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Pelvic Specialty Care
9800 Mt. Pyramid Court Suite 300
Englewood, Colorado 80112
Phone: (303) 322-0500

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Urogynecology is a subspecialty of obstetrics and gynecology that is dedicated to the treatment of pelvic floor disorders leading to problems with urinary, bowel, or sexual functioning.

Common Conditions

Vaginal Prolapse
Vaginal prolapse is a protrusion of the vaginal walls and the pelvic organs that they support toward or through the opening of the vagina. This occurs as a result of pelvic floor weakness. The "pelvic floor" is a sheet of muscle and connective tissue that stretches from the pubic bone to the tailbone and surrounds the vagina, rectum, bladder and uterus. The pelvic floor holds these pelvic organs in their appropriate positions in the pelvis. If the pelvic floor is weak, these organs fall out of their usual positions and do not function normally.
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Urinary Incontinence
Urinary incontinence is any involuntary leakage of urine. It can be leakage of a large amount of urine or just a few drops. The four most common types of female urinary incontinence are stress urinary incontinence, urge urinary incontinence, mixed urinary incontinence, and overflow incontinence. Stress urinary incontinence is leakage of urine with physical activity. Urge urinary incontinence, also called "wet overactive bladder", is unintentional leakage of urine preceded by a sudden urge to urinate. Mixed urinary incontinence is a combination of both stress and urge incontinence. Overflow incontinence is leakage of urine due to a bladder that is always too full.
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Overactive Bladder
Overactive bladder (OAB) is a bothersome medical condition that affects more than 17 million men and women of all ages, although its incidence increases significantly with age. The bladder muscle is supposed to contract to empty the bladder only during urination. An overactive bladder muscle contracts unpredictably causing frequent urination or sudden strong urges to urinate with or without leakage of urine. "Wet overactive bladder", also called "urge urinary incontinence", is urinary urgency that leads to leakage of urine. "Dry overactive bladder" is urinary urgency and frequency without leakage of urine. A recent study showed that 7.6% of women with overactive bladder have dry overactive bladder and 9.3% have wet overactive bladder.
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Urinary Retention
Urinary retention is an inability to empty the bladder completely. The two main types of urinary retention are acute urinary retention and chronic urinary retention. Acute urinary retention is a sudden inability to empty the bladder. This is associated with severe discomfort and is a medical emergency. Chronic urinary retention is an inability to empty the bladder completely that develops over time.
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Painful Bladder Syndrome / Interstitial Cystitis
Painful Bladder Syndrome / Interstitial Cystitis (PBS/IC) is a chronic condition characterized by urinary urgency, frequency, nocturia, and/or bladder pain in the absence of infection or other apparent cause. The intensity of symptoms can range from mild to debilitating. People often see several healthcare providers before they are correctly diagnosed. The National Institutes of Health estimate that 700,000 people in the United States suffer from PBS/IC and that 90% are women.
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Treatment Options
Treatment options are vast and include non-surgical and surgical. Dr. Aguirre will work with every individual to find the best possible solutions.
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