UroGynecology

About

Talk to us.  We’re here to listen.

We care about women's health and specialize in treating women with pelvic floor disorders. We know how limiting it can be for women and we know how great it feels when it is fixed.  We pride ourselves on offering treatments that work and work for you. We are three female providers who specialize in Female Pelvic Medicine and Reconstructive Surgery and diagnose and treat Urinary Incontinence, Pelvic Organ Prolapse, Pelvic Floor Disorders, Vaginal Childbirth Trauma, and Bowel Control Issues.

Our goal is to empower our patients through education and by raising women’s awareness of the effective conservative and more advanced treatment options available to them.

A wide range of treatments including minimally invasive surgery or robotic surgery, sling surgery, vaginal surgery, open surgery, extensive conservative options, medications, and office-based procedures are available for these conditions. By finding a treatment choice that is right for you, we will work to make a positive difference in your quality of life and get you back into the life that you enjoy.

What is a Urogynecologist?

A urogynecologist is an obstetrician/gynecologist who has specialized in the care of women with pelvic floor disorder. The pelvic floor is the muscles, ligaments, connective tissue and nerves that help support and control the rectum, uterus, vagina and bladder. The pelvic floor can be damaged by childbirth, repeated heavy lifting, chronic disease or surgery. Learn more.

Related Specialties: 

Team

Our physicians have advanced, post-residency surgical training and are board certified in Female Pelvic Medicine and Reconstructive Surgery (also known as Urogynecology) so they can optimally treat urinary incontinence, pelvic organ prolapse, and pelvic floor dysfunction. They specialize in robotic surgery, sling surgery, vaginal surgery, and open surgery. They are able to perform surgeries with and without mesh and tailor each surgery to the individual’s needs. They also have close relationships with physicians in other disciplines if a combined surgery is indicated.  The nurse practitioner in our practice holds national board certification in Women’s Health and has extensive training in non-surgical treatments for pelvic floor disorders.

Together, we have created a team to help women who are bothered by these private and often debilitating conditions- conditions that rob women of the ability and desire to stay active and healthy.

Areas of Focus:
Urinary Incontinence, Pelvic Organ Prolapse, Pelvic Floor Disorders
Areas of Focus:
Conservative (Non-Surgical) Management of Pelvic Floor Disorders, Urinary & Fecal Incontinence, Constipation, Voiding Dysfunction, Pelvic Organ Prolapse
Areas of Focus:
Pelvic Organ Prolapse, Urinary Incontinence, Pelvic Floor Disorders

Conditions & Procedures

At UroGynecology Associates, we commonly diagnose and treat women with urinary incontinence, pelvic organ prolapse, fecal incontinence and pelvic floor dysfunction.  Please see the additional links below for additional diagnosis and treatment information.

Frequently Asked Questions

Here are the answers to some questions that we are frequently asked.

What is open surgery?

Some surgeries require an open or abdominal incision. The most common type of incision is a “bikini cut” incision.

What is minimally invasive surgery?

Over time, surgical incisions have gotten smaller and smaller. A smaller abdominal incision is associated with less pain. We perform minimally invasive surgeries with the aid of a DA Vinci robot. This allows us to use several small incisions rather than one large incision. This type of surgery is associated with a shorter recovery and healing period as well as less blood loss and scarring.

What is vaginal surgery?

Vaginal surgery is done through a vaginal incision. With this type of surgery there is no incision on the abdomen. It is a less painful surgical route. Surgeries for pelvic organ prolapse can be done through a vaginal incision. A vaginal mesh may or may not be used. Hysterectomies can be done through a vaginal incision.

What is the best treatment option for me?

There is no “best” treatment option.  We work to help you pick the treatment that suits you best.  We will work to help you identify your treatment goals and work towards those goals.

What can you tell me about surgical mesh?

Mesh has been used in surgery for decades now. How and where the mesh is used, as well as the specific type of mesh, impacts the complication rate. All mesh is associated with an erosion rate but this rate is usually quite low (around 3%). A mesh sling surgery is currently considered to be the gold standard surgery. Meshes that placed to treat prolapsed through an abdominal incision have a low complication rate.

 

Health Info

Health Tips & Info: 

Recommended Links

Educating yourself about your diagnosis and treatment options is important. Browse through the following urogynecology resources which provide excellent information to help you.

Resource Links

What is Urodynamic Testing?

Quick bio lesson: spin on the internal female anatomy depicted in underwear

Resource Websites

National Association for Continence
http://www.nafc.org/
This is the website of the National Association for Continence. It has lots of good information about urinary and fecal incontinence, treatments, etc. There is also some informataion on pelvic organ prolapse.

My Pelvic Health
http://www.mypelvichealth.org
This is a website by the American Urogynecologic Society. It also has information on urinary and fecal incontinence as well as prolapse.

Urinary Incontinence in Women
http://kidney.niddk.nih.gov/kudiseases/pubs/uiwomen
This is a website supported by the National Institutes of Health (NIH) on urinary incontinence.

Fecal Incontinence
http://digestive.niddk.nih.gov/ddiseases/pubs/fecalincontinence
This is a website supported by the NIH on fecal incontinence.

Recommended Reading

Book: Women's Waterworks: Curing Incontinence

Women’s Waterworks: Curing Incontinence
by Pauline ChiarelliThis is a small, fun to read and informative book that is a great initial reference on female incontinence. Dr. Chiarelli, a physical therapist, focuses on the muscles of the pelvic floor and the disorders that happen when the muscles are weak. She briefly discusses causes of incontinence, testing, and other treatments, including medication and surgery.

 

Urinary Incontinence Sourcebook

Urinary Incontinence Sourcebook
by Diana Kaschak NewmanComplete source from a noted nurse expert on the normal functions of the bladder and urinary tract, the common causes and types of urinary incontinence, preventive measures and treatment options including medications and surgery.

 

The Incontinence Solution

The Incontinence Solution: Answers for Women of All Ages
by Dr. William H. Parker, Dr. Amy E. Rosenman, and Rachel ParkerThe authors discuss the controversial links between childbearing and incontinence, describe diagnostic testing, discuss non-surgical treatment, and surgical treatments.

 

News

Patient Testimonials

I will always be thankful for finding someone like you who cares about their patients. Before I came to you, I really thought I would never have quality of life again. Your wonderful staff is a “side benefit.” I feel so secure when I am in your office. To have hope again is a dream come true. Thanks again for all you have done for me. I appreciate it so much.
Sally B., 73yo church volunteer and grandmother

I’m so free.
Margaret H., 35yo training for the marathon

Thank you for all that you’ve done for me! I have a new life without ‘accidents’ to look forward too!
Bev J., 64yo getting ready to enjoy retirement

Thank you so much for performing the surgery! My softball season has started – and I haven’t had any issues! I’ve been running 6 miles a day and enjoying golf. Life is GREAT!
Jodenne S., 46yo attorney and athlete

I just wanted to thank you for taking such good care of my Mom. I don’t think you get told enough what a wonderful doctor and caring person you are.
Cynthia R., 50yo caring daughter