Women's Urology In Aurora, CO
Compassionate Bladder and Pelvic Care at Modern Urology
Why See a Urologist for Women's Bladder and Pelvic Problems
Many women assume that bladder leakage, frequent UTIs, or pelvic discomfort should be addressed by their gynecologist. While gynecologists treat many reproductive health concerns, a urologist specializes specifically in the urinary system and the complex conditions that affect it. For women dealing with persistent bladder or pelvic symptoms, a urologist offers a focused evaluation that often uncovers the root cause faster.
Urologists are trained to diagnose and treat conditions like stress incontinence, overactive bladder, interstitial cystitis, pelvic organ prolapse, urinary retention, and chronic infections. These conditions require specialized testing, such as urodynamic studies and cystoscopy, that falls squarely within urology’s scope.
Dr. Fronczak sees women of all ages at Modern Urology, from younger patients dealing with recurrent UTIs or postpartum incontinence to postmenopausal women navigating bladder changes related to hormonal shifts. If your primary care provider or gynecologist has been unable to resolve your bladder symptoms, or if you have been told that leakage is “just part of aging,” it is time to see a urologist who specializes in women’s urological health.
Why Choose Modern Urology for Women's Urological Care in Aurora, CO
Modern Urology offers women a level of personalized, physician-led care that large hospital systems and multi-provider clinics simply cannot match. Dr. Fronczak evaluates and treats every patient directly, so you build a relationship with one doctor who knows your history and understands your goals from the very first visit through every follow-up.
The practice is built around a conservative-first philosophy. Dr. Fronczak always explores non-surgical options before recommending procedures. Behavioral modifications, pelvic floor physical therapy, vaginal estrogen, and targeted medications are considered first. If a procedure is ultimately needed, patients go into it fully informed, knowing that conservative approaches were given a genuine chance.
Modern Urology partners with highly trained pelvic floor physical therapists in the Aurora area, working closely with these specialists to coordinate care and deliver the best outcomes. The practice also uses advanced diagnostic equipment, including urodynamic testing and cystoscopy, to ensure that every diagnosis is accurate and every treatment plan targets the actual problem.
For women who need in-office or surgical procedures, Modern Urology offers nitrous oxide sedation to reduce anxiety and keep patients comfortable. This comfort-focused approach makes a real difference for patients who have been putting off care because they are nervous about what to expect.
Modern Urology serves women throughout the Denver metro area, including Aurora, Centennial, Parker, Highlands Ranch, and surrounding communities.
Urinary incontinence is the involuntary loss of urine, and it affects millions of women across every age group. Bladder leakage is never a normal part of aging, pregnancy recovery, or menopause, and no woman should accept it as something she has to live with. Modern Urology evaluates and treats all types of female urinary incontinence, starting with a thorough assessment to identify exactly what type of leakage is occurring and what is causing it.
There are several types of incontinence, and each is treated differently. A woman may also experience more than one type at the same time, which is called mixed urinary incontinence.
Stress urinary incontinence (SUI) involves leakage during physical activity like coughing, laughing, sneezing, running, or lifting. Overactive bladder (OAB) involves a sudden, strong urge to urinate that is difficult to control, sometimes resulting in leakage before reaching the restroom. Overflow incontinence occurs when the bladder does not empty completely and urine leaks out as a result.
Leakage can also result from urinary tract infections, weakened pelvic floor muscles, hormonal changes after menopause, or, in rare cases, something more serious like a growth or obstruction. Incontinence has a significant impact on quality of life. It is embarrassing, limits physical activity and social confidence, and managing it with pads is expensive over time.
The most important step is getting a proper evaluation. Dr. Fronczak identifies the specific type and cause of leakage and builds a treatment plan around it.
Stress urinary incontinence (SUI) is leakage that happens with movement or activity, such as coughing, laughing, sneezing, running, jumping, or even standing up from a seated position. SUI occurs when the muscles and tissues supporting the urethra weaken, allowing urine to escape during physical exertion. Modern Urology treats SUI with a range of options from conservative therapies to surgical correction, always starting with the least invasive approach.
