Compassionate Female Urology Care
Female Incontinence
Bladder leakage, also known as urinary incontinence, is a common condition affecting millions of women — and in most cases, it’s highly treatable. Our team understands how incontinence can impact your quality of life, and we’re here to help you find the right solution. There are several types of urinary incontinence, including Stress Incontinence, Urge Incontinence (Overactive Bladder), Mixed Incontinence, Overflow Incontinence, and Functional Incontinence. We offer a full range of treatment options — from conservative approaches like lifestyle and pelvic floor therapy to advanced procedures such as Botox injections, neuromodulation, and minimally invasive surgeries. Our goal is to help you regain control and improve your quality of life.
Overactive Bladder
Overactive Bladder (OAB) is a condition characterized by a frequent and sudden urge to urinate, and may be difficult to control. It can cause accidental leakage, waking up multiple times at night to urinate, and a disruption to daily life. Fortunately, OAB is highly treatable. Initial treatment often includes lifestyle and dietary modifications, bladder training, and pelvic floor exercises. If symptoms persist, medications that relax the bladder may be prescribed. For more persistent cases, we offer advanced therapies such as Botox injections into the bladder muscle, sacral neuromodulation (InterStim therapy), and peripheral nerve stimulation (PTNS). Our personalized Overactive Bladder Care Pathway ensures patients receive step-by-step, evidence-based care that fits their lifestyle and their individual needs.
Pelvic Organ Prolapse
Pelvic Organ Prolapse (POP) occurs when the muscles and tissues that support the pelvic organs—such as the bladder, uterus, or rectum—become weakened or stretched, causing one or more of these organs to drop or bulge into the vagina. This condition can lead to a sensation of pressure or fullness in the pelvis, a visible or palpable bulge, difficulty with urination or bowel movements, and discomfort during intimacy. Pelvic organ prolapse is commonly diagnosed with a simple pelvic examination during a routine office visit. Depending on the severity and your individual needs, treatment options range from lifestyle changes and pelvic floor therapy to minimally invasive surgical repair, including vaginal, laparoscopic, or robotic-assisted procedures.
Expert Care in Female Urology
Our team of experienced female urologists, nurse practitioners, and physician assistants specialize in diagnosing and treating a wide range of female urologic conditions. We are committed to providing compassionate, up to date medical care using the latest advancements in diagnostic technology, including state-of-the-art urodynamic testing.
Sam Kuykendall, MD
Dr, Kuykendall is a board certified in Female Pelvic Medicine and Reconstructive Surgery (FPMRS)
Kaitlynn Ellis, APRN
Nurse Practitioner
Comprehensive Female Urology Services
Our practice offers a full range of advanced diagnostic and treatment options tailored to women’s unique urologic and pelvic floor health needs. Services include:
Complex Urodynamic Testing
In-depth evaluation to assess bladder and urethral function for accurate diagnosis and targeted treatment.
Surgical Treatments for Stress Urinary Incontinence and Pelvic Organ Prolapse
Including mid-urethral slings and urethral bulking injections to restore support and improve continence.
Minimally Invasive Pelvic Organ Prolapse Repair
Expertise in vaginal, laparoscopic, and robotic (da Vinci) procedures for optimal outcomes and faster recovery.
Vaginal Laser Therapy for Genitourinary Syndrome of Menopause
Non-surgical MonaLisa Touch® laser treatment for vaginal dryness, irritation, and discomfort during intimacy.
Overactive Bladder (OAB) Therapies
We provide first-, second-, and third-line treatments for OAB, including bladder Botox injections, sacral neuromodulation (InterStim), and peripheral tibial nerve stimulation (PTNS). Our Overactive Bladder Care Pathway ensures patients receive timely, stepwise care tailored to their symptoms and goals.
Accidental Bowel Leakage (Fecal Incontinence)
Both nonsurgical and surgical treatments are available, based on individual needs and severity
KCUC Specializes in These Pelvic Procedures:
- Urinary Incontinence
- Fecal Incontinence
- Pelvic organ prolapse including the uterus, bladder, bowel, and rectum
- Genitourinary Syndrome of Menopause
- Urethral diverticulum
- Vaginal and peri urethral cysts
- Vesicovaginal or ureterovaginal fistulas following other pelvic surgery
- Mesh complications
- Other aspects of complex pelvic reconstructive surgery
What is Female Pelvic Medicine and Reconstructive Surgery?
Female Urology or FPMRS is a urology field focused on the diagnosis and treatment of women’s pelvic floor disorders. FPMRS physicians receive advanced training in surgical and medical care for pelvic floor problems.
Robotic Sacral Colpopexy Procedure
Robot-assisted sacral colpopexy is performed in order to correct prolapse and/or herniation of the vagina, uterus, bladder, and/or bowels. In this procedure, which can be done in conjunction with a robotic hysterectomy, a synthetic is used to anchor the cervix to the sacral bone which is a strong support structure that does not weaken or cause pain. This functions to lift the vagina and bladder/bowels into their normal anatomic positions.
Traditional open abdominal sacral colpopexy has been the gold standard most durable and successful method of repairing symptomatic prolapse while maintaining natural vaginal length. However, this surgery was done less often as it required a longer hospital stay and was fairly invasive. We have now adapted the techniques utilized in open surgery to robotic sacral colpopexy. Robotic surgery offers a minimally invasive approach with several technical advantages for the surgeon, including enhanced visualization with magnification, reduced blood loss, improved suturing techniques compared to laparoscopy, and reproducible surgical results. And because robotic sacral colpopexy avoids the need for a large abdominal incision, women undergoing this procedure are able to experience a less painful recovery with a significantly quicker return to normal activities than would be possible with open surgery.
How Robotic Sacral Colpopexy is Performed
In this procedure, the patient is placed under general anesthesia and five small incisions are made in the lower abdomen, allowing introduction of a camera, three robotic instrument arms and one accessory port for passage of materials.
Advantages of Robotic Sacral Colpopexy
- Reduced recovery time and hospital time. Most patients remain in the hospital for 23 hour observation and require only 4 weeks of recovery at home lifting no more than 20 lbs and refraining from strenuous activity.
- Less post-operative pain and less need for pain medications. Most patients go home taking an anti-inflammatory.
- Minimal blood loss
- The patient is able to maintain natural vaginal length, resulting in reduced vaginal scarring and maintenance of female sexual function.