Boston Urogynecology patients

For our patients

Living with a pelvic floor disorder can be challenging. The discomfort. The inconvenience. The embarrassment. The isolation. The frustration.

Just know you are not alone. As the U.S. population ages, an estimated 43-million women will suffer from some type of pelvic floor disorder. Pelvic floor disorders can occur in women over the course of their adult life, starting in early adulthood and occurring well beyond menopause. If you think you could benefit from seeing Dr. Saini, please call us to schedule an appointment.

We provide individualized, compassionate care in a warm, supportive environment, and emphasize prevention and non-invasive, conservative treatment approaches. We offer surgery when appropriate. Once we make or confirm your diagnosis, we will present you with all of your treatment options and help you make the best decision for you.

Conditions we treat

Conditions we treat

Urinary incontinence

Stress urinary incontinence is the involuntary leakage of urine during activities such as coughing, sneezing, lifting, laughing or exercising

Overactive bladder

Overactive bladder is a common condition characterized by urgency (strong need to void) usually with frequent day and/or nighttime urination with or without unintentional loss of urine

Pelvic organ prolapse

Pelvic organ prolapse occurs when the muscles & ligaments supporting the pelvic floor weaken or tear causing a range of symptoms such as feeling of vaginal heaviness or bulge, pressure, and difficulty urinating

Complications of childbirth

Childbirth complications  include perineal wound breakdowns, complications from 3rd and 4th degree lacerations, fistulas and sexual dysfunction

Dyspareunia (pain with intercourse)

Dyspareunia is persistent or recurrent vaginal or pelvic pain that occurs just before, during or after intercourse

Vulvo-vaginal diseases

Vulvo-vaginal diseases include conditions such as lichen sclerosus, vulvodynia and vulvo-vaginal atrophy that may cause itching, irritation, burning, rawness and pain

Bladder pain disorders

Bladder pain disorders can become chronic with pressure or pain in the bladder, urethra and/or pelvic area and lower urinary tract symptoms in the absence of an infection

Fecal incontinence

Fecal incontinence is the inability to control bowel movements, causing stool or feces to leak unexpectedly, and can range from minor leakage to full loss of bowel control

Mesh complications

Mesh complications can occur after mesh implantation and include chronic pain, infection, bleeding, pain during intercourse, urinary problems, and mesh exposure

Resources for women with pelvic floor disorders

YourPelvicFloor.org

Your Pelvic Floor, created by the International Urogynecological Association (IUGA), provides education, resources, and support for women with pelvic floor disorders

Visit YourPelvicFloor.org

VoicesforPFD.org

Voices for PFD is dedicated to supporting women with pelvic floor disorders (PFDs) and the patient education site of the American Urogynecologic Society (AUGS)

Visit VoicesforPFD.org

NAFC.org

The National Association for Continence (NAFC) provides incontience education and support for patients, as well as their caregivers and health professionals

Visit NAFC.org

More about pelvic floor disorders

Causes & risk factors

  • One or more pregnancies and vaginal births
  • Giving birth to a large baby
  • Increasing age
  • Higher body mass index (BMI)
  • Chronic constipation or straining with bowel movements
  • Chronic coughing 
  • Repeated strenuous activity
  • Repeated heavy lifting
  • Prior pelvic surgery
  • Genetics or family history of weakness in connective tissue

Symptoms

  • A bulge or something visibly coming out of the vagina
  • Heaviness, fullness, pulling, or aching in the vagina that is worse at the end of the day
  • Leaking urine when you cough, laugh, or exercise
  • Feeling an urgent or frequent need to urinate during the daytime or night
  • Leaking urine on the way to the bathroom
  • Having a hard time urinating or emptying your bladder
  • Leakage of stool