Conservative Treatment for SUI
Pelvic floor physical therapy is often the first step. A trained pelvic floor therapist evaluates the strength and coordination of the pelvic muscles and guides patients through targeted exercises to reduce leakage. Modern Urology works closely with experienced pelvic floor physical therapists in the area to coordinate care and track progress.
Topical vaginal estrogen is another important conservative option, especially for postmenopausal women. Vaginal estrogen is very safe to use, with minuscule absorption into the bloodstream. Applied in a small pea-sized amount to the urethra and inside the vagina, it restores thinning tissue to a healthier state and can improve the watertight seal of the urethra. Healthy vaginal tissue is a vital component of treating many female urinary conditions, particularly those associated with genitourinary syndrome of menopause. Dr. Fronczak takes time to address questions and concerns about vaginal estrogen so every patient feels comfortable with this therapy.
Surgical Options for SUI
When conservative treatments are not enough, surgical options provide effective, lasting relief.
Urethral bulking agents can be injected around the urethra to help it close more tightly. This is a quick outpatient procedure with immediate results, though the effect gradually fades and repeat treatments are needed to maintain the benefit.
A retropubic midurethral sling is an outpatient surgical procedure that places a supportive hammock around the urethra to prevent leakage. It is important to understand that a retropubic sling is different from the transvaginal mesh products that received negative media attention. Retropubic midurethral slings have never been removed from the market by the FDA and have a strong safety record when placed by an experienced specialist. Dr. Fronczak has significant experience with sling placement and discusses the procedure, risks, benefits, and alternatives thoroughly before any surgery is considered.
Overactive bladder (OAB) is a condition that causes a sudden, intense urge to urinate that can be difficult to control. Women with OAB may also experience urinary frequency, meaning they need to use the restroom far more often than normal, and nocturia, waking multiple times at night to urinate. In some cases, the urge is so strong that leakage occurs before reaching the bathroom, which is called urge urinary incontinence.
OAB is different from stress incontinence. With SUI, leakage happens during physical activity. With OAB, the bladder muscle contracts unexpectedly, creating an urgent need to void regardless of activity level. Some women experience both conditions together, which is known as mixed urinary incontinence.
Treatment for overactive bladder at Modern Urology begins with conservative approaches. Behavioral modifications such as timed voiding, fluid management, and bladder training techniques can significantly reduce symptoms. Pelvic floor physical therapy strengthens the muscles that help control urgency. When behavioral and physical therapy approaches are not sufficient, medications that calm the bladder muscle may be prescribed.
For women who do not respond to these first-line options, Dr. Fronczak may recommend advanced treatments such as bladder Botox injections, which temporarily relax the overactive bladder muscle, or sacral neuromodulation, which uses gentle electrical stimulation to regulate bladder signals. Each option is discussed in detail so patients can make an informed decision.
Pelvic organ prolapse occurs when the muscles and connective tissue supporting the pelvic organs weaken, allowing the bladder, uterus, or rectum to shift downward and press into or through the vaginal wall. Modern Urology evaluates and treats pelvic organ prolapse in women, helping patients understand their options and choose a path that fits their symptoms and lifestyle.
Prolapse is more common than many women realize. It often develops after childbirth, during menopause, or as a result of chronic straining, heavy lifting, or aging. Symptoms may include a sensation of heaviness or pressure in the pelvis, a visible or palpable bulge at the vaginal opening, difficulty emptying the bladder completely, and discomfort during physical activity.
Treatment depends on the severity of the prolapse and how much it affects daily life. For mild prolapse, pelvic floor physical therapy can strengthen the supporting muscles and slow progression. A vaginal pessary, a removable device placed inside the vagina to provide structural support, is another effective non-surgical option. When conservative measures are not sufficient, surgical repair can restore normal anatomy and relieve symptoms.
Dr. Fronczak evaluates the type and degree of prolapse, discusses all available treatment options, and works with each patient to choose the approach that best matches her goals and comfort level.
Recurrent urinary tract infections are frustrating, painful, and disruptive. Modern Urology goes beyond simply prescribing another round of antibiotics. Dr. Fronczak’s goal is to find out why UTIs keep happening and create a plan to stop them from coming back.
There are many reasons why UTIs recur. Common contributing factors include bladder dysfunction, kidney or bladder stones, thinning vaginal tissue (especially after menopause), constipation, insufficient fluid intake, and in some cases an underlying structural or medical issue. Simply treating each infection with antibiotics without investigating the cause allows the cycle to continue.
Dr. Fronczak conducts a thorough evaluation to identify the specific risk factors driving recurrent infections. This may include urine testing, imaging, and in some cases a cystoscopy, which is a direct look inside the bladder using a small camera. Once the contributing factors are identified, a customized prevention plan is designed. This may involve vaginal estrogen to restore tissue health, changes in hydration and habits, targeted treatments for any structural issues, and strategies to reduce reliance on repeated antibiotic courses.
If you have been dealing with UTIs that keep coming back despite treatment, a urological evaluation can uncover what your previous providers may have missed.
Interstitial cystitis (IC), also known as bladder pain syndrome, is a chronic condition that causes bladder pressure, bladder pain, and sometimes pelvic pain. The severity ranges from mild discomfort to debilitating pain that significantly affects daily life. Modern Urology offers multiple treatment approaches designed to reduce symptoms and improve quality of life for women living with IC.
IC can cause frequent, urgent urination, pain that worsens as the bladder fills and improves after voiding, pelvic discomfort, and pain during intercourse. The condition can be difficult to diagnose because symptoms overlap with other bladder conditions, which is why a thorough urological evaluation is essential.
Treatment for bladder pain syndrome at Modern Urology includes pelvic floor physical therapy with experienced doctors of physical therapy, vaginal or rectal pain suppositories, bladder instillations (medications delivered directly into the bladder), and cystoscopy to evaluate and treat bladder ulcers when present. Dr. Fronczak works with each patient to develop a multi-faceted treatment plan, and in some cases may coordinate with other specialists who focus specifically on chronic pelvic pain.
Living with bladder pain is not something you need to accept. Effective treatment options exist, and the right combination can make a meaningful difference.
Pelvic floor rehabilitation is a cornerstone of women’s urological treatment at Modern Urology. Dr. Fronczak believes that conservative care should always be the starting point, and pelvic floor therapy is one of the most effective non-surgical treatments available for incontinence, prolapse, pelvic pain, and bladder dysfunction.
The pelvic floor is a group of muscles that supports the bladder, uterus, and rectum. When these muscles weaken from childbirth, aging, hormonal changes, or chronic straining, bladder leakage, pelvic pressure, and other symptoms can develop. Pelvic floor physical therapy involves working with a specially trained therapist who evaluates muscle strength, coordination, and tension, then guides patients through a program of exercises and techniques to restore function.
Modern Urology has identified and partnered with well-trained, experienced pelvic floor physical therapists in the Aurora area. Dr. Fronczak and these therapists work closely together, coordinating treatment plans and tracking progress to achieve the best outcomes for each patient.
Beyond physical therapy, Modern Urology’s conservative approach includes behavioral modifications such as bladder training, fluid management, dietary adjustments, and the use of topical vaginal estrogen for women whose tissue health has been affected by menopause. These treatments are often highly effective on their own, and for many women they eliminate the need for surgery entirely.
Meet Dr. Carolyn Fronczak: Women's Urologist in Aurora, CO
Dr. Carolyn Fronczak is the urologist at Modern Urology, providing women’s urology in Aurora, CO with a focus on accurate diagnosis, honest communication, and treatment that respects each patient’s preferences and comfort level. She treats every patient personally, building continuity of care that makes a real difference for women managing ongoing or sensitive bladder conditions.
Dr. Fronczak’s approach to women’s urology is rooted in the belief that finding the root cause of a problem is more important than managing symptoms. She invests time in thorough evaluation, uses advanced diagnostics to confirm the right diagnosis, and presents all available options so patients can make informed decisions. Her conservative-first philosophy means that non-surgical treatments are always given a genuine opportunity to work before any procedure is recommended.
Women who visit Modern Urology often remark on how different the experience feels compared to larger practices. Dr. Fronczak explains conditions in plain, approachable language, answers every question without rushing, and treats each patient as a partner in her own care. Whether the concern is leakage that has been dismissed by other providers, infections that will not stop, or pelvic pain that has gone undiagnosed, Dr. Fronczak’s goal is to find answers and deliver relief.
