A Pelvic Health Podcast for Patients, Physicians & Hospitals
Explore innovative approaches to pelvic organ prolapse surgery for patients, surgeons and hospitals. Discover the latest surgical techniques used by leading urogynecologists.
*This podcast is for information only and not medical advice. Talk with a qualified clinician about your care.
Recent Episodes
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Recent Episodes
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How Prolapse Stages Determine Treatment Options
About this Episode
Prolapse stage doesn’t automatically decide treatment — the woman’s experience does. Dr. Hussein Warda explains how prolapse care is guided by individual goals, not just anatomy: - Early-stage prolapse may be observed or managed conservatively if it’s not disruptive - More advanced stages can still be treated conservatively, depending on preference - Some women with lower-stage prolapse feel very impacted - Others with higher-stage prolapse may have minimal symptoms The key question is simple and personal: how much does this affect daily life? Establishing a baseline and understanding options allows women to choose care that matches their comfort, priorities, and quality of life.
Key Risk Factors for Pelvic Floor Disorders
About this Episode
Up to half of women between 40 and 80 experience pelvic floor symptoms, yet many assume they’re rare or untreatable. Dr. Hussein Warda explains that pelvic floor disorders affect roughly 30–50% of women in this age range. The real challenge isn’t prevalence — it’s awareness. Many women don’t realize: Symptoms like pressure, bulge, or leakage are common - There are multiple evaluation and treatment paths - Quality of life can often improve with proper care - Clarity, not urgency, is often the missing first step.
How Common Are Pelvic Floor Disorders in Women?
About this Episode
Pelvic floor symptoms are far more common than most women realize. Dr. Hussein Warda explains that between 30% and 50% of women ages 40–80 experience some form of pelvic floor disorder. The bigger issue isn’t how common it is—it’s how often women don’t know: - Symptoms can be evaluated - Treatment options exist across a wide range of needs - Improvement in comfort and quality of life is possible Lack of awareness keeps many women living with symptoms longer than they need to. Clarity is often the first step toward feeling better.
Prolapse: What No One Is Talking About
About this Episode
Quality of life is often the clearest measure of success. Dr. Hussein Warda shares what he sees after pelvic organ prolapse and pelvic floor treatments: - Women returning to activities they had stopped, like golf or exercise - Less planning around pads, bathrooms, or leakage - More freedom to leave the house, travel, and spend time with family - Relief from symptoms that quietly limited daily life for years A recurring reflection from patients is simple and powerful: many wish they had sought care earlier. Not because surgery is the only option, but because clarity and treatment—when appropriate—can restore confidence and comfort.
Contact Hussein Warda, MD Urology of Indiana
About this Episode
One in three women quietly deal with pelvic floor symptoms, yet so many assume they just have to “live with it.” Dr. Hussein Warda breaks down what pelvic floor disorders can look like in real life: Pelvic organ prolapse (bladder, uterus, or rectum support changes) Urinary leakage with coughing, sneezing, lifting, or exercise Urgency and frequent trips that feel impossible to control Pelvic pain and symptoms that affect intimacy and daily comfort A key reassurance: symptoms are common, and evaluation doesn’t automatically mean surgery. Options can include observation, pelvic floor physical therapy, pessaries, medication, or surgical approaches that fit the person’s goals and health history. If something feels off, getting a baseline exam can reduce uncertainty and help clarify next steps without pressure.
World-Class Urogynecology in Indianapolis
About this Episode
One in three women quietly deal with pelvic floor symptoms, yet so many assume they just have to “live with it.” Dr. Hussein Warda breaks down what pelvic floor disorders can look like in real life: - Pelvic organ prolapse (bladder, uterus, or rectum support changes) - Urinary leakage with coughing, sneezing, lifting, or exercise - Urgency and frequent trips that feel impossible to control - Pelvic pain and symptoms that affect intimacy and daily comfort A key reassurance: symptoms are common, and evaluation doesn’t automatically mean surgery. Options can include observation, pelvic floor physical therapy, pessaries, medication, or surgical approaches that fit the person’s goals and health history. If something feels off, getting a baseline exam can reduce uncertainty and help clarify next steps without pressure.
Should Men Sit Down to Pee
About this Episode
Is it healthier for men to sit when they pee? Dr. Nicole Fleschman says yes—and explains why this simple shift supports better bladder and pelvic floor function. Standing to urinate is a learned behavior rooted in military hygiene needs from the 1800s, not human physiology. The pelvic floor doesn’t naturally release in a standing posture, which makes emptying the bladder more difficult and creates more strain over time. Sitting allows the pelvic floor to relax, helping the bladder and prostate function with less effort. This segment covers: • Why standing to pee became the norm for men • How posture affects pelvic floor release • Why sitting supports easier, healthier urination • How conditioned habits can shape long-term pelvic health Learn more about pelvic health at ARMS Medical: https://armsmedical.com
Understanding Female Urology
About this Episode
Why pursue a fellowship in female urology? For Dr. Nicole Fleschman, the decision was driven by a desire to care for women and a fascination with an area of medicine that remains surprisingly underdeveloped: how people actually urinate. She explains how her fellowship in Female Urology and Voiding Dysfunction exposed her to a fundamental problem in the field—very little is understood about the nerve pathways and coordination involved in healthy release. Even advanced imaging falls short because most people can’t relax their pelvic floor enough to urinate in an MRI, making the research nearly impossible. In this clip, she shares: • Why she specialized in women’s urology • How little science truly knows about urination mechanics • Why studying release patterns is so challenging • What these gaps mean for patient education and care Learn more about pelvic health resources at ARMS Medical: https://armsmedical.com
Why the Squatty Potty is Wrong
About this Episode
Are squatty potties helpful for women? Dr. Nicole Fleschman says no—and explains why the popular device works against healthy pelvic floor mechanics. By lifting the knees above the hips, a squatty potty anchors the tailbone and reduces its ability to move. That fixed position may make pushing easier, but it prevents the pelvic floor from relaxing and opening with breath. For women, this means more straining and less natural release. In this clip, she breaks down: • Why elevated knees limit tailbone mobility • How this posture encourages pushing instead of opening • The risks of relying on force over breath • Why women need movement—not restriction—for healthy toileting Explore more pelvic health resources at ARMS Medical: https://armsmedical.com
Gaps In MedTech For Women's Care
About this Episode
What innovations does women’s urology need most? Dr. Nicole Fleschman points to something surprisingly simple: equipment designed for the female urethra. Today, urologists use the same scope for both men and women. It’s longer than needed, harder to maneuver, and often prevents clinicians from performing minor procedures in the office. As a result, many women are taken to an operating room for interventions that could be done safely while awake—if only the right tools existed. In this segment, she explains: • Why current scopes are mismatched to women’s anatomy • How this mismatch limits access to care • Why female-specific scopes would keep many women out of the OR • The impact on leakage treatments, injections, and other office-based procedures Her vision is straightforward: create equipment that actually fits women’s bodies so care can be more comfortable, accessible, and scalable. Learn more about pelvic health at ARMS Medical: https://armsmedical.com