Barbara C. Gutin Center for Pelvic Health

A variety of pelvic floor disorders, such as endometriosis, urinary incontinence and uterine fibroids, are treated at the Barbara C. Gutin Center for Pelvic Health utilizing both surgical and non-surgical treatments. Minimally invasive surgical options are available through the Irving and Barbara C. Gutin Center for Robotic Surgery at Boca Regional, the most experienced program in Palm Beach County. The Center’s medical staff features a fellowship-trained urogynecologist and doctoral-trained physical therapists that specialize in pelvic floor dysfunction and disorders. With a focus beyond treatment, the Center offers support groups for patients suffering from and living with pelvic floor disorders and abdominal pain.


A pelvic floor disorder occurs when there is a compromise of the pelvic floor muscles and/or connective tissue which may result in loss of bladder control, bowel control, pain, or dropping of the pelvic organs. One in three women (30%) will experience a pelvic floor problem in her lifetime.


A pelvic floor disorder presents itself as the following symptoms:
  • Urinary leaking
  • Painful intercourse
  • Groin/back pain
  • Difficulty with bowel movements
  • A falling out feeling that worsens with standing
  • Vaginal pain
  • Difficulty with tampon insertion
  • Pelvic pressure that worsens with coughing, lifting, standing, or as the day goes on
  • Pelvic or lower abdominal pain


The following risk factors may increase your chances of experiencing these symptoms:
  • Pregnancy and delivery
  • Chronic cough that occurs with a respiratory condition
  • Prior pelvic surgery
  • Aging and menopause
  • Intense physical exercise (running, power lifting, jumping)
  • Genetic predisposition
  • Smoking
  • Obesity
  • Stress


Several treatment options are available, both non-surgical and surgical. Your treatment options may include multiple options.

The non-surgical options are:
  • Neuromodulation
  • Pelvic Floor Physical Therapy
  • Biofeedback with Surface EMG
  • Behavioral modification and bladder training
  • Education and Home Exercise Program
  • Medication
  • Pessary
  • Weight management
If surgery is an option or necessary, referral to our Urogynecologist will be facilitated.


The Barbara C. Gutin Center for Pelvic Health at the Christine E. Lynn Women's Health and Wellness Institute is a unique program specializing in the diagnosis and treatment of pelvic floor disorders in women. At the Center, diagnosing and treating pelvic floor disorders is what we do best. We have a multidisciplinary pelvic health team including: Physicians, Doctorate-level Physical Therapists and Nurse Navigators. After a comprehensive assessment, physical exam and diagnostic testing, we will partner with you to develop an individualized treatment plan that meet your needs.


690 Meadows Road Boca Raton, FL 33486 | 561.955.2131


This questionnaire is designed to help you assess your symptoms. Click all that apply.

Does pressure on your bladder with daily activities such as laughing, sneezing, coughing, lifting heavy objects, jogging or jumping cause you to leak urine?(Even a few drops of leakage are significant.)

Do you have pelvic pain?

Do you feel pressure in your pelvis at the end of the day?

Has sex become painful?

Do you feel like something might "fall out" of your pelvis when you sit on the toilet?

Do you have to move your organs with your fingers to urinate or have a bowel movement?

Do you urinate more than 2 times per night?

When you urinate or have a bowel movement, do you feel like something is "in the way" keeping you from voiding successfully?

Do you experience a sudden urge to use the bathroom and find you can't get there on time?

Do you wear liners or pads to protect you in the event of an accident?

Do you have trouble making it to the toilet on time, either for a bowel movement or to urinate?

Has loss of bladder or bowel control affected your lifestyle?

Are your bladder or bowel control issues causing you to feel nervous, frustrated or depressed?

Risk Factors
Have you had a vaginal delivery?

Did your delivery or deliveries involve forceps or severe tearing?

Are incontinence or pelvic conditions a part of your family history?

Have you had a hysterectomy?

Are you post-menopausal?

If you checked the box to any of the questions, you may be suffering from a pelvic floor condition. This is not a normal sign of aging. Our multidisciplinary approach – including physicians, nurse practitioners, urogynecologists and physical therapists – can help. If you would like to have a representative from the Barbara C. Gutin Center for Pelvic Health contact you for further assessment, please click submit and fill out the following form or call the Center at 561-955-2131.

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