Frequently Asked Questions About Women's Urology
Should I see a urologist or a gynecologist for bladder problems?
A urologist specializes in the urinary system and is specifically trained to diagnose and treat conditions like incontinence, overactive bladder, recurrent UTIs, bladder pain, and pelvic organ prolapse. While a gynecologist can address many reproductive health concerns, a urologist has deeper expertise in bladder function, urodynamic testing, and the full range of surgical and non-surgical treatments for urinary conditions. If your bladder symptoms have not improved with the care you have received so far, a women’s urology evaluation at Modern Urology in Aurora, CO can give you a clearer diagnosis and more targeted treatment options.
Is bladder leakage a normal part of aging?
No. Bladder leakage is never normal at any age, and it should not be accepted as an inevitable consequence of getting older, having children, or going through menopause. Incontinence is a medical condition with effective treatments. Dr. Fronczak evaluates the specific type of incontinence and its cause, then builds a personalized treatment plan. Many women experience significant improvement or complete resolution of leakage with the right care. Do not let anyone tell you that leakage is something you simply have to live with.
What happens at a women’s urology appointment?
Your first visit at Modern Urology begins with a detailed discussion of your symptoms, medical history, and how your condition is affecting your daily life. Dr. Fronczak may perform a physical exam, order blood or urine tests, recommend imaging, or schedule urodynamic testing to measure how your bladder and urethra are functioning. The goal is to reach an accurate diagnosis before recommending any treatment. Most initial evaluations take 30 to 45 minutes, and you will leave with a clear understanding of your condition and your options.
What is a midurethral sling, and is it safe?
A retropubic midurethral sling is an outpatient surgical procedure that places a thin supportive mesh around the urethra to prevent stress urinary incontinence. It is important to know that retropubic slings are different from the transvaginal mesh products that received FDA scrutiny. Retropubic midurethral slings have never been removed from the market and have a well-established safety record when placed by an experienced specialist. Dr. Fronczak at Modern Urology has significant experience with sling procedures and thoroughly discusses the risks, benefits, and alternatives with every patient before surgery.
What are the treatment options for overactive bladder in women?
Overactive bladder treatment starts with conservative measures including bladder training, timed voiding, fluid management, and pelvic floor physical therapy. If those approaches are not sufficient, medications that calm the bladder muscle may be prescribed. For women who do not respond to first-line treatments, advanced options include bladder Botox injections and sacral neuromodulation. Modern Urology always begins with the least invasive approach and escalates only when necessary, ensuring that each patient is fully informed at every step.
How can I stop getting recurrent UTIs?
Stopping recurrent UTIs requires identifying and addressing the underlying cause rather than simply treating each infection with antibiotics. At Modern Urology, Dr. Fronczak conducts a thorough evaluation to uncover risk factors such as bladder dysfunction, thinning vaginal tissue, kidney stones, or structural abnormalities. A customized prevention plan may include vaginal estrogen therapy, hydration and dietary changes, and treatment of any contributing conditions. Many women see a dramatic reduction in infection frequency once the root cause is properly addressed.
Does insurance cover women’s urology visits and procedures?
Most health insurance plans cover urological evaluations and medically necessary procedures. Coverage details vary depending on your specific plan, so it is a good idea to verify your benefits before your appointment. Modern Urology’s office staff can help answer questions about insurance and billing. Do not let uncertainty about cost keep you from seeking care for symptoms that could indicate a treatable or even serious underlying condition.
Does Modern Urology offer non-surgical treatments for incontinence?
Yes. Modern Urology’s approach is built around the belief that conservative care should come first. Non-surgical treatment options for incontinence include pelvic floor physical therapy, behavioral modifications like bladder training and fluid management, topical vaginal estrogen, medications for overactive bladder, and urethral bulking agents. Dr. Fronczak ensures that non-surgical approaches are given a genuine opportunity to work before any surgical procedure is recommended. Many women achieve significant improvement without ever needing surgery.
Ready for a Confident, Worry-Free Future?
Women’s urology in Aurora, CO starts with finding a provider who listens, investigates thoroughly, and puts your comfort first. Modern Urology and Dr. Carolyn Fronczak are here to help you take control of your bladder and pelvic health. Call today to schedule your appointment, or request one online.