Urogynecology and Pelvic Reconstructive Surgery
Below you will find a list of urogynecologic conditions that I offer medical and surgical treatment for, as well as other female genitourinary conditions that I manage.
Cystocele (dropped bladder)
Fecal incontinence (FI) (unwanted loss of stool)
Vaginal mesh complications (Complications that can occur in the bladder, urethra and vagina as a result of mesh placed during procedures for the treatment of stress urinary incontinence or vaginal prolapse)
Blood in the urine evaluations (to rule out urinary tract cancers)
Genitourinary syndrome of menopause (changes in the bladder, urethra and vaginal function that occur with declining estrogen levels)
Uterine or vaginal vault prolapse (Dropping of the uterus or top of the vaginal canal after a hysterectomy that can be visible or "felt" at the vaginal opening)
Urethrovaginal fistula (an abnormal connection between the female urethra and vaginal wall that can occur after surgical procedures on the urethra or other conditions affecting the female urethra)
Bartholin cysts (Glands around the vagina that help create vaginal moisture that can get infected and or obstructed leading to pain, swelling or vaginal dryness)
Overactive bladder (OAB) (Urinary frequency and urgency)
Urge urinary incontinence (UUI) (Leakage of urine that occurs when you cannot delay the urge to urinate)
Recurrent UTI (3 or more symptomatic bladder infections in 1 year, or 2 or more in 6 months or less)
Interstitial Cystitis/Bladder Pain Syndrome (IC/BPS) (is an inflammatory condition of the bladder characterized by pain with bladder filling and severe urinary frequency and urgency)
Enterocele (herniation of the small bowel through connective tissue just below the vaginal wall)
Latrogenic bladder or ureteral injuries (injuries caused to the urinary tract during surgical procedures)
Voiding Dysfunction (inability to empty the bladder normally)
Bladder and kidney stones
Urethral diverticulum or Skene's gland cyst (Urethral glands along the female urethra that can become obstructed and infected leading to pain, difficulty voiding, recurrent UTI, urine leakage or pus from the urethra)
Female Stress Urinary incontinence (SUI) (unwanted loss of urine with coughing, straining or activity)
Congenital and acquired conditions (Vaginal or labial cysts, Gartner's duct cysts, skin tags, infra-pubic cartilaginous cysts, lichen sclerosus etc.)
Rectocele (bulge at the bottom of the vagina caused by the rectum pushing upwards into the back vaginal wall)
I offer the following Urogynecologic surgical treatments:
• Native tissue vaginal prolapse reconstructive repairs without mesh
• Obliterative vaginal prolapse surgeries
• Mid urethral sling placements
• Bulkamid injection (injection of an inert bulking material very effective at treating female SUI)
• Intravesical Botox injection
• Urethral diverticulectomy
• Skene's gland excision
• Bartholin duct excision
• Vesicovaginal or urethral vaginal fistula repair
• Vaginal or urethral mesh complication surgical repair
• Sacral Neuromodulation
Genital Aesthetics
Women experience a wide array of changes in their sexual function related to vaginal birth injuries that may result in “vaginal looseness”, decreased sensation during penetrative intercourse, or altered appearance of the vagina, which can make women feel less confident about their genitalia overall. Moreover, dramatic weight loss alters the external part of the female genitalia including the labia majora making them look lean and thin and sex uncomfortable for them. Some women may have an issue with the size of their labia minora (the smaller lips); they may be so large that they get entangled in undergarments and create discomfort. Other women may not like the appearance of the clitoris or may have redundant skin tissue that hinders pleasure during intercourse. Menopausal women may experience vaginal dryness making penetrative intercourse uncomfortable or even reduce their sexual desire. I offer a wide variety of cash pay aesthetic surgical and non-surgical services to address these concerns including:
• Surgical vaginal rejuvenation (vaginal tightening)
• Labial puffing (Injection of inert material to increase bulk of labia major)
• Labiaplasty (surgical modification of the appearance of the small lips of the vagina)
• Clitoral hood reduction (to improve the appearance of the clitoris, to expose the most sensitive portion of the clitoris to improve sensation during sexual intercourse
• G-spot enhancement (injection of your own plasma rich concentrate to enhance sensation during intercourse)
• Vaginal estrogen replacement (and other treatments and recommendations to improve vaginal dryness)
• FDA approved medications to address decreased female libido
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