Female Pelvic Medicine & Reconstructive Surgery


A Message From Our Division

The Division of Female Pelvic Medicine & Reconstructive Surgery (also known as Urogynecology) is a subspecialty service in the Department of Obstetrics and Gynecology dedicated to the comprehensive evaluation, management and clinical research of women with pelvic floor disorders. Pelvic floor disorders affect the muscles and connective tissue of female pelvic organs that result in specific bladder, bowel, and sexual function problems.

Commonly evaluated pelvic floor problems include: urinary incontinence, difficulties with bladder emptying, urinary urgency, overactive bladder, painful bladder syndrome (interstitial cystitis), urethral diverticulum, fecal incontinence, fistulas, failed previous pelvic surgeries, pain during sex, and mesh-related complications. Evaluation of every patient begins by listening to the patient, obtaining a detailed history and performing a physical examination. If needed, further testing with simple or complex urodynamic studies, cystoscopy, proctoscopy. fluoroscopy, 3-D transanal ultrasound, sacral nerve stimulation evaluation, anorectal studies and 3-D dynamic pelvic floor MRI is readily available.

Our experienced team works together to create a patient-centered care assessment and treatment plan for women of all ages. Some patient care plans may include conservative options that are without the need for surgery. Conservative efforts of observation, lifestyle and dietary changes, pelvic exercise programs, or use of devices are commonly prescribed. If surgery is indicated, our Board-Certified pelvic surgeons are trained and experienced in minimally invasive, traditional and complex reconstructive techniques. Surgeries may be performed through the vagina, abdomen or a combination of both approaches. We commonly perform more advanced surgeries as well, such as sacral neuromodulation (InterStim), mesh-related surgeries, laser, laparoscopy, and robotic-assisted procedures to address complex issues, decrease patient postoperative recovery time and improve patient outcomes.

Our team includes pelvic surgeons, a physician assistant, nurses, women’s healthcare physical therapists and extensive business staff that are all enthusiastically committed to providing a center of excellence for best practices in women with pelvic floor disorders. It is our mission to transform healthcare for the benefit of the patients we serve, heal compassionately, teach innovatively and improve constantly. Together, our team serves with integrity, trust and openness. We look forward to meeting and assisting you in the development of your personal healthcare plan.



Thomas L. Wheeler, M.D., MSPH
Karen Stewart, MSPA-C
Hema D. Brazell, MD


Female Pelvic Medicine & Reconstructive Surgery
890 W. Faris Road, Suite 510
Greenville, SC 29605

2000 E. Greenville Street, Suite 4600
Anderson, SC 29621

333 S. Pine Street
Spartanburg, SC 29302