--- title: "Urogynecology and pelvic floor care | Sutter Health" description: "Urogynecology care and reconstructive surgery for pelvic floor disorders, incontinence and prolapse, with minimally invasive options and pelvic floor therapy." url: "https://www.sutterhealth.org/services/urogynecology-pelvic-floor" --- 1. [Home](https://www.sutterhealth.org/) / 2. [Services](https://www.sutterhealth.org/services) / 3. Urogynecology and pelvic floor care # Urogynecology and pelvic floor care  Pelvic floor issues are common and you deserve answers. We treat incontinence, prolapse, overactive bladder and other pelvic floor disorders, and help you get back to the life you want.  [Find a urogynecologist](https://www.sutterhealth.org/find-provider-results?facets=%5B%7B%22i%22%3A%22c_providerSpecialties.specialty.name%22%2C%22v%22%3A%5B%22Urogynecology%22%5D%7D%5D&limit=10&staticFilters=%5B%7B%22displayName%22%3A%22Sutter+Health+provider%22%2C%22selected%22%3Atrue%2C%22filter%22%3A%7B%22kind%22%3A%22fieldValue%22%2C%22fieldId%22%3A%22c_providerIsSutterHealth%22%2C%22matcher%22%3A%22%24eq%22%2C%22value%22%3Atrue%7D%7D%5D&verticalKey=healthcare_professionals) ## Why choose Sutter? Leaking when you laugh. The urgency that runs your day. When you're dealing with pelvic floor dysfunction, you want a team that sees this every day. Our Urogynecology and Reconstructive Surgery (URPS) team includes board-certified, fellowship-trained surgeons who specialize in minimally invasive approaches, from robotic prolapse repair to complex pelvic reconstruction. We've also been named a Top 100 Women's Health Program by Becker's Hospital Review — recognition that reflects the depth and expertise of this team. You'll be cared for by urogynecologists, physician assistants, nurse practitioners and pelvic floor physical therapists working side by side. And when your care needs extend beyond pelvic floor, we bring in specialists from across Sutter, including gynecology, gastroenterology and urology. Your urogynecologist leads that coordination, so you're not navigating it on your own. Whether it's a heaviness that won't go away or prolapse that's come back after a previous repair, your first visit is a conversation, at your pace. We know these issues can be hard to talk about. We'll work through options together, from nonsurgical to surgical, and find the right plan for you.  Your care, from start to finish  ### What to know  - You can self-refer — no referral needed if your insurance allows it - New appointments often available within 7–14 days - Telemedicine or in-person visits for initial consults and follow-ups - Your treatment plan fits your goals — not a one-size-fits-all approach  ### Support along the way  - Board-certified urogynecologists who specialize in pelvic floor disorders - Nurse practitioners and physician assistants on your care team - Specialized pelvic floor physical therapists integrated into your care - Specialists from across Sutter, brought in when you need them   ### If surgery is right for you  - Most options are minimally invasive — you go home the same day - Light daily activity within a few days - Full recovery in 4–6 weeks for most procedures - Real improvements you can feel in your everyday life  ## Request a referral  Chat live with our team Monday through Friday, 8:00 am — 5:00 pm, or call us at [888-834-1788](tel:+18888341788). [Request a referral](https://www.sutterhealth.org/referrals) ## Conditions - Accidental bowel leakage - Bladder pain syndrome/interstitial cystitis - Genitourinary symptoms of menopause (GSM) - Mesh-related complications from prior pelvic or vaginal surgery - Obstetric pelvic floor and childbirth injuries - Overactive bladder - Pelvic floor dysfunction - Pelvic organ prolapse - Recurrent urinary tract infections (UTIs) - Urinary incontinence - Urinary retention and voiding dysfunction ## Diagnostics - Comprehensive urogynecologic and pelvic floor evaluation - Cystoscopy - Evaluation of complications