Urogynecology

Specializing in the Diagnosis and Treatment
of Pelvic Floor Disorders

Urogynecology Specialists

Expert Care in Female Pelvic Medicine

At CLS Health, we understand that every woman’s body is unique. That’s why we offer specialized care for pelvic floor disorders through our Female Pelvic Medicine and Reconstructive Surgery (FPMRS) clinic. Our team of urogynecologists is dedicated to providing each patient with individualized treatment based on her specific needs. Urogynecologists are OB-GYNs who have received additional training in the diagnosis and treatment of pelvic floor disorders. Urogynecology is the study of these disorders, which can include conditions such as pelvic organ prolapse, urinary incontinence, and fecal incontinence.

If you’re suffering from pelvic floor disorders (PFDs), you may need to see a urogynecologist for treatment. Disorders of the pelvic floor involve the muscles, ligaments, and connective tissue that support the pelvic organs. PFDs may require vaginal surgery. You may need to see a urogynecologist if you have problems with prolapse, urinary or fecal incontinence, emptying the bladder or rectum, pelvic pain, or bladder pain. If you’re experiencing any of these problems, talk to your doctor about a referral to a urogynecologist.

Ways to Schedule an Appointment

Conditions and Treatments
Videos
Locations
Doctors
Insurance
FAQ

Conditions and Treatments

Conditions Our Urogynecologist Diagnoses and Treats

  • Recurrent bladder infections
  • Urinary or fecal incontinence
  • Prolapse (bulging) of the vagina,
    bladder, and/or the uterus and rectum
  • Lower urinary tract and pelvic floor conditions
  • Urinary incontinence
  • Fecal incontinence
  • Overactive bladder
  • Vaginal prolapse
  • Neurogenic bladder

Pelvic Floor Treatments

According to the American Urogynecologic Society, one-in-three women will experience a pelvic floor disorder in her life. Nearly all pelvic floor problems can be corrected through behavioral physical therapy, surgery, or medication.

Many patients benefit from minimally invasive surgical procedures performed by a bladder specialist. Minimally invasive surgery means less blood loss, faster recovery time, less pain medication, and less scarring. Some procedures can even be done on an outpatient basis.

We strive to treat pelvic floor conditions with compassionate and individualized care. The female pelvic and reconstructive surgery clinic at CLS Health offers the latest minimally invasive surgical and non-surgical treatments for women with:

Advanced Procedures Our Urogynecologist Offers

  • Cystocele Repair
  • Rectocele Repair
  • Enterocele Repair
  • Fistula Repair
  • Pessary
  • Stress Incontinence
  • Urge Incontinence
  • Urodynamics
  • Cystoscopy
  • Sacrocolopopexy
  • Prolapse Repair
  • Ulterosacral Ligament Suspension
  • Retropubic Sling
  • Transobturator Sling
  • Burch Urethropexy
  • Sacral Neuromodulation
  • Tibial Nerve Stimulation (Urgent PC)
  • Mesh Revision
  • Interstitial Cystitis Therapy
  • Overactive Bladder Therapy
  • Vesicovaginal Fistula Repair
  • Bladder Biopsy
  • Paravaginal Defect Repair
  • Urethal Bulking
  • Robotic Laparoscopic Hysterectomy
  • Descending Perineum Syndrome
  • Perineorrhaphy
  • Vaginal Surgery

Videos

Locations

Webster Clinic

600 N. Kobayashi
Ste. 114
Webster, TX 77598

Get Directions

Call (281) 993-9817

Fax: (281) 884-3368

Urogynecology Specialists

Danny Mounir

Danny Mounir, MD

Urogynecology

Webster Clinic

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You can book appointments through our secure patient portal, or call our customer service center at 281-993-9817.

When you choose to be cared for by CLS Health providers, you can have peace of mind knowing that all aspects of your care are coordinated. Using secure electronic medical records, your CLS Health primary care physicians and urogynecology specialists will have visibility into any test results or treatment plans. This seamless integration allows us to provide comprehensive, personalized care right when you need it.

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CLS Health Insurance Information

CLS Health, we serve patients with many types of insurance coverage, offered by many different companies and entities. CLS and its providers accept Medicare, Medicaid, and most major health plans outlined on our insurance information page. Remember to always check with your health insurance carrier regarding specific covered services. The list grows and changes frequently. If you don’t see your insurance listed or if you have any questions, please contact us.

Urogynecology FAQ

What is pelvic organ prolapse, or POP?

Pelvic organ prolapse is the dropping of the pelvic organs caused by the loss of support of the vagina. POP occurs when there is weakness or damage to the normal support of the pelvic floor. The pelvic floor holds up the pelvic organs, including the vagina, cervix, uterus, bladder, urethra, intestines, and rectum. If the muscles of the pelvic floor and layers of connective tissue (called fascia) become weakened, stretched, or torn, the pelvic organs may fall downward. The organs drop down from where they should be and can cause issues. In severe cases of prolapse, women may feel or see tissue coming out of the opening of their vagina. Typically, the tissue coming out is from a prolapsing cervix and uterus, or the walls of the vagina.

