We treat common pelvic complaints that occur in girls aged 10-19 years of age in a safe, comfortable environment.
As if the adolescent years are not hard enough, issues of incontinence, voiding dysfunction, pelvic pain, painful sex and constipation affect some younger girls just as much as adult women.
Unfortunately, adolescent girls are even less likely than adult women to discuss problems of such a personal nature and their access to care is limited.
Many of our adult patients would mention how their current pelvic issues actually began in childhood.
Our Teen & Young Adult program is designed to address the unmet needs of this age group.
There are many treatments available, and we are dedicated to making those treatments available for adolescent girls ages 10-19.
We treat a variety of symptoms, which include:
- incontinence (all types)
- incomplete bladder emptying
- urinary frequency
- bed wetting
- burning with urination in the absence of UTIs
- pain with intercourse/sexual activity
- pain with tampon placement
- fecal incontinence
A girl’s age should not delay getting proper care of a urinary issues. Early treatment of pelvic floor disorders and symptoms in young girls may prevent worsened urinary issues as they age.
What to Expect
At your first visit, we’ll take a thorough urinary, sexual and bowel habit history and perform a physical exam. This will include a limited pelvic exam tailored to each patient depending on prior sexual activity.
We often will wait until the second visit for the limited pelvic exam depending on each girl’s comfort level.
Your initial treatment plan will be conservative and begin with pelvic floor rehabilitation using the expertise of our skilled physical therapists.
We have had great treatment success with simple, holistic treatment plans utilizing physical therapy and behavioral modification.
If this conservative initial treatment approach is not successful, then other procedural modalities such as bladder Botox injections, InterStim placement and urethral bulking agents are among the options we can consider.
We can also offer some of the therapeutic options used for adult incontinence treatment, with proper informed consent and a review of the risks and benefits.
We believe it is important to offer these potentially curative treatments to young girls who are suffering from the embarrassment, social isolation and depression that can occur with urinary problems.
- Bladder Botox Injections
The use of Botox in urology has recently been approved by the FDA and many studies have found it’s useful potential in relieving a variety of lower urinary tract dysfunctions including multiple sclerosis, stroke, overactive bladder, interstitial cystitis, and spinal cord injury when conventional treatments have failed.
- Pelvic Floor Muscle Rehabilitation (PFMR)
The goal of PFMR is to teach you how to contract the pelvic floor muscles to strengthen them and in turn alleviate associated symptoms. This helps reset the nerves and muscles governing bowel and bladder function to give you better control. For...
- Urethral bulking agent
Urethral bulking is a technique to thicken the lining of the urethra and narrow the inner diameter to prevent urinary leakage from stress urinary incontinence.