Dr. Fenwa Milhouse on Female Urology, Incontinence & the Truth About Slings
In this candid conversation, Dr. Fenwa Milhouse, board-certified urologist and fellowship-trained specialist in female pelvic medicine, joins me to talk about conditions that affect so many of our patients but are often dismissed or misunderstood. She also happens to be my urologist, so I know firsthand the impact of her work.
We discuss her journey into urology, the importance of representation in medicine, and her focus on female pelvic health from prolapse and incontinence to the surgical and non-surgical treatments that can dramatically improve quality of life.
From mid urethral slings to bulking agents like Bulkamid, Dr. Milhouse breaks down the options for restoring bladder control and day to day comfort. We also explore how pelvic floor dysfunction can affect self-image and sexual wellbeing and why informed consent must include conversations about pleasure, not just pathology.
Highlights:
Representation in Urology: Dr. Milhouse shares how meeting a Black woman urologist shaped her path into a field traditionally dominated by older white men and how that representation continues to matter.
Prolapse Realities: From “it felt like I had a scrotum” to “an egg between my legs,” Dr. Milhouse describes how patients experience pelvic organ prolapse and what options exist to restore both anatomy and confidence.
Incontinence Treatments Explained: A breakdown of surgical and non-surgical options—like mid urethral slings and Bulkamid and how patient goals and downtime factor into decision making.
Preserving Sexual Function: Why asking about cervical orgasms matters, and how uterine sparing procedures can protect sexual wellbeing during prolapse repair.
Medical Bias and Advocacy: A frank discussion about racism, bias, and the emotional toll that clinicians of color face—both from patients and within the healthcare system.
