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About Urogynecology

What is a Urogynecologist?

A urogynecologist or female pelvic medicine & reconstructive pelvic surgeon is a doctor who has special training in caring for women with pelvic floor disorders. Typically, a urogynecologist has completed a four-year residency in obstetrics and gynecology. This is followed by additional training in the evaluation and treatment of conditions that affect the support and function of the female pelvic organs and pelvic floor.

Dr. Sara I. Diaz Valentin, MD, MSc, FPMRS, FACOG is fellowship trained in the first 3 year accredited program in the country, and a board certified female pelvic medicine & reconstructive surgeon. She is assisted by Mary Horsfall, NP.

What can a Urogynecologist do?

A urogynecologist can recommend a variety of therapies to cure or relieve symptoms of pelvic floor disorders. You should choose the one that works best for your lifestyle and meets your goals. Sometimes simple changes and interventions can have a significant impact on daily quality of life. Dr. Diaz may advise conservative (non-surgical) or surgical therapy depending on your wishes, the severity of your condition and your general health. Conservative options include medications, pelvic exercises, behavioral and/or dietary modifications and vaginal devices (also called pessaries). Pelvic Floor Therapy with Biofeedback and Electric Stimulation are also treatments that your urogynecologist may recommend. Safe and effective surgical procedures are also utilized by the urogynecologist to treat incontinence and prolapse. (source)

What to Expect

What are the Symptoms?

Dr. Diaz's Specializations

Pelvic Prolapse

Urinary Incontinence

Fecal Incontinence

Female Sexual Dysfunction and Pelvic Pain

Pelvic Floor Reconstructive Surgery



Why choose Dr. Diaz?

The Pelvic Floor

The pelvic floor is a set of muscles, ligaments and connective tissue in the lowest part of the pelvis that provides support for a woman's internal organs, including the bowel, bladder, uterus, vagina and rectum.

A pelvic floor disorder occurs when women have weakened pelvic muscles or tears in the connective tissue due to excessive strain on the pelvis due to childbirth, repeated strenuous activity, menopause, chronic disease, or pelvic surgery. Other factors that can weaken the pelvic floor include repetitive heavy lifting, excessive weight, tobacco use, and genetics. (source)

What are some of the problems that arise from damage to the pelvic floor?


Loss of bladder or bowel control, leakage of urine or feces.


Pelvic prolapse is the descent of pelvic organs (uterus, bladder, vagina, or rectum). A bulge or extreme pressure may be a sign of this. Learn how to reduce your risk of developing pelvic organ prolapse.

Emptying Disorders

Difficulty urinating or moving bowels.


Generally when we are in pain, our body is letting us know that something is wrong. Depending on the source of the pain, a urogynecologist can relieve discomfort in the lower back, pelvis, bladder, or urethra.

Overactive Bladder

An overactive bladder is a general term that could be many things. This can be the frequent need to void the bladder, bladder pressure, sudden urgency to relieve the bladder, and urge incontinence (difficulty holding back urine when having the urge to urinate). Take the bladder control quiz.


An obstetric fistula is an abnormal hole between the vagina and rectum, vagina and urethra, or the vagina and the bladder.


A Urogynecologist can help explain and treat discomfort or pain during or after intercourse, lack of desire, climax, and many other things.

Procedures & Conditions

A urogynecologist only treats females and does not treat anything in the upper urinary tract (kidney stones or kidney cancer). Dr. Diaz performs vaginal, laparoscopic, and robotic surgery for any damage to the pelvic floor.


  • Bladder Control
  • Bowel Leakage
  • Constipation
  • Cytocele
  • Difficulty Emptying Bladder
  • Dropped Bladder
  • Dropped Bowels
  • Dropped Uterus
  • Fistula between Bladder (or urethra) and Vagina
  • Fistula between Bowels and Vagina
  • Herniated Intestines
  • Painful Intercourse
  • Prolapsed Pelvic Organ
  • Prolapsed Uterus/Uterine Prolapse
  • Prolapsed Vagina, Vaginal prolapse
  • Rectocele
  • Rectrovaginal Fistula
  • Urethral Cyst
  • Urethral Diverticulum
  • Urethral Fistula
  • Urinary Frequency
  • Urinary Incontinence
  • Urinary Retention
  • Vaginal Cyst
  • VesiCovaginal (or urethrovaginal) Fistula
  • Voiding Dysfunction
  • Vulvar Vestibulitis
  • Vulvodynia
  • Weak Pelvic Floor

Doing Research

Learn more about Pelvic Floor Disorders at www.voicesforPFD.org. Talk to your primary care provider and ask them to refer you to Dr. Sara Diaz in Urological Care at Reid Health.

Urological Care

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Reid Health
1100 Reid Parkway
Richmond, IN 47374
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