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Women’s Bladder Center
Advanced Evaluation & Treatment for Bladder, Pelvic Floor, and Prolapse Concerns
Bladder leakage, urinary urgency, pelvic pressure, prolapse symptoms, and pelvic floor conditions can affect daily routines, sleep, exercise, intimacy, travel, and overall quality of life. At Obstetrics & Gynecology Associates of Hampton, we provide comprehensive pelvic floor and bladder care focused on identifying the cause of symptoms and creating individualized treatment plans that fit each patient’s lifestyle, goals, and comfort level.
Many pelvic floor and bladder conditions develop gradually over time and may worsen after pregnancy, childbirth, aging, menopause, prior surgery, chronic constipation, or other changes affecting pelvic support and bladder function. Our providers offer a range of conservative, minimally invasive, and advanced treatment options, including in-office diagnostics, pessary management, sling procedures, bladder Botox therapy, cystoscopy, and Axonics® neurostimulation therapy when appropriate.
Some patients experience mild intermittent symptoms, while others find that bladder or prolapse concerns begin affecting work, exercise, social activities, sleep, travel, or confidence. Our goal is to help patients better understand their symptoms and available treatment options in a comfortable, supportive setting.
What Is a Urogynecologist?
A urogynecologist is a physician with advanced fellowship training focused on the evaluation and treatment of pelvic floor disorders in women, including bladder conditions, urinary incontinence, prolapse concerns, and other pelvic floor conditions affecting quality of life.
After completing residency training in Obstetrics and Gynecology, urogynecologists complete additional subspecialty fellowship training in Female Pelvic Medicine and Reconstructive Surgery focused on both non-surgical and surgical treatment options for pelvic floor conditions.
Specialized Pelvic Floor & Bladder Care
Dr. Naved A. Jafri is fellowship trained and board certified in Female Pelvic Medicine and Reconstructive Surgery (Urogynecology). His advanced training focuses on both non-surgical and surgical treatment of pelvic floor conditions, bladder disorders, urinary incontinence, and prolapse concerns.
Our team provides individualized evaluation and treatment for both common and complex pelvic floor and bladder conditions using evidence-based and patient-centered approaches.
Conditions Commonly Evaluated & Treated
This list highlights common pelvic floor and bladder conditions we evaluate and treat. Recommendations are individualized based on symptoms, examination findings, medical history, and patient goals.
Understanding Common Types of Urinary Incontinence
Stress Urinary Incontinence
Stress urinary incontinence typically involves bladder leakage during coughing, sneezing, laughing, exercise, or other physical activity that increases abdominal pressure.
Overactive Bladder & Urge Incontinence
Overactive bladder symptoms often include urinary urgency, frequency, waking overnight to urinate, and sudden urges to urinate that may be difficult to control. Some patients may also experience urge urinary incontinence.
Mixed Urinary Incontinence
Mixed urinary incontinence involves a combination of both stress urinary incontinence and overactive bladder symptoms.
Pelvic Organ Prolapse
Pelvic organ prolapse occurs when pelvic support structures weaken and pelvic organs begin shifting downward. Prolapse may involve the bladder, uterus, vaginal walls, or rectum.
Symptoms may include pelvic pressure, heaviness, vaginal bulging, urinary symptoms, bowel changes, or discomfort with activity. Depending on severity and symptoms, both conservative and surgical treatment options may be available.
Pelvic Floor &
Bladder Evaluation
Because many pelvic floor and bladder conditions can cause overlapping symptoms, proper evaluation is important before deciding on treatment. Our providers perform comprehensive pelvic floor and bladder evaluations to help determine the underlying cause of symptoms and identify the most appropriate treatment options.
Urodynamic testing evaluates how the bladder stores and releases urine and may help diagnose certain causes of urinary leakage, urgency, incomplete emptying, overactive bladder symptoms, and other bladder concerns. This testing can provide valuable information when developing a treatment plan or determining whether a procedure may be beneficial.
Depending on symptoms and medical history, urodynamic testing may be recommended before certain bladder procedures or surgical treatments.
A pelvic floor examination may help evaluate pelvic support, prolapse, pelvic floor muscle function, bladder symptoms, and other changes contributing to discomfort or urinary concerns.
Cystoscopy is a procedure used to evaluate the bladder and urethra and may help diagnose certain bladder symptoms, recurrent urinary tract infections, bleeding concerns, bladder pain, or other urinary issues. Certain cystoscopy procedures may be performed conveniently within the office setting depending on the evaluation being performed.
Pelvic Floor & Bladder Evaluation
Because many pelvic floor and bladder conditions can cause overlapping symptoms, proper evaluation is important before deciding on treatment. Our providers perform comprehensive pelvic floor and bladder evaluations to help determine the underlying cause of symptoms and identify the most appropriate treatment options.
