Services
Diagnostics
Cystometry – diagnostic procedure that measures bladder capacity and pressure changes as the bladder fills and empties.
Cystoscopy – procedure in which a viewing tube (cystoscope) is passed through the urethra to examine the inside of the bladder and ureters or to treat a disorder.
Urodynamics – a series of diagnostic tests designed to measure pressure in the bladder, urethra and abdominal cavity simultaneously to determine the cause of urinary incontinence or voiding dysfunction.
Interstitial Cystitis Screening – may involve cytoscopy, potassium infusion test (a solution of potassium chloride is instilled in the bladder via urinary catheter) and a questionnaire.
Treatment
Non Surgical
Pessary – a silicone, rubber or plastic device that is inserted into the vagina non-surgically to support the uterus, vagina, bladder and rectum. There are many different pessaries and they can be used to treat prolapse and/or stress incontinence.
Biofeedback and Kegel Exercises - Kegel exercises help strengthen the muscles of the pelvic floor that surround and support the vagina, bladder and rectum. Biofeedback (a technique where one learns to be aware of and control specific physiological processes), used in conjunction with Kegel exercises, helps women gain awareness and control their pelvic muscles
Postpartum Rehabilitation & Symptom Relief - pelvic floor exercise after childbirth can significantly reduce stress urinary incontinence symptoms and may also benefit sexual function. We also treat post-childbirth problems such as painful episiotomy sites, sexual dysfunction and bowel problems.
Urtheral Injections - a minimally invasive procedure that involves agents injected around the urethra while the patient is under anesthesia. It is used to treat stress incontinence.
Sexual Dysfunction - the doctors at the Center for Female Sexual Dysfunction can perform a detailed history and physical examination to identify the cause of the problem. Laboratory testing is done to evaluate for hormonal imbalance and different treatment options are available when this is detected. Surgical correction of vulvar or vaginal abnormalities is available to women who have enlarged labia or vaginal prolapse that interferes with there sexual function. The doctors work in conjunction with counselors who can help establish a stronger relationship with your partner.
Novasys Renessa Procedure – the Renessa procedure is a non-surgical treatment option for stress urinary incontinence. It involves a small probe that is passed through the urethra and delivers radiofrequency energy to generate controlled heat at low temperatures in tissue targets within the lower urinary tract. The heat denatures collagen in the tissue at multiple small treatment sites. Upon healing, the treated tissue is firmer, increasing resistance to involuntary leakage at times of heightened intraabdominal pressure, such as laughing, coughing or exercise, thereby reducing or eliminating incintinence episodes. There are no incisions, bandages or dressings required. Recovery is rapid and comfortable, with minimal post-procedure limitations.
Surgical
The division is a major referral center for surgical treatment of prolapse and urinary incontinence. We perform all the current surgical treatment options and we believe in individualizing each patient’s surgical procedure and discussing and reviewing all available treatment options with them.
TVT Suburethral Sling - a minimally invasive procedure in which a small piece of thin mesh is placed under the urethra for the treatment of stress incontinence. It offers a high cure ratio.
Burch Procedure – a treatment for stress incontinence in which the lower bladder is supported by suturing the vