Advanced Urogynecology and Pelvic Floor Specialist in Arcadia, CA

A urogynecologist is an obstetrician-gynecologist who has pursued additional fellowship training in pelvic floor disorders. While a standard OBGYN provides routine gynecologic and obstetric care, a urogynecologist focuses specifically on complex urinary, bowel, and pelvic support issues.

Conditions addressed by urogynecologists include urinary incontinence, pelvic organ prolapse, chronic pelvic pain, and recurrent infections. They are trained in advanced diagnostic techniques, specialized surgical procedures, and minimally invasive interventions that go beyond what is typically offered in a standard OBGYN practice.

At The OB-Gyn & Incontinence Center, this specialized expertise allows for precise diagnosis and treatment of pelvic floor disorders, particularly in patients who have not achieved relief with conventional care. Our clinics combine clinical evaluation, imaging, and state-of-the-art treatment options to deliver individualized solutions.

General practitioners and even standard OBGYNs may manage mild or routine pelvic floor symptoms, but more complex cases often require specialized interventions. Dr. Prema Kothandaraman brings advanced training and experience in urogynecology, allowing her to diagnose conditions that may be overlooked in general practice and offer targeted treatments.

For patients with chronic pelvic pain, urinary leakage, or recurrent prolapse, Dr. Kothandaraman performs thorough assessments that include physical exams, imaging studies, and functional testing. She then designs customized treatment plans that may involve non-surgical options such as pelvic floor therapy or medication management, as well as minimally invasive or reconstructive surgical procedures when needed.

This specialized approach ensures that patients who have struggled to find solutions elsewhere receive effective, lasting relief. By addressing the root cause of pelvic floor dysfunction rather than just the symptoms, Dr. Kothandaraman helps restore quality of life, confidence, and physical function.

For patients who have undergone prior treatments without success, there are still options. At The OB-Gyn & Incontinence Center, Dr. Kothandaraman evaluates failed or incomplete interventions and determines why prior approaches may not have worked. Treatment options may include:

● Revision surgeries to correct or enhance previous procedures
● Minimally invasive reconstructive techniques to support the pelvic floor
● Pelvic floor physical therapy tailored to post-surgical patients
● Medication or advanced device therapies for symptom management

Our clinics emphasize a personalized approach, taking into account each patient’s medical history, previous procedures, and current symptoms. Patients benefit from a comprehensive evaluation and individualized plan designed to address persistent or complex pelvic floor disorders safely and effectively.

Patients should consider consulting a pelvic floor specialist when they experience the following:

● Persistent urinary or fecal incontinence
● Pelvic organ prolapse affecting daily activities
● Chronic pelvic pain or pressure
● Recurring urinary tract infections or bladder dysfunction
● Unsatisfactory results from prior treatments or surgeries

Early consultation is important because timely intervention can prevent further progression of pelvic floor dysfunction and improve outcomes. At The OB-Gyn & Incontinence Center, Dr. Kothandaraman evaluates patients regardless of age or severity of symptoms, helping individuals address issues proactively and avoid complications that can result from prolonged, untreated pelvic floor disorders.

At The OB-Gyn & Incontinence Center, patients receive comprehensive, individualized care for pelvic floor disorders. Dr. Prema Kothandaraman conducts thorough assessments that include reviewing medical history, prior treatments, and functional limitations. Advanced diagnostic tools, such as imaging and urodynamic testing, allow for precise evaluation of pelvic floor anatomy and function.

Based on these findings, a personalized treatment plan is created, addressing both the physical and functional aspects of the disorder. Patients may receive non-surgical interventions like pelvic floor therapy, biofeedback, and symptom management or advanced surgical options tailored to restore support and function.

Our clinics also emphasize patient education and support, providing guidance on lifestyle modifications, preventive strategies, and home exercises that complement clinical treatment. Follow-up care ensures that treatment outcomes are monitored, adjustments are made as needed, and long-term health is supported.

By combining specialized expertise, advanced diagnostics, and individualized treatment plans, The OB-Gyn & Incontinence Center helps patients regain confidence, comfort, and functionality, even after previous treatments have failed. This comprehensive, patient-centered approach ensures that each individual receives targeted, effective care for complex pelvic floor issues. For more information, contact us or book an appointment online. We are conveniently located at 622 W Duarte Rd Ste 305 Arcadia, CA 91007. We serve patients from Arcadia CA, Glendale CA, Monrovia CA, Pasadena CA, Los Angeles CA, Burbank CA and surrounding areas.