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Pelvic Floor Disorders

Dr. Giroux provides a range of surgical and nonsurgical treatment options for pelvic floor disorders which include pelvic organ prolapse, bladder and bowel dysfunction, menopausal symptoms, pain related to the pelvic floor and urinary tract, and mesh complications.

Assessments are completed at St. Paul's Hospital and the Centre for OASIS and surgeries are performed at St. Paul's Hospital and BC Women's Hospital. Dr. Giroux provides consultations, investigations (including urodynamics and cystoscopy), treatment (including pessary fitting and care), counselling, and patient education.

Conditions Treated

  • Pelvic organ prolapse

  • Pessary fitting and/or care

  • Urinary incontinence

  • Overactive bladder (OAB)

  • Recurrent urinary tract infections (UTI)

  • Genitourinary syndrome of menopause (GSM)

  • Anal incontinence (fecal incontinence and/or flatal incontinence)

  • Pain conditions

    • Pelvic floor pain, pelvic floor hypertonicity

    • Dyspareunia

    • Vulvodynia

    • Urethral pain

    • Interstitial cystitis (IC)/Bladder pain syndrome (BPS)

    • Mesh-related pain

  • Mesh complication

  • Voiding dysfunction

  • Periurethral cyst

  • Urethral diverticulum

  • Pelvic tract fistula (urogenital fistula, rectovaginal fistula)

  • Complication related to urogynecologic surgery


Procedures Performed

  • Urodynamics, cystoscopy

  • Reconstructive and obliterative procedures for pelvic organ prolapse

  • Surgical management of stress urinary incontinence (SUI)

  • Intravesical botulinum toxin A injections for refractory overactive bladder (OAB)

  • Intravesical Kenalog injections for interstitial cystitis (IC)

  • Surgical management of mesh complications

  • Trigger point injections for hypertonic pelvic floor, rectus myalgia

  • Pudendal nerve block

  • Fistula repair

  • Excision of periurethral cyst

  • Urethral diverticulectomy

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