avenue. The phone number is 781-224-5829. For more about our program, please read our pelvic floor brochure.
In some cases, surgery is the best treatment option and considered when other treatments do not provide the intended results. Our surgeons use minimally-invasive surgery such as mini arc sling or sacral nerve stimulation utilizing the InterStim system.
Depending on a patient's specific needs, several types of treatments may be options to restore function or greatly reduce symptoms.
Patients are encouraged to ask questions and actively participate in their care.
Start the Dialog
Pelvic Health Questionnaire - Print and complete prior to your appointment with your primary care physician, gastroenterologist, Ob/Gyn or the physical therapist at the Pelvic Floor Rehabilitation Program.
The pelvic floor rehabilitation program is located at 41 Montvale Avenue, 5th floor, Stoneham.
We are happy to answer your questions or to schedule an appointment with a member of our pelvic floor rehabilitation care team.
Please call us at 781-224-5829.