About United Urogynecology & Female Pelvic Health
United Urogynecology & Female Pelvic Health is a division of United Medical Doctors, proudly serving the communities of Temecula and Encinitas in Southern California. Specializing in female pelvic health, including general gynecology, United Urogynecology & Female Pelvic Health strives to ensure each patient receives unparalleled specialty care.
We are dedicated to providing unparalleled comprehensive, medical and surgical care to patients suffering from female pelvic health conditions, diseases and disorders.
Our practice strives to demonstrate compassion while maintaining high reliability as we aim to fulfill a superior patient-centered experience. We thank you for the opportunity to be a part of your healthcare team.
- Abnormal Uterine Bleeding
- Bladder Pain
- Bladder Emptying Difficulties
- Fecal Incontinence
- Menopausal Symptoms
- Overactive Bladder
- Pelvic Organ Prolapse
- Pelvic Pain
- Urinary Incontinence
- Urinary Tract Infections
- Vaginal and Vulva Disorders
About Urinary Incontinence
This is the involuntary loss of urine with physical activities such as coughing, laughing, sneezing and exercising. This occurs due to the weakening of the pelvic floor muscles that support the urethra. This can happen for a variety of reasons, including:
• Hormone changes
Urgency urinary incontinence is the unintended loss of urine due to an involuntary bladder contraction. Patients often describe urge urinary incontinence as needing to go even if they just went. It’s often associated with an overactive bladder.
This is a combination of the two types of incontinence: stress urinary incontinence and urgency urinary incontinence.
Who Suffers From Urinary Incontinence?
- 1 in 2 adult women have urinary incontinence.
- On average, women wait 6.5 years after having symptoms to see a doctor.
- Less than 50% of women with bladder leakage discuss their symptoms with their doctor.
Do You Have Urinary Incontinence?
- Unexpected leakage
- Difficulty holding your urine
- Sudden urge to urinate
- Urinating more than 8 times a day
Many women have secret strategies for managing these symptoms, like wearing liners or pads, going before leaving the house, always finding a public restroom, limiting fluids throughout the day and crossing their legs. If you’re thinking, “Hey, I use some of those same strategies,” then it may be time to explore your options for relief.
Treatments & Procedures Offered
Pelvic floor physical therapy is considered a conversative option for stress urinary incontinence.
For stress urinary incontinence, a conservative option includes wearing a pessary. The pessary is a device that is placed into the vagina to support the uterus or bladder and rectum. In order to lessen urine leakage, a hard ring presses against the vaginal and urethral walls.
Urethral bulking is an outpatient procedure to treat stress urinary incontinence. This procedures involves injecting a gelatinous substance into the urethra to help it close better to reduce leakage.
Another treatment option for stress urinary incontinence includes the placement of a midurethral sling. A midurethral sling is a material that is placed under the urethra like a hammock to restore its support.
Axonics Therapy is an effective solution for treating symptoms of overactive bladder (including urinary urgency incontinence), bowel (fecal) incontinence and urinary retention that provides gentle stimulation to the nerves that control the bladder and bowel, which can restore normal control and result in symptom improvement.
A treatment option for urgency urinary incontinence includes a Botulinum toxin (Botox) injection into the bladder.
Minimally invasive techniques are utilized in the event surgery is needed.
About Pelvic Organ Prolapse
- And many more
The types of Pelvic Organ Prolapse include:
A cystocele forms when the upper vaginal wall loses its support and sinks downward. This allows the bladder to drop. When a cystocele becomes advanced, the bulge may become visible outside the vagina. The symptoms caused by cystoceles can include pressure, slowing of the urinary stream, overactive bladder and an inability to fully empty the bladder.
This occurs when the uterine or vaginal support structures holding the upper part of the vagina are weakened. If the uterus is present, this is called “uterine prolapse.” Symptoms include pressure, pain, bladder infections and difficulty urinating.
A rectocele forms when the lower vaginal wall loses its support, allowing the rectum to bulge into the vagina. Rectoceles may cause difficulty with bowel movements — including the need to strain more forcefully, a feeling of rectal fullness even after a bowel movement, increased fecal soiling and incontinence of stool or gas.
An enterocele typically forms when the small intestine bulges through the top of the vagina after a hysterectomy, but not always. In some women, the intestine may slide between the back of the vagina and the rectum. The symptoms can be vague, including a bearing down pressure in the pelvis and vagina, and perhaps a lower backache.
Who Suffers From Pelvic Organ Prolapse?
- Up to 50% of women may suffer from POP.
- POP afflicts over 3 million women in the United States.
- 1 in 9 women will need prolapse surgery in their lifetime.
There are many women out there just like you who experience pain and discomfort associated with prolapse. But you don’t have to continue living like this; options are available to you. If you are concerned that you might have prolapse, talk to Dr. Arthur today!
Do You Have Pelvic Organ Prolapse?
- Pressure or discomfort in the vaginal and/or pelvic area
- Diminished control in the bladder and/or bowels
- Pain during intercourse
It’s always important to talk with a specialist sooner rather than later when you suspect you may be experiencing symptoms associated with pelvic organ prolapse. There’s no shame in joining the conversation and there is no guilt in putting your health first.
Outpatient Surgical Centers
Outpatient procedures and surgeries are conducted in our outpatient surgical centers, United Surgery Centers, in Temecula and Encinitas, as well as at area hospitals in both Riverside and San Diego Counties. Featured here is United Surgery Center – Temecula, our largest state-of-the-art out-patient surgery center.
Axonics Neuromodulation for Incontinence Treatment
We are proud to offer Axonics Neuromodulation, a cutting-edge and innovative therapy and treatment for urinary and fecal incontinence.
How Axonics Works
Dr. Afiba Arthur, Urogynecologist and Female Pelvic Health Specialist, is proud to offer Axonics as a therapy for patients suffering from urinary and fecal incontinence.