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ABOUT Peter M. Lotze, MD --
Urogynecologist in Houston, TX

Dr. Lotze is the first fellowship-trained Urogynecologist to establish a practice here in Houston in 2002. He was also one of the first Urogynecologists in the country to become Board Certified in Female Pelvic Medicine & Reconstructive Surgery in 2013 when the Subspecialty Certification first became available. He specializes in the evaluation and treatment of female pelvic health and urinary incontinence.

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Frequently Asked Questions

An urogynecologist is a surgeon who has specialized in the care of women with pelvic floor disorders.  An urogynecologist focuses on the pelvic floor, which is a set of muscles, ligaments and connective tissue in the lowest part of the pelvis that provides support for a woman’s internal organs, including the bowel, bladder, uterus, vagina and rectum.

A pelvic floor disorder occurs when women have weakened pelvic muscles or tears in the connective tissue due to excessive strain on the pelvis due to childbirth, repeated strenuous activity, menopause, chronic disease, or pelvic surgery. Other factors that can weaken the pelvic floor include repetitive heavy lifting, tobacco use, and genetics.

Although your primary care physician, OB/GYN, or urologist may have knowledge about pelvic floor problems, a urogynecologist can offer additional expertise. You should see an urogynecologist when you have problems of prolapse, and/or troublesome urinary or fecal incontinence or when your primary doctor recommends consultation. Other problems for which you or your doctor might think about consulting an urogynecologist include problems with emptying the bladder or rectum,  fistulas, and the need for special expertise in vaginal surgery.

The following are some problems that arise from damage to the pelvic floor:
1. Incontinence: loss of bladder or bowel control, leakage of urine or feces.
2. Prolapse: descent of pelvic organs; a bulge and/or pressure; ‘dropped uterus, bladder, vagina or rectum.’
3. Emptying Disorders: difficulty urinating or moving bowels.
4. Overactive Bladder: frequent need to void, bladder pressure, urgency, urge incontinence (difficulty holding back urine when having the urge to urinate)
5. Fistulas: abnormal hole between the vagina and rectum (rectovaginal), vagina and urethra (urethrovaginal), or vagina and the bladder (vesicovaginal)

Getting a consultation is the first step in getting you the answers you need to find a solution that is best.

Dr. Lotze will review your medical history, read your vitals and do a physical exam to best understand your condition and your concerns. While the first visit may be different for each patient depending on her condition, Dr. Lotze and his team will take the time, focus and attention to listen to your concerns and goals regarding your pelvic floor health.
For more details on your first visit, click here for details, or call us at 713-512-7810 and we would be happy to answer any question you may have.

My First Visit

Every patient is unique, so an evaluation may differ from one person to the next. However, what always remains the same across all patient visits is an experience that includes a warm welcome, a comfortable setting and a team eager to listen, learn and provide you with greatest care possible.