from previous pelvic surgery or mesh - Evaluation of urinary retention and voiding dysfunction - Pelvic Floor Imaging - Post-void residual assessment - Urinalysis and urine culture - Urodynamic testing ## Treatments - Bladder sling procedures - Complex and recurrent pelvic reconstruction - Hysterectomy - Lifestyle and behavioral modifications - Native tissue vaginal repairs (anterior, posterior and mesh-free) - Nerve stimulation therapies (tibial nerve stimulation and sacral neuromodulation) - Obliterative procedures (colpocleisis) - Pelvic floor muscle training (Kegel exercises) - Pessary fitting and management - Robotic Surgery for Vaginal Prolapse - Robotic-assisted sacrocolpopexy - Sphincteroplasty - Surgery for complications from previous pelvic procedures or mesh - Vaginal estrogen and nonhormonal therapy - Vaginal Prolapse Surgery ## Related services - [Colorectal cancer](https://www.sutterhealth.org/services/colorectal-cancer) - [Gastroenterology](https://www.sutterhealth.org/services/gastroenterology) - [Gynecology](https://www.sutterhealth.org/services/womens-health) - [Pelvic floor and incontinence therapy](https://www.sutterhealth.org/services/pelvic-floor-and-incontinence-therapy) - [Urology](https://www.sutterhealth.org/services/urology) - [Women's health](https://www.sutterhealth.org/services/womens-health) ## Urogynecology providers [View all](https://www.sutterhealth.org/find-provider-results?facets=%5B%7B%22i%22%3A%22c_providerSpecialties.specialty.name%22%2C%22v%22%3A%5B%22Urogynecology%22%5D%7D%5D&limit=10&staticFilters=%5B%7B%22displayName%22%3A%22Sutter+Health+Provider%22%2C%22selected%22%3Atrue%2C%22filter%22%3A%7B%22kind%22%3A%22fieldValue%22%2C%22fieldId%22%3A%22c_providerIsSutterHealth%22%2C%22matcher%22%3A%22%24eq%22%2C%22value%22%3Atrue%7D%7D%5D&verticalKey=healthcare_professionals) 9 of 27 providers - [![Shailja A. Mehta, M.D.](https://dyn.mktgcdn.com/p/jITKUmwCGrO9p6_QhITsSulC3CD8WZmKE4GG73-3GkI/fit=crop,gravity=auto,dpr=2,width=192,height=240) ### Shailja A. Mehta, M.D. 5/5(411)Urogynecology, Female Pelvic Medicine and Reconstructive SurgerySan Jose, CA](https://www.sutterhealth.org/find-provider/dr-shailja-a-mehta-1046249521) - [![Wesley S. Hilger, M.D., FACOG](https://dyn.mktgcdn.com/p/eweXer7oqV_oASKZkNHugR2gqeClwSDqCID-2Whkquk/fit=crop,gravity=auto,dpr=2,width=192,height=240) ### Wesley S. Hilger, M.D., FACOG Urogynecology, Female Pelvic Medicine and Reconstructive SurgerySacramento, CA](https://www.sutterhealth.org/find-provider/dr-wesley-s-hilger-1046244981) - [![Alexandra L. Haessler, M.D.](https://dyn.mktgcdn.com/p/DU0J9M0ExA1EU_tIvI22Dfs8q3D0_vNZVAhBe2ol2UQ/fit=crop,gravity=auto,dpr=2,width=192,height=240) ### Alexandra L. Haessler, M.D. 4.9/5(608)Urogynecology, Female Pelvic Medicine and Reconstructive SurgerySan Francisco, CA](https://www.sutterhealth.org/find-provider/dr-alexandra-l-haessler-1046232271) - [![Sarah E. Sanches, PA-C](https://dyn.mktgcdn.com/p/gZxPrhuMwTM2OqjwUyxj8g5IhPMvUj859C7VTHqBO5Y/fit=crop,gravity=auto,dpr=2,width=192,height=240) ### Sarah E. Sanches, PA-C UrogynecologyMountain View, CA](https://www.sutterhealth.org/find-provider/sarah-e-sanches-1046250431) - [![Terry White, M.D.](https://dyn.mktgcdn.com/p/rHdgewB2D6WknYUBo792l8m8ihQyN388OvMxcVyB8Ho/fit=crop,gravity=auto,dpr=2,width=192,height=240) ### Terry White, M.D. 4.8/5(103)UrogynecologyOakland, CA](https://www.sutterhealth.org/find-provider/dr-terry-white-1096716430) - [![Cathleen S. Hutchinson, N.P.](https://dyn.mktgcdn.com/p/K91LvUuJuPxISemNjVaUEPY6l_CVNzIWZR_H6Uy6avU/fit=crop,gravity=auto,dpr=2,width=192,height=240) ### Cathleen S. Hutchinson, N.P. UrogynecologySanta Clara, CA](https://www.sutterhealth.org/find-provider/cathleen-s-hutchinson-2077452188) - [![Jessica S. Zigman, M.D.](https://dyn.mktgcdn.com/p/lewwyFqg_K4W_VWlsuF1WjNz2Ku0P772GaSp3B4eMnE/fit=crop,gravity=auto,dpr=2,width=192,height=240) ### Jessica S. Zigman, M.D. 4.9/5(589)Urogynecology, Female Pelvic Medicine and Reconstructive