Urogynecology & Pelvic Floor Care in Miami, FL
Pelvic floor disorders — including urinary incontinence, pelvic organ prolapse, and bladder dysfunction — affect millions of women and are vastly underreported due to embarrassment. Dr. Sidiq Aldabbagh provides expert, compassionate urogynecologic evaluation and treatment at both Miami locations.
Urinary Incontinence
Urinary incontinence (leaking urine) affects 1 in 3 women. Stress incontinence (leaking with coughing, sneezing, or exercise) results from weakened pelvic floor support. Urge incontinence (sudden, uncontrollable urge to urinate) is caused by an overactive bladder. Mixed incontinence involves both components. Effective treatments exist for all types.
Pelvic Organ Prolapse
Prolapse occurs when the bladder, rectum, uterus, or vaginal vault drop from their normal position due to weakened pelvic floor support. Symptoms include pelvic pressure, a bulge at the vaginal opening, difficulty urinating or defecating, and pelvic heaviness. Treatment ranges from pelvic floor exercises and pessary devices to minimally invasive surgical repair.
Diagnosis & Evaluation
Evaluation includes a thorough pelvic examination, assessment of prolapse staging (POP-Q), urodynamic testing (to assess bladder function and leakage patterns), post-void residual measurement, and urinalysis. Dr. Aldabbagh evaluates each patient comprehensively before recommending treatment.
Non-Surgical Treatments
First-line treatment for most pelvic floor disorders includes pelvic floor physical therapy (Kegel exercises, biofeedback), bladder training, pessary devices (for prolapse and stress incontinence), and medications for overactive bladder (anticholinergics, mirabegron). Lifestyle modifications — weight loss, fluid management, avoiding bladder irritants — also help significantly.
Surgical Options
When non-surgical approaches are insufficient, minimally invasive surgical options are available. These include mid-urethral sling procedures for stress urinary incontinence, laparoscopic sacrocolpopexy for vault prolapse, and native tissue vaginal repairs. Dr. Aldabbagh discusses surgical options in detail, including expected outcomes and recovery.
Frequently Asked Questions
Urinary leakage is common but not normal — and should not be accepted as an inevitable part of aging or childbirth. Effective treatments exist for most causes of incontinence. If leakage is affecting your quality of life, Dr. Aldabbagh can help.
Prolapse occurs when the pelvic floor muscles and connective tissue weaken, allowing the bladder (cystocele), rectum (rectocele), uterus, or vaginal apex to descend or bulge into the vaginal canal. Risk factors include vaginal delivery, chronic straining, obesity, and estrogen deficiency after menopause.
Yes — pelvic floor exercises (Kegels) performed correctly and consistently are highly effective for stress and mixed incontinence, reducing leakage by 50–70% in studies. A pelvic floor physical therapist ensures correct technique and provides biofeedback. Dr. Aldabbagh can refer you to a specialized therapist.
A mid-urethral sling is a minimally invasive outpatient procedure for stress urinary incontinence. A small piece of synthetic mesh is placed under the urethra through a tiny vaginal incision to provide support during activities that cause leakage. Success rates exceed 85–90% at 5 years.
Yes. A pessary — a removable silicone device placed in the vagina — provides effective prolapse support for many women and avoids surgery entirely. Pelvic floor physical therapy and estrogen therapy (topical) also help. Surgery is reserved for women whose symptoms are not controlled with conservative treatment.
Major risk factors include vaginal childbirth (especially with prolonged labor, large babies, or forceps/vacuum delivery), chronic straining from constipation or heavy lifting, obesity, aging, estrogen deficiency, and connective tissue disorders. Cesarean delivery provides some protection but does not eliminate all risk.
Overactive bladder (OAB) is characterized by sudden, urgent need to urinate, with or without leakage, and typically more than 8 urinations per day. It is caused by involuntary bladder contractions. Treatment includes behavioral therapy, bladder training, pelvic floor exercises, and medications such as oxybutynin or mirabegron.
Yes. Although vaginal childbirth is the strongest risk factor, pelvic floor dysfunction also occurs in women who have not delivered vaginally — due to genetics, connective tissue laxity, chronic straining, obesity, or aging-related estrogen loss.
Pelvic mesh for transvaginal prolapse repair has been largely withdrawn due to complications. Dr. Aldabbagh performs prolapse repair using laparoscopic sacrocolpopexy (using synthetic mesh placed via laparoscopy — considered safe and effective) and native tissue vaginal repairs that use the body's own tissue, avoiding transvaginal mesh entirely.
Recovery depends on the procedure. Bladder sling surgery: most women return to non-strenuous activity within 1–2 weeks. Laparoscopic sacrocolpopexy: 2–4 weeks for light activity, 6–8 weeks before heavy lifting. Dr. Aldabbagh will provide specific recovery guidance tailored to your procedure.
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New patients welcome at both Miami locations. Bilingual care in English, Spanish & Arabic.