Am I at Risk?

Pelvic organ prolapse is common in women. The incidence increases after childbearing and as women increase in age.

Childbirth can cause injury to the muscles or fascia of the pelvic floor. The pressure of childbirth on the abdominal internal organs can lead to POP. Operative vaginal deliveries (use of forceps or vacuum) can also increase the risk of pelvic floor injury and risk of women developing prolapse. Route of delivery is a very important and complicated topic—discuss the risks and benefits with your doctor.

Though pregnancy and vaginal birth do contribute to the development of pelvic floor disorders, there are women who have delivered many times but never developed prolapse. And, others who have never been pregnant who leak urine and stool. Risk factors, which predispose, cause, promote, or worsen pelvic organ prolapse, include:

Genetics

POP is a hereditary disorder, meaning that it can be genetic. The strength of our bones, muscles and connective tissue is determined by our genetics. As a result, there are some women born with weaker tissues who are at a higher risk for prolapse.

Caucasian women are shown to be more likely to develop pelvic organ prolapse than African American women.

Lifestyle

Smoking can increase the risk of developing POP.

Pelvic Floor Injury

Pelvic floor injury can occur during vaginal delivery, surgery, pelvic radiation, or fractures to the back and pelvis caused by falls or motor vehicle accidents.

Procedures done to treat pelvic organ prolapse like Hysterectomies are also associated with the future development of prolapse.

Other Health Conditions:

  • Consistent Constipation and Straining
  • Chronic Coughing
  • Obesity
  • Menopause
  • Nerve and Muscle Diseases that Contribute to the Deterioration of Strength in the Pelvic Floor
  • Heavy Lifting and Intense Repetitive Activity, Such as CrossFit
What is interstitial cystitis?

Interstitial cystitis (IC) is a condition with symptoms that include burning, pressure, and bladder pain along with urinary urgency and frequency. IC is also known as bladder pain syndrome (BPS) and painful bladder syndrome (PBS). IC occurs in three to seven percent of women. While it is more common in women, men can also be affected by IC. Women are usually diagnosed in their 40s, but younger and older women can be affected by IC.

Am I at Risk?

There is no known cause of IC. It is likely due to a combination of factors, which can differ based on the individual.

Genetics

IC is hereditary, so it can run in families. So, if someone in your family has IC, you are more likely to develop this chronic condition.

Hypersensitivities

People with IC also appear to have increased sensitivity. An example is how most people aren’t bothered by the toxins naturally found in urine. However, for people with IC, this condition may cause them to be more sensitive to these natural toxins and cause pain and discomfort.

Research has found that the nerves in and around the bladder of people with IC are hypersensitive, so this may be why severe and persistent bladder pain and discomfort is associated with IC.

Allergies

Another theory is that there’s an inflammatory reaction that occurs with the release of specific inflammatory cells known as mast cells in the bladder, which can lead to IC in some people. This inflammatory reaction is similar to people with other allergy-related conditions such as eczema and seasonal allergies. Allergies might be the reason some people with IC are more sensitive to certain foods as well.

What is the new normal for the pelvic floor after giving birth?

Recovery is different for every woman, just like pregnancy is different. The length of recovery can vary from woman to woman, and can change depending on the birth as well. Your second recovery from childbirth could be easier or harder than your first delivery. The pelvic floor is amazingly diverse with how it can change during pregnancy and childbirth. As a result, some women may experience urinary leakage, pelvic pain, healing following a tear, vaginal bulge, or constipation and leakage following childbirth.

What Changes Will Go Away and When?

In a study of women following childbirth, the following occurred:

  • Vaginal Bulge—75% of women who experience vaginal bulge eight weeks after delivery do not feel a bulge after one year.
  • Urinary Incontinence—Urine leakage related to coughing and sneezing may still persist at one year. This can be improved with pelvic floor physical therapy specific for women or by using a device that is placed inside the vagina (a pessary). This is something you bring up with your clinician at your six weeks postpartum visit.
  • Constipation improves in over 50% of women in one year following childbirth.

Read more about:

Returning to Physical Activity

When can you return to exercise? The answer is different depending if a woman had a vaginal or a Cesarean delivery. Be sure to ask your clinician before increasing your exercise, but all women can start pelvic floor exercises shortly after childbirth to help their pelvic floor heal.

*Clinicians include: doctors, nurse midwives, nurse practitioners, physician assistants, pelvic floor physical therapists

It is common for women to become less fit during pregnancy. You should not expect a quick return to the level of fitness that you had before pregnancy and childbirth. Women who had vaginal childbirth can slowly increase exercise once they reach six weeks postpartum, but fitness improvements will vary depending on the individual. The belly muscles stretch a lot during pregnancy, so it may take 6 months or longer to reach previous belly strength and function. Try to be patient with your body postpartum and don’t get too discouraged! There are many benefits to improving your fitness.

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