SurgeryMountain View, CA](https://www.sutterhealth.org/find-provider/dr-jessica-s-zigman-1046246456) - [![Heidi Wittenberg, M.D., M.S., FPMRS](https://dyn.mktgcdn.com/p/FFQaiHz8kQfMJ0V7OuI5VX1ijRK62DNvrv__nyFMgIU/fit=crop,gravity=auto,dpr=2,width=192,height=240) ### Heidi Wittenberg, M.D., M.S., FPMRS Urogynecology, Gynecology, Reconstructive SurgerySan Francisco, CA](https://www.sutterhealth.org/find-provider/dr-heidi-wittenberg-1046235700) - [![Anna C. Frick, M.D., MPH](https://dyn.mktgcdn.com/p/lFsBLkGyclep_jEVLPBfD4LbOM7DBEqTzJcCx5Km558/fit=crop,gravity=auto,dpr=2,width=192,height=240) ### Anna C. Frick, M.D., MPH 4.9/5(741)Urogynecology, Female Pelvic Medicine and Reconstructive SurgeryOakland, CA](https://www.sutterhealth.org/find-provider/dr-anna-c-frick-1046231918) - [View all](https://www.sutterhealth.org/find-provider-results?facets=%5B%7B%22i%22%3A%22c_providerSpecialties.specialty.name%22%2C%22v%22%3A%5B%22Urogynecology%22%5D%7D%5D&limit=10&staticFilters=%5B%7B%22displayName%22%3A%22Sutter+Health+Provider%22%2C%22selected%22%3Atrue%2C%22filter%22%3A%7B%22kind%22%3A%22fieldValue%22%2C%22fieldId%22%3A%22c_providerIsSutterHealth%22%2C%22matcher%22%3A%22%24eq%22%2C%22value%22%3Atrue%7D%7D%5D&verticalKey=healthcare_professionals) Frequently asked questions **What is a urogynecologist?**  A urogynecologist is a doctor who specializes in pelvic floor disorders — including prolapse, urinary incontinence, overactive bladder, bowel incontinence and conditions requiring pelvic reconstructive surgery. They complete extra fellowship training beyond general OB/Gyn in the structures that support the bladder, uterus and other pelvic organs.  **Do I need a referral, and how quickly can I get an appointment?**  Some insurance plans require a referral, but you may self-refer directly if your insurance allows it. Requirements vary by plan, so when in doubt, call the location near you and our team will help you figure out what's needed. Appointments are often available within 7–14 days, and we can expedite urgent referrals. We have offices throughout Northern California and the Central Coast, including Santa Barbara. Telemedicine is available for initial consultations and follow-ups if distance is a concern.  **Is urinary leakage a normal part of aging or having children?** It's common, but common isn't the same as normal. Leakage can persist for years after delivery, and it becomes more frequent with age. But it's a medical condition, not something you have to live with. Effective behavioral, medical and surgical treatments are available, and postpartum pelvic floor muscle training measurably reduces leakage. **Is it too late for me to get help for pelvic floor issues?** No. Conservative and surgical treatments work in older women, and treatment decisions are based on your symptoms and goals, not your age.  **Are Kegels enough?** Sometimes, but unsupervised Kegels are frequently done incorrectly. The strong evidence is for supervised, structured pelvic floor muscle training, which is more than "just do your Kegels." That's why working with a pelvic floor physical therapist makes a real difference.  **Does pelvic organ prolapse always require surgery?**  Not necessarily. Many women manage symptoms without surgery, using pelvic floor therapy or a pessary. Surgery is typically considered when conservative treatments aren't enough and symptoms are significantly affecting your daily life. When surgery is the right choice, we offer both vaginal and minimally invasive robotic reconstructive approaches, individualized for your anatomy and goals. We'll walk you through every option.  **Do you treat bladder, bowel and pelvic floor conditions, including after previous surgery?** Yes. We treat the full spectrum of conditions, from stress and urge incontinence to overactive bladder, bowel incontinence and voiding dysfunction. We also evaluate and treat recurrent prolapse, mesh complications and other conditions following previous pelvic procedures. This is one of our areas of specialized expertise.  **What is recovery like for pelvic floor surgery?** Many procedures are minimally invasive, and you go home the same day. Light daily activity within a few days. Full internal pelvic floor healing and return to strenuous exercise typically take 4–6 weeks. Your surgeon will give you a specific recovery plan based on your procedure.  **Will insurance cover this?** Most plans cover urogynecology care, but coverage varies. We recommend checking with your insurance provider, and our team can help you understand what to expect before your visit.  ## Sutter spotlight Health & wellness ### [Help for Women with Urinary Incontinence](https://www.sutterhealth.org/health/help-for-women-with-urinary-incontinence) Many women lose bladder control with age or pregnancies, yet few seek help. Learn which treatment options may work for you. Health & wellness ### [Breaking the Silence About Pelvic Prolapse](https://www.sutterhealth.org/health/breaking-the-silence-about-pelvic-prolapse) It’s a common condition, but rarely discussed. Learn why it’s time to start talking about it. Health & wellness ### [Sex After Menopause](https://www.sutterhealth.org/health/menopause-sex) Get the answers to questions you’re afraid to ask. ## Restore comfort and confidence Discover urogynecology care at Sutter, focused on treating symptoms and supporting your long-term health. [Find a urogynecologist](https://www.sutterhealth.org/find-provider-results?facets=%5B%7B%22i%22%3A%22c_providerSpecialties.specialty.name%22%2C%22v%22%3A%5B%22Urogynecology%22%5D%7D%5D&limit=10&staticFilters=%5B%7B%22displayName%22%3A%22Sutter+Health+provider%22%2C%22selected%22%3Atrue%2C%22filter%22%3A%7B%22kind%22%3A%22fieldValue%22%2C%22fieldId%22%3A%22c_providerIsSutterHealth%22%2C%22matcher%22%3A%22%24eq%22%2C%22value%22%3Atrue%7D%7D%5D&verticalKey=healthcare_professionals) ```json {"@context":"https://schema.org","@type":"MedicalOrganization","name":"Sutter Health","@id":"https://www.sutterhealth.org/#medicalorganization","url":"https://www.sutterhealth.org","logo":"https://www.sutterhealth.org/static/images/sutter-health-logo.svg","address":{"@type":"PostalAddress","streetAddress":"2200 River Plaza 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We recommend checking with your insurance provider, and our team can help you understand what to expect before your visit."}}]} ``` ```json {"@context":"https://schema.org","@type":"BreadcrumbList","@id":"https://www.sutterhealth.org/services/urogynecology-pelvic-floor#breadcrumblist","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://www.sutterhealth.org/"},{"@type":"ListItem","position":2,"name":"Services","item":"https://www.sutterhealth.org/services"},{"@type":"ListItem","position":3,"name":"Urogynecology and pelvic floor care "}]} ``` ```json {"@context":"https://schema.org","@type":"ItemList","@id":"https://www.sutterhealth.org/services/urogynecology-pelvic-floor#relatedproviders-f185c701-8b2c-4a5e-89d1-6636de3bfb77","itemListOrder":"https://schema.org/ItemListUnordered","numberOfItems":9,"itemListElement":[{"@type":"ListItem","position":1,"item":{"@type":"IndividualPhysician","@id":"https://www.sutterhealth.org/find-provider/dr-shailja-a-mehta-1046249521","url":"https://www.sutterhealth.org/find-provider/dr-shailja-a-mehta-1046249521","name":"Shailja A. 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Zigman, M.D."}},{"@type":"ListItem","position":8,"item":{"@type":"IndividualPhysician","@id":"https://www.sutterhealth.org/find-provider/dr-heidi-wittenberg-1046235700","url":"https://www.sutterhealth.org/find-provider/dr-heidi-wittenberg-1046235700","name":"Heidi Wittenberg, M.D., M.S., FPMRS"}},{"@type":"ListItem","position":9,"item":{"@type":"IndividualPhysician","@id":"https://www.sutterhealth.org/find-provider/dr-anna-c-frick-1046231918","url":"https://www.sutterhealth.org/find-provider/dr-anna-c-frick-1046231918","name":"Anna C. Frick, M.D., MPH"}}]} ```