Urodynamic Testing
Urodynamic testing evaluates how the bladder stores and releases urine and may help diagnose certain causes of urinary leakage, urgency, incomplete emptying, overactive bladder symptoms, and other bladder concerns. This testing can provide valuable information when developing a treatment plan or determining whether a procedure may be beneficial.
Depending on symptoms and medical history, urodynamic testing may be recommended before certain bladder procedures or surgical treatments.
Pelvic Floor Examination
A pelvic floor examination may help evaluate pelvic support, prolapse, pelvic floor muscle function, bladder symptoms, and other changes contributing to discomfort or urinary concerns.
Cystoscopy
Cystoscopy is a procedure used to evaluate the bladder and urethra and may help diagnose certain bladder symptoms, recurrent urinary tract infections, bleeding concerns, bladder pain, or other urinary issues. Certain cystoscopy procedures may be performed conveniently within the office setting depending on the evaluation being performed.
Treatment Options
Treatment recommendations are individualized based on symptoms, examination findings, lifestyle factors, medical history, and patient goals. Some patients improve with conservative pelvic floor treatment options, while others may benefit from minimally invasive procedures or advanced therapies.
Conservative & Non-Surgical Treatment Options
Conservative & Non-Surgical Treatment Options
Bladder Botox Therapy
Bladder Botox Therapy
Bladder Botox therapy may be considered for certain patients with overactive bladder symptoms when conservative treatments or medications have not provided adequate improvement. Treatment is designed to help reduce urgency, frequency, and urge incontinence symptoms for appropriate candidates.
Sling Procedures for Stress Urinary Incontinence
Sling Procedures for Stress Urinary Incontinence
For patients experiencing stress urinary incontinence, such as leakage with coughing, sneezing, laughing, or exercise, sling procedures may be considered when conservative treatment options have not provided adequate improvement.
Sling procedures are designed to provide support to the urethra and help reduce bladder leakage during physical activity or increased abdominal pressure. Your provider will review symptoms, examination findings, and testing results to determine whether this treatment may be appropriate.
Axonics® Neurostimulation Therapy
Axonics® Neurostimulation Therapy
Axonics® therapy is a form of sacral neuromodulation, similar to InterStim® therapy, used to help regulate the nerve signals involved in bladder and bowel control.
This advanced treatment option may be considered for certain bladder and bowel control conditions, including overactive bladder, urgency, frequency, urge urinary incontinence, and some forms of fecal incontinence.
Many patients seek treatment because symptoms begin interfering with sleep, travel, exercise, work, or daily activities. Axonics® offers a minimally invasive option that may help improve bladder control and quality of life for appropriate candidates.
Minimally Invasive & Procedural Care
Depending on the diagnosis and severity of symptoms, some patients may benefit from minimally invasive or procedural treatment options. Our providers will discuss available options, expected recovery, and whether in-office or surgical treatment may be most appropriate based on individual needs.
Some patients with more advanced prolapse or pelvic floor conditions may benefit from minimally invasive or robotic surgical treatment options depending on their diagnosis and goals.
Certain treatments and diagnostic procedures can also be performed conveniently within the office setting. Some procedures may qualify for nitrous oxide or sedation options depending on the procedure being performed and patient preferences, helping many patients avoid the need for treatment at a separate facility.
Learn More About Nitrous Oxide & Sedation Options
When Should I Schedule an Evaluation?
If bladder leakage, pelvic pressure, urgency, prolapse symptoms, pelvic floor dysfunction, or other pelvic floor concerns are becoming bothersome, worsening over time, affecting daily activities, limiting exercise, interrupting sleep, or impacting quality of life, an evaluation may help identify treatment options that could improve comfort and function.
Patients commonly schedule evaluations for concerns such as:
Frequently Asked Questions
What is pelvic organ prolapse?
Pelvic organ prolapse occurs when pelvic support structures weaken and pelvic organs shift downward, sometimes causing pressure, bulging, or discomfort.
What is the difference between stress incontinence and overactive bladder?
Stress urinary incontinence typically involves leakage during coughing, sneezing, laughing, or exercise, while overactive bladder symptoms often involve urgency, frequency, and sudden urges to urinate.
Does everyone with bladder leakage need surgery?
No. Many patients improve with conservative treatment options, pessary management, pelvic floor therapy, medications, minimally invasive therapies, or procedural treatment depending on the type of symptoms present.
What is Axonics® therapy used for?
Axonics® therapy may be used to help manage certain bladder and bowel control conditions, including overactive bladder, urgency, frequency, urge incontinence, and some forms of fecal incontinence.
What should I expect during a bladder evaluation?
Your provider may review symptoms, medical history, bladder habits, prior treatments, pelvic support, and other contributing factors before discussing additional testing or treatment recommendations.
Schedule an Appointment
If bladder leakage, prolapse symptoms, pelvic pressure, urgency, or other pelvic floor concerns are affecting your daily life, our team is happy to help you better understand your symptoms and explore available evaluation and treatment options.
Call (757) 722-7401
Request an Appointment
Call (757) 722-7401
Request an Appointment