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UROGYNECOLOGY

Doctors called Urogynecologists receive special training and certification to diagnose and treat women with pelvic floor disorders — and we have one of these unique specialists, Dr. Kevin Breniman. Conditions can arise that affect the female pelvic organs and bladder, as well as the muscles and connective tissue that support these organs. A Urogynecologist develops surgical and non-surgical treatment plans to address these issues. 

Schedule an appointment with Dr. Breniman, our Urogynecologist.


Urogynecology FAQs

What is Female Pelvic Medicine and Reconstructive Surgery (FPMRS)?
The American Board of Medical Specialties approved Female Pelvic Medicine and Reconstructive Surgery (FPMRS), also known as urogynecology, as a certified subspecialty. The first doctors to be board-certified were in 2013. Physicians having the FPMRS subspecialty have additional years of training, certification and examination in urogynecology and have passed the licensing sub-specialty examination by the American Board of Obstetrics & Gynecology. Dr. Breniman is one of the few physicians in Arkansas board certified in FPMRS.

What do Urogynecologists treat?
Some of the common problems treated by Urogynecologists include:

  • Unexpected urinary leaking known as urinary incontinence

  • Uncontrolled bladder leaking known as overactive bladder

  • Dropping of the vagina, uterus, bladder and rectum also known as pelvic organ prolapse

What are some of the common terms in Urogynecology?

  • Stress urinary incontinence

  • Urgency urinary incontinence

  • Pelvic organ prolapse

  • Uterine prolapse

  • Cystocele

  • Rectocele

What are some of the common surgeries in Urogynecology?

  • Urethral slings

  • Vaginal repairs

  • Laparoscopic prolapse surgeries

  • Hysterectomy

  • InterStim procedure

  • Botox procedure

  • Anterior and posterior repairs


Details & Services

Stress Incontinence
Stress incontinence is the leaking of urine during physical movement and activities such as coughing, sneezing, running or heavy lifting. These activities put stress on your bladder and, if weakness is present, unexpected urination can occur. If you have stress incontinence, you may feel embarrassed, isolate yourself or limit your work and social life, especially exercise and leisure activities. We can work with you to prevent this frustrating urine loss. 

Pelvic Prolapse
Pelvic organ prolapse occurs when the areas around the vagina weaken and the organs “fall” or relax. These organs include your bladder (cystocele), uterus (uterine prolapse), vagina (vaginal vault prolapse), small bowel (enterocele) and rectum (rectocele). This often leads to feelings of heaviness in the vagina, tissue coming out of the vagina, discomfort, bladder change and other problems. As women age, pelvic organ prolapse and other pelvic floor disorders become more common, and some women develop pelvic floor disorders following childbirth. Dr. Brenimen is trained to diagnose and treat pelvic prolapse. 

Uterine Prolapse
Uterine prolapse occurs when the pelvic floor support and ligaments stretch and weaken, providing inadequate support for the uterus. The uterus then slips down into, or protrudes out of, the vagina. Uterine prolapse can happen to women of any age, but it often affects postmenopausal women who have had one or more vaginal deliveries. Our board-certified physician is trained to provide non-surgical and surgical care for this condition. We specialize in treating this problem and partner with women in choosing the treatment that is right for them. 

Bladder Problems
Bladder problems can include urgency, frequency, incontinence (leakage of urine), interstitial cystitis and painful urination (dysuria). These problems are often difficult to live with and can affect a women’s ability to live the life she desires. But help is available! We have a bladder specialist and treatment pathways in place to ensure each woman’s needs are addressed and followed closely.

The Arkansas Urogynecology Center at Cornerstone Clinic for Women

Dr. Breniman founded the Arkansas Urogynecology Center at Cornerstone Clinic for Women to meet the needs of women with disorders of the pelvic floor. This center is built upon the the expertise of Dr. Breniman who is board-certified in Female Pelvic Medicine and Reconstructive Surgery and he has been focusing on Urogynecologic disorders for over 13 years. Megan Tucker, APRN and Lindsey Galloway, APRN complete the team of specialized practitioner to join Dr. Breniman in delivering the highest level of care and sensitivity to patients with a full range of disorders of the pelvic floor.