Why Choose Us?


 

Female Pelvic Medicine and Reconstructive Surgery (FPMRS) was recently designated as the 4th sub-specialty in the field of Obstetrics and Gynecology. Currently, there are only approximately 300 of these subspecialists in the United States. This subspecialty is focused on the treatment of pelvic floor disorders such as:

  • Urinary incontinence
  • Fecal incontinence
  • Painful bladder syndrome
  • Urinary frequency
  • Advanced Pelvic Organ Prolapse (vaginal vault prolapse, cystocele, rectocele, and uterine prolapse)
  • Vesicovaginal fistula, Rectovaginal fistula
  • Interstitial cystitis
  • Congenital absence of vagina

Evaluation and treatment options

  • Multichannel urodynamic evaluation
  • Anomanomentry
  • Pelvic Floor Rehabilitation
  • Cystourethroscopy
  • Dynamic fluoroscopy
  • Kegel exercise therapy
  • Diet and behavior modification therapy
  • Bladder retraining
  • Pessary fitting
  • Medication therapy
  • Bladder instillations
  • Electrodiagnostic testing of the pelvic floor

Surgical options

  • Endoscopic injection of vesical neck of urethra
  • Botox injection
  • Sacral nerve modulation
  • Percutaneous tibial nerve stimulation
  • Bladder neck suspension
  • Suburethral slings (e.g. TVT)
  • Vaginal vault suspension procedures
  • Site-specific repair of Advanced Pelvic Organ Prolapse with both vaginal and abdominal approach
  • DaVinci Robotic minimally Invasive surgery

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