Kettering Health Network (ketteringhealth.org)
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What We Treat

Dr. Ashby and Dr. Evans have over twenty years of combined experience in treating bladder and pelvic floor issues in women of all ages. If you are experiencing any of the below symptoms or problems, please do not hesitate to call our office at 937-436-9825 to schedule an appointment.

The unwanted leakage of urine and/or stool, which can be distressful to a patient.

  • Stress Incontinence: Urine leakage due to physical exertion such as exercise, coughing or sneezing.
  • Urgency Incontinence and Overactive Bladder: Frequent and urgent urination, or occasional urine leakage due to unwanted bladder contractions caused by a variety of stimuli.
  • Fecal Incontinence: Unintentional loss of stool in any form.
Relaxation and 'dropping' of the uterus and/or vaginal walls.

Long-term bladder discomfort that is not associated with infections or other obvious causes.

Generally considered 3-4 or more culture-proven infections per year. Patients may require some workup to determine the cause of recurrent infections. A variety of therapies may be used in short and long-term treatment.

Blood in the urine that is from a non-infectious cause.

  • Blood in the urine can be due to a variety of pathologies, including infection, stones, cancer, and other sources. It is important to complete a full workup to rule out more dangerous causes.
  • Urinary retention can be caused by neurologic disease, trauma, nerve damage, prolapse, or due to issues with pelvic floor relaxation.
  • Bowel emptying issues can be very bothersome, whether due to anatomic or neurologic issues. Conservative therapies are used initially to gain relief, although there are surgical options for certain causes.
Pelvic pain can be a debilitating issue for women and may be caused by many different conditions such as gynecologic issues, urinary issues, gastrointestinal problems, muscular issues, or neurologic disease.

Painful intercourse and sexual activity, or 'dyspareunia', can be caused by anatomic, hormonal, dermatologic, or psychological factors.

Having a baby brings about a lot of changes to your body, some of which can be uncomfortable or embarrassing. Many of the bladder and pelvic floor issues experienced during pregnancy and after delivery can be treated.

  • Incontinence: Postpartum women may experience unwanted leakage of urine and/or stool for some time after delivery. Treatment options vary from exercises to surgery.
  • Pelvic Pain: Pain in the pelvic muscles and organs can be a debilitating issue for women. After pregnancy women can experience pain from scarring, at the sites of repaired tears, or even from muscle spasms in the pelvic floor muscles.
Menopause can trigger many distressful symptoms for women. These can include problems with incontinence, vaginal pain, prolapse, yeast infections, and urinary tract infections.

  • Atrophy (low estrogen): We offer hormonal and non-hormonal options to restore vaginal tissue to normal function.
  • Prolapse symptoms: Prolapse is a relaxation or 'dropping' of the uterus and/or vaginal walls that is often described as a bulge or pressure.
  • Incontinence: The unwanted leakage of urine and/or stool, which can be distressful to a patient.
    • Stress Incontinence: Urine leakage due to physical exertion such as exercise, coughing or sneezing.
    • Urgency Incontinence and Overactive Bladder: Frequent and urgent urination, or occasional urine leakage due to unwanted bladder contractions caused by a variety of stimuli.
    • Fecal Incontinence: Unintentional loss of stool in any form.

  • Bladder issues associated with other medical conditions such as multiple sclerosis, infections, diabetes, and a variety of other issues.
  • Recurrent urinary tract infections: Urinary Tract Infections (UTIs) are common after menopause due to a change in pelvic tissues and hormones. Recurrent urinary tract infections are generally considered as 3-4 or more culture-proven infections per year. Patients may require some workup to determine the cause of recurrent infections. A variety of therapies may be used for short and long-term treatment.
  • Painful intercourse/ sexual activity: Painful intercourse and sexual activity, or 'dyspareunia', can be caused by anatomic, hormonal, dermatologic, or psychological factors. We offer innovative treatment options such as the Mona Lisa Touch laser for some causes of painful intercourse/sexual activity.