Female Voiding Dysfunction

Dr. Threatt has over twenty years of combined experience treating pelvic prolapse.

Your treatment will depend on the type of pelvic organ prolapse you have. He may recommend first treating your prolapse without surgery. In some men or women, if symptoms significantly affect quality of life, surgery may eventually become necessary.

Some of the treatment options include:


Menopause results in lower estrogen levels, which weakens the muscles of the vagina. Estrogen therapy may strengthen these muscles. However,  estrogen is not recommend for some people so discuss the risks and benefits with your doctor.

Pelvic Muscle Evaluation and Treatment

Pelvic floor exercises can strengthen specific muscles of the pelvic floor. Our pelvic muscle training program involves the use of monitoring devices with sensors that are placed in your vagina, rectum or on your skin. As you perform an exercise, a computer screen shows whether you’re using the right muscles and the strength of each squeeze so you learn how to do the exercises properly.


There are different surgical procedures for various types of prolapse:

  • Posterior prolapse. A posterior prolapse involves the rectum and is called a rectocele. This surgery secures the connective tissue between your vagina and rectum to help keep the rectum in its proper position.
  • Anterior prolapse. An anterior prolapse involves the bladder and is called a cystocele. This surgery involves pushing your bladder up and securing the connective tissue between your bladder and vagina to keep the bladder in its proper position.  If you have stress urinary incontinence, usually this is repaired by using a bladder neck suspension or sling to support your urethra.
  • Small bowel prolapse and vaginal vault prolapse. Small bowel prolapse is also sometimes called aenterocele. In women who have had a hysterectomy, this type of prolapse is also called vaginal vault prolapse and may involve the bladder, rectum or small bowel. Corrective surgery is done through a vaginal approach in which the ligaments that support the uterus will be used to correct the problem.

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