About Us

Southern Urogynecology is the first and only center exclusively dedicated to urogynecological services in the Greater Columbia Metropolitan Area. Founded by Dr. Andrea Pezzella, this premier center utilizes this sub-specialty of obstetrics and gynecology to evaluate all of the structures and systems of the female pelvis including organs, nerves, ligaments, muscles and blood vessels. This allows for a much higher quality of care and our promise to help you. Regain Your Confidence! Read Our Brochure Here.

Minimally invasive options for faster recovery

Our practice offers a menu of minimally invasive surgical approaches. That means you can get the surgical procedure you need with minimal discomfort and a rapid recovery period – getting you back to normal in no time.


For trusted care you can rely on, get in touch with Southern Urogynecology.

Please call (803) 457-7000 or use our Contact Form to schedule your consultation.


In addition to providing evaluation, treatment and education for urinary incontinence, overactive bladder, and other pelvic floor disorders,  Dr. Andrea Pezzella and her medical team pride themselves on offering an innovative and up-to-date approach to the challenges facing women today.  From anti-aging to overall wellness-Everyone wants to Look Good and Feel Great!  Dr. Pezzella wants to help you Be Your Best Self.  It’s time to live the life you are meant to live and REGAIN YOUR CONFIDENCE!

What we treat:

• Prolapse of the uterus and vagina

• Prolapse of the urethra and bladder (“dropped bladder”)

• Stress urinary incontinence (loss of urine with coughing/sneezing)

• Urge urinary incontinence (loss of urine with sudden urge to void)

• Recurrent urinary tract infections

• Difficulty voiding

• Excessive nighttime voiding

• Overactive bladder (urinary frequency/urgency)

• Painful bladder syndromes, including interstitial cystitis

• Decreased vaginal sensation during intercourse

• Prolapse of the rectum

• Fecal incontinence (loss of bowel control)

• Difficulty with bowel movements

Understanding Urogynecology:

What is a Urogynecologist?

A Urogynecologist is a physician who specializes in treatment women with a variety of disorders related to the urinary tract and bladder, urinary incontinence and pelvic floor disorders. Before Urogynecology was created as a specialty, women with pelvic floor disorders found themselves jumping between physicians to manage urinary, gastrointestinal and gynecological issues separately. Seeing a urogynecologist allows women to see ONE doctor who has mastered the

entire pelvic region.

What is the Pelvic Floor?

The pelvic floor is the muscles, ligaments, connective tissues and nerves that support the bladder, uterus, vagina and rectum and helps these pelvic organs function.

Is a Urogynecologist the Right Choice for Me?

The National Institutes of Health estimates that one-third of women in the United States will experience pelvic floor disorders in their lifetime. Childbirth, repeated heavy lifting, chronic diseases and surgery can weaken the pelvic floor. Inherited factors also can contribute. Depending on the severity of your condition, a range of treatments are available to minimize the symptoms or repair the damage. Don’t Suffer In Silence.


Below are some definitions that may help you better understand Urogynecology:



A muscular organ which stores urine

Bladder retraining:

a “re-programming” of bladder activity through a gradual goal-directed process of increasing the time between voids


Having bowel movements less often then every three days. Most often related to decreased colon activity.


Inflammation of the bladder most commonly due to bacterial infection (bacterial cystitis).


Displacement of the bladder into the vaginal canal as a result of vaginal wall weakness underneath the bladder. (“Dropped bladder”)

Defecation dysfunction:

Difficulty in the elimination process during a bowel movement.


Painful urination, often burning-like pressure which is most pronounced toward the end of the stream.


Displacement of the small intestine into the upper part of the vagina

Fecal incontinence:

Accidental loss of stool.


The need to urinate more often than normal (more than every 2 hours or more than 7 times a day)

Incontinence from surgery:

Follows such operations as hysterectomies, caesarean sections, prostatectomies, lower intestinal surgery, or rectal surgery.

Mixed incontinence:

A combination of urge incontinence and stress incontinence.


Waking up during the night to urinate. More than once can be significant.

Overflow incontinence:

Refers to leakage that occurs when the quantity of urine produced exceeds the bladder's holding capacity.

Pelvic floor muscles:

A group of muscles in the pelvis that support and help to control the vagina, uterus, bladder urethra and rectum. They also assist in control of the bladder and rectum.

Pelvic organ prolapse:

Pelvic organ prolapse is a very common disorder, particularly in older women. Loss of pelvic support occurs when the soft connective tissues that support the pelvic organs become stretched, weakened or torn. Symptoms include loss of bladder or bowel

control, difficulty voiding, urinary frequency and problems with bowel movements. It may also cause feelings of pelvic or vaginal heaviness, bulging, fullness, pain, recurrent bladder infections, and/or excessive vaginal discharge.

Pharmacologic therapy:

(Medications) Another common treatment for incontinence.


Displacement or decent of the pelvic oranges as a result of pelvic muscle weakness followed by a supportive pelvic connective tissue disruption.


Displacement of part of the rectum into the vagina canal as a result of weakness in the vaginal wall above it.

Stress incontinence:

Involuntary loss of urine during exercise, coughing, sneezing, laughing, or any body movement which puts pressure on the bladder. This most often is a result of poor urethral support.


A pair of tubes, each leading from one of the kidneys, to the bladder.


A short narrow tube that carries urine from the bladder out of the body.


A powerful need to urinate immediately which cannot be delayed.

Urge incontinence:

The involuntary loss of urine associated within the urgent need to pass urine and the inability to get to the toilet in time.

Represents a sudden bladder contraction that cannot be consciously inhibited.

Uterine prolapse:

Descent of the uterus from its normal position .

Vaginal atrophy:

Thinning of the vaginal lining (mucosa). Most often a result of decreased estrogen levels.

Vaginal vault prolapse:

Displacement of the “top” of the vagina (after a hysterectomy) from its normal position.

Voiding dysfunction:

A deviation from the normal voiding cycle that includes symptoms such as urgency, frequency, hesitancy, dribbling of urine, and overt incontinence.





The HIPAA Privacy Rule gives individuals a fundamental new right to be informed of the privacy practices of their health plans and of most of their health care providers, as well as to be informed of their privacy rights with respect to their personal health information. Please take time to review our Notice of Privacy Practices. When visiting our office, a copy is posted at the check in window. You may request a printed copy at any time. You have the right to request restrictions on use of your PHI, or disclosure of your PHI for treatment, payment and health care operations. While your PHI is protected by HIPAA, Southern Urogynecology is permitted by HIPAA to use and disclosure your PHI with certain limits and protections for the purpose of treatment, payment and health care operation activities. We are not required to agree to your request, but if we do agree we are bound by that agreement and cannot use or disclosure your PHI in a manner that is inconsistent with the agreed upon restrictions. Review our “Notice of Privacy Practices".

Notice of Privacy Practices

115 Midlands Court, West Columbia, SC 29169

office: 803.457.7000

fax: 803.457.7001

Monday – Thursday:

8 a.m. – 5 p.m.

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