Dr. Hoyte is a fellowship-trained, Board Certiﬁed specialist in Female Pelvic Medicine and Reconstructive Surgery, also known as urogynecology. He provides personalized, evidence-based treatments and a wide range of successful surgical and nonsurgical therapies for all types of pelvic ﬂoor disorders. Dr. Hoyte is a pioneer in MRI-based 3D female pelvic imaging, and he helped train a generation of surgeons in 3D female pelvic anatomy. He started the ﬁrst board-approved training program in FPMRS in the state of Florida, and he trained and graduated the ﬁrst three Florida-grown FPMRS specialists
What are pelvic ﬂoor disorders?
Pelvic ﬂoor disorders (PFDs) are a group of conditions that affect the pelvic ﬂoor. The pelvic ﬂoor includes the muscles, ligaments and connective tissue in the lowest part of the pelvis. It supports your organs, including the bowel, bladder, uterus, vagina and rectum. Women with pelvic ﬂoor disorders may experience bulging of the vaginal walls; urinary problems, such as urine leakage, an urgent need to urinate, painful urination or incomplete emptying of their bladder; stool leakage and/or constipation; straining or pain during bowel movements; pain or pressure in the vagina or rectum.
What are some of the treatment options for pelvic ﬂoor problems?
Generally, treatment options include pessaries (incontinence or prolapse); pelvic ﬂoor physical therapy (incontinence, constipation, prolapse or pain); neuromodulation (incontinence, fecal or urinary issues); Botox injections into the bladder or pelvic ﬂoor (urgency, incontinence or pain); or surgery (prolapse, incontinence). Sometimes, doing nothing is also an option.
Why would it beneﬁt a patient to see a pelvic medicine specialist instead of their regular OB/GYN?
Many general OB/GYNs are capable of treating pelvic ﬂoor disorders, provided they have the proper training. Generally speaking, women with recurrent or complex pelvic ﬂoor disorders, surgical complications, or those who do not respond to initial treatment are best served by seeing a female pelvic medicine specialist, who can offer a wider range of treatment options.
You were a pioneer in the use of robotic surgery to treat pelvic prolapse and have trained more than 60 surgeons in the use of the Da Vinci robotic surgery system. What are some of the latest advances in pelvic medicine that you’re excited about?
Many of the tried and true treatments for women with pelvic ﬂoor disorders have been available for some time. This includes surgical treatments for prolapse and incontinence. What is new and exciting is the emerging data from clinical trials that supports the efficacy of these treatments and the migration away from open abdominal surgery to minimally invasive (vaginal, laparoscopic and robotic) approaches to treatment of pelvic ﬂoor disorders. Physical therapy, Botox and neuromodulation are exciting, effective treatments for some pelvic ﬂoor disorders.
Q&A with Dr. Hoyte
Last book you read? “Physics for Future Presidents: The Science Behind the Headlines” by Richard A. Muller
Favorite charity? Crisis Center of Tampa Bay
Favorite meal in Tampa? Malio’s porterhouse, medium-well
Favorite healthy living tip? Avoid foods treated with hormones or antibiotics
THE PELVIC FLOOR INSTITUTE
2919 W. Swann Ave. #303
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