Our Patients

Individualized Treatments

We provide a treatment plan for each patient’s individual needs. Our staff is experienced in discussing and evaluating these sensitive problems. A comprehensive evaluation may include:



  • Physical examination, similar to that which you undergo during your annual exam and Pap smear
  • Urinalysis
  • Bladder studies
  • Cystoscopy, in which a thin tube is placed inside the urethra to view the inside of the urethra and bladder
  • Urodynamic testing, an evaluation to check the function of the lower urinary tract which consists of the bladder, urethra and the voluntary and involuntary sphincter muscles
  • Bowel studies
Anorectal physiology studies, which are tests to evaluate the anal sphincter, pelvic muscles, nerve function and rectal function.

What is Urogynecology?

Urogynecology, or Female Pelvic Medicine and Reconstructive Surgery, as it is formally known, is a subspecialty of Gynecology that focuses on the care of women with pelvic floor disorders such as urinary and fecal leakage (bladder or bowel incontinence), bulging or dropping of the vaginal tissues (prolapse), trouble urinating (voiding dysfunction), trouble passing bowel movements (defacatory dysfunction), and pelvic pain. The field of urogynecology developed in the 1980’s when leading obstetricians and gynecologists observed that the care of women with pelvic floor dysfunction was unsatisfactory and that women with these problems were not receiving the careful attention and effective treatments they deserved.

What is a Urogynecologist?

A urogynecologist is a gynecologist with advanced training and education in the evaluation and treatment of women with urinary symptoms (including involuntary leakage, frequent urination and bladder pain), bowel symptoms (including involuntary leakage and constipation) and pelvic relaxation defects (loss of support of the pelvic organs, such as the bladder, uterus and rectum).

How do I know if my doctor is a Urogynecologist?

To insure that training for Urogynecologists is of the best quality available, the American Board of OB/GYN (ABOG) and the American Board of Urology (ABU) have joined to accredit those training programs that meet strict guidelines. These programs are called fellowships in Female Pelvic Medicine and Reconstructive Surgery and generally last three years.  Fellowship training is in addition to training required for a doctor to practice medicine. Dr. Bryce Bowling is Knoxville's only accredited fellowship-trained Urogynecologist. A physician who has completed a fellowship in Urogynecology will be presented with a specific diploma, detailing his/her credentials.  Here is a copy of Dr. Bowling’s Urogynecology fellowship diploma. 

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