Urogynecology Treatments & Pelvic Floor Care at CU Anschutz

CU Anschutz Urogynecology specialize in treating pelvic floor disorders (PFDs) in order help restore our patients’ quality of life, as well as to prevent further problems.

Our staff and doctors are aware of the very personal nature of pelvic floor conditions for women. It’s often difficult for women to even ask for help with these issues.

So, while we are uniquely trained and focused on women’s pelvic health, we are also highly attuned to our patients’ sensitivities and needs. Along with the services our providers expertly perform below, women will find us to be caring listeners and dedicated partners in achieving their unique healthcare solutions.

Nearly 90 percent of urogynecologic conditions can be diagnosed and successfully treated through lifestyle changes, conservative procedures, medications, as well as complex surgical options.

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Autologous sling

Surgical Options for Treating Stress Urinary Incontinence

This procedure treats stress incontinence, which is leakage of urine when exercising, sneezing or under strain. The surgery utilizes a “sling” of natural or synthetic materials to create a “hammock” under the urethra. These minimally invasive surgeries offer high success rates and quick recovery, with several options including midurethral, retropubic, transobturator, and traditional slings.
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Botox

How Botox Helps Treat Overactive Bladder and Urinary Incontinence

Botox is an FDA-approved treatment that helps reduce bladder spasms and improve symptoms of overactive bladder and urinary incontinence when medications fail. The non-invasive injections relax bladder muscles, increasing storage capacity and reducing leaks. Results typically last 8–12 months, requiring repeat treatments. While generally safe, rare side effects include urinary retention.
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Colporrhaphy

A Minimally Invasive Solution for Pelvic Organ Prolapse

Colporrhaphy is a minimally invasive surgical procedure that repairs and restructures the weakened underlying pelvic floor tissue that caused pelvic organ prolapse. We perform colporrhaphy to correct two types of pelvic organ prolapse: cystocele (prolapsed bladder) and rectocele (prolapsed rectum).
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Hysterectomy for Uterine Prolapse

A Surgical Solution for Uterine Prolapse

A hysterectomy removes the uterus and can be performed through open, vaginal, laparoscopic, or robotic techniques. In urogynecology, it is most often recommended for women with uterine prolapse—when the uterus drops into the vagina—and is typically reserved for those beyond childbearing years. After the procedure, women will no longer have menstrual periods or be able to conceive.
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InterStim Therapy

Advanced Solution for Overactive Bladder and Urge Incontinence

InterStim is an FDA-approved, reversible therapy that uses mild electrical pulses to stimulate sacral nerves and improve bladder control for patients with overactive bladder or urge incontinence who haven’t responded to other treatments. The process begins with a short trial using a temporary device to measure effectiveness, followed by a minor surgical implant if successful. InterStim offers a customizable, long-term solution with proven results for reducing leaks and urinary urgency.
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Pelvic Floor Physical Therapy

Non-Surgical Solutions for Pelvic Floor Disorders

CU Anschutz Urogynecology offers pelvic floor physical therapy to treat incontinence, pelvic organ prolapse, chronic constipation, and postpartum recovery without surgery. Our expert physical therapists use proven techniques like pelvic floor exercises, bladder training, biofeedback, and electrical stimulation to restore strength and function. With convenient locations across the Denver metro area, we provide personalized care to help women improve bladder control, bowel function, and pelvic health—typically within 6–8 weeks.
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Percutaneous Tibial Nerve Stimulation (PTNS)

A Simple, Nonsurgical Treatment for Overactive Bladder (OAB)

Percutaneous Tibial Nerve Stimulation (PTNS) uses gentle electrical pulses through the tibial nerve to improve bladder control without major side effects. This FDA-approved therapy requires 12 weekly sessions followed by monthly maintenance and offers an effective alternative to medications and surgery.
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Pessary

A Nonsurgical Solution for Pelvic Organ Prolapse and Incontinence

A pessary is a small, removable device inserted into the vagina to support pelvic organs and relieve symptoms of pelvic organ prolapse (POP) and urinary incontinence. This cost-effective, nonsurgical treatment is ideal for women who want to avoid surgery or plan future pregnancies. CU Anschutz offers expert pessary fitting, routine care, and follow-up to ensure comfort and effectiveness. With proper maintenance, pessaries provide long-term relief with minimal risks compared to surgical options.
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Sacrocolpopexy

Gold standard surgery for pelvic organ prolapse

Sacrocolpopexy corrects prolapse of the top of the vagina or prolapse of the cervix in women who have previously had a hysterectomy or who have advanced uterine prolapse. The procedure is performed under general anesthesia through a small, abdominal incision or using a laparoscopic or robotic technique. As a result, recovery time is minimized and patients can expect a rapid return to normal activities.
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Transvaginal Mesh Removal

Treating Complications Safely

Transvaginal mesh removal is a complex surgical procedure performed to address complications such as pain, infection, mesh erosion, and urinary problems following pelvic organ prolapse repair. Our specialists aim to remove as much mesh as possible while minimizing risks and restoring quality of life. Treatment options range from observation and estrogen therapy to partial or complete mesh excision, depending on the severity of symptoms and type of mesh used.
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