Urogynecology Services

a group of 4 women smiling and enjoying a day at the beach

Our Urogynecology Services team, part of Cottage Medical Group, is committed to offering comprehensive services and personalized treatment for pelvic floor disorders. From diagnosis to post-treatment care, we guide patients through every step of their journey.

Our specialists understand that urogynecologic problems can significantly affect quality of life, and work to understand each individual’s preferences and priorities in order to offer comprehensive, individualized plans. Treatment options range from non-invasive to surgical, including both mesh and mesh-free surgical options.

We work closely with other experts, such as pelvic floor physical therapy, gynecology, colorectal surgery, and urology, ensuring a seamlessly coordinated treatment plan. This collaborative approach delivers a high level of care tailored to each patient’s diagnoses and healthcare needs.

Urogynecology Experts

Stephanie Handler, MD

Dr. Stephanie Handler brings extensive expertise in urogynecology and reconstructive pelvic surgery. She is one of only 850 urogynecologists in the United States. Dr. Handler is double board-certified by the American Board of Obstetrics and Gynecology in Urogynecology and Reconstructive Pelvic Surgery, and Obstetrics and Gynecology.

Phone: 805-324-9144

Address: 2400 Bath St. Suite 102, Santa Barbara, CA 93105

Quality of Life

Cottage Health's Urogynecology experts restore quality of life by helping with:

  • Pelvic organ prolapse – when the pelvic muscles and tissue can no longer support one or more pelvic organs, they may drop or press into the vagina. This includes vaginal prolapse, uterine prolapse and rectal prolapse.
  • Bladder control problems – the leaking of urine, called urinary incontinence, can happen in women or men when the bladder falls from its proper place. You may also feel a sudden, strong urge to urinate.
  • Bowel control problems – the leaking of liquid or solid stool from the rectum, called fecal incontinence, can happen when the rectum is out of place, and for other reasons.
  • Recurrent bladder infections – the frequent development of urinary tract infections, which may cause painful and frequent urination.
  • Chronic pelvic pain and interstitial cystitis – the long-term sensation of pain, pressure or discomfort in the pelvis and/or bladder.
  • Vagina or urethral masses – masses can include vaginal cysts, glandular cysts (Bartholin’s, Skene’s or Gartner’s ducts cysts), or urethral (diverticula) or peri-urethral cysts.

Conditions Treated

  • Bladder drop
  • Bladder leak
  • Bladder pain syndrome (interstitial cystitis)
  • Chronic pelvic pain
  • Fecal incontinence
  • Fistula (rectovaginal, urethrovaginal, vesicovaginal)
  • Menopause and perimenopause
  • Overactive bladder
  • Pelvic organ prolapse
  • Postpartum pelvic floor conditions
  • Recurrent bladder infections
  • Sexual dysfunction, including painful intercourse and low libido
  • Urinary incontinence
  • Uterus dropping
  • Uterus falling
  • Vaginal, vulvar, and urethral cysts (urethral diverticula)
  • Vaginal bulge

Services Offered

  • Urodynamic studies
  • Cystoscopy
  • Bladder Botox for urge urinary incontinence
  • Urethral bulking for stress urinary incontinence
  • Percutaneous tibial nerve stimulation
  • Pessary care
  • Surgical interventions, including minimally invasive (vaginal) and robotic surgeries

Virtual Meet the Doctor

Dr. Stephanie Handler

A Conversation with Dr. Stephanie Handler on Women’s Health Pelvic Prolapse and Urinary Incontinence

Discover expert insights on two common yet often unspoken women’s health issues:

• Pelvic Prolapse (pelvis bulge)
• Urinary Incontinence (lack of control or involuntary leaking from the bladder)

Watch Presentation

Contact Information

Structural Heart Clinic at Santa Barbara Cottage Hospital

Cottage Gynecologic Oncology Clinic

2400 Bath St., Suite 102
Santa Barbara, CA 93105

805-324-9144

Cottage Gynecologic Oncology - SLO Satellite Clinic

Cottage Gynecologic Oncology - SLO Satellite Clinic

3970 Broad St., Suite 2
San Luis Obispo, CA 93401

805-324-9144