The FPMRS subspecialty is a new certification jointly administered by the American Board of Urology and the American Board of Obstetrics & Gynecology to physicians who meet rigorous training and patient care standards specifically in the treatment of women with pelvic floor disorders.

Pelvic floor disorders (PFD) are a group of gynecologic conditions that affect the pelvic floor.  The pelvic floor includes the muscles, ligaments and connective tissue in the lower pelvis.  It supports the pelvic organs, such as bladder, uterus, vaginal, intestines and rectum.   The pelvic floor can be injured by childbirth, repeated heavy lifting, chronic diseases or previous pelvic surgery, which can affect normal function.  The physicians at Wayne State University Physician Group provide comprehensive surgical and non-surgical services for women suffering from any form of pelvic floor disorders. 

Most pelvic floor disorders fall into three main categories:

Pelvic organ Prolapse or POP: is the falling of the pelvic organs or bulging through the vaginal opening caused by loss of normal support of the vagina

Urinary incontinence: is leakage of urine when sneezing, coughing, laughing, and exercising; or the inability to hold urine long enough to reach the bathroom or urine loss without any sensory awareness

Fecal incontinence: is leakage of bowel material and not being able to control gas or solid or liquid stool

Other conditions we treat are:

• Bladder pain syndrome/interstitial cystitis
• Mesh-related complications
• Overactive bladder
• Voiding dysfunction (difficulty emptying the bladder)
• Genitourinary syndrome of menopause (vaginal atrophy)
• Chronic pelvic pain
• Urinary frequency during the day and night
• Sexual dysfunction

Division Faculty
Deslyn Hobson, M.D.