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 four female providers who specialize in Female Pelvic Medicine and Reconstructive Surgery and diagnose and treat Urinary Incontinence, Pelvic Organ Prolapse, Pelvic Floor Disorders, Fistulas, Childbirth Injury, Fecal Incontinence, 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 evidence-based treatments including minimally invasive surgery, robotic surgery, sling surgery, vaginal surgery, abdominal 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 to the life you enjoy.

What is a Urogynecologist?

A urogynecologist has completed obstetrics/gynecology training and has further focused on the care of women with pelvic floor disorders. The pelvic floor includes the muscles, ligaments, connective tissue and nerves that support and control the uterus, vagina, bladder, and rectum. The pelvic floor can be damaged by childbirth, repeated heavy lifting, chronic disease or surgery. Learn more.

New Patients

We are currently welcoming new patients. Please see our list of office locations to the right to find the location closest to you.

Once selecting a location, you can either call to schedule an appointment or click on a provider of your choice and request an appointment online.

Current Patients

Log into your online portal, MyHealth Connection, to request an appointment online, retrieve your medical records, request prescription refills, and communicate with your office.

If you don't have a log in, you can click on your office location to the right, and call or click on your provider to request an appointment.

Commonly Requested Forms & Information

To expedite your check-in process, please print and complete any applicable forms from our patient portal, MyHealthConnection (no login required).

Referring Physicians

To refer a patient to our practice, please visit the Office Location page of your choice to conveniently submit your referral online or call us at the number listed.

Team

Our physicians have advanced, post-residency training and are board certified in Female Pelvic Medicine and Reconstructive Surgery (also known as Urogynecology) so they understand and can optimally treat these complex conditions. 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 after thoroughly discussing all options. They also have close relationships with physicians in other disciplines if a combined operation 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. Additionally, she runs our Conservative Management Program.

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.

Meet Our Providers:

Rebecca Posthuma Batalden, MD
Areas of Focus:
Pelvic Organ Prolapse, Urinary Incontinence, Minimally Invasive Surgery, Vaginal Surgery, Pelvic Floor Disorders, Childbirth Injury, Bowel and Bladder Fistulas, Mesh Complications
more
Sarah Boyles, MD
Areas of Focus:
Urinary Incontinence, Pelvic Organ Prolapse, Minimally Invasive Surgery, Fistulas, Child Birth Injury
more
Laura Epton, PA-C
Areas of Focus:
Surgical Assistance, Urinary Incontinence, Pelvic Organ Prolapse, Fistulas, Childbirth Injury
more
Kathryn Hill, WHNP-BC
Areas of Focus:
Conservative (Non-Surgical) Management of Overactive Bladder, Percutaneous Tibial Nerve Stimulation (PTNS) for Overactive Bladder, Urinary Incontinence, Pelvic Organ Prolapse, Pessary Fitting/Management of Pelvic Organ Prolapse
more
Lesley Otto, MD
Areas of Focus:
Pelvic Organ Prolapse, Urinary Incontinence, Fistulas, Childbirth Injury, Fecal Incontinence
more

Conditions & Procedures

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 diagnoses and treatment information.

Health Info

Health Tips & Info: 


Frequently Asked Questions

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

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 less pain, 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 and incontinence can be done through a vaginal incision. A vaginal mesh may or may not be used, based on patient preference. Hysterectomies can be done through a vaginal incision.

What is the best treatment option for me?

There is no universal “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 together.

What can you tell me about surgical mesh?

Mesh has been used in surgery for decades. How the mesh is placed 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 5%). A mesh sling surgery is currently considered to be the gold standard surgery. Mesh placed to treat prolapse through an abdominal incision or robotically has a low complication rate. See more information on voicesforpfd.org

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 Websites

National Association for Continence: 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: 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: This is a website supported by the National Institutes of Health (NIH) on urinary incontinence.

Fecal Incontinence: This is a website supported by the NIH on fecal incontinence.

Recommended Reading

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

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: 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

Press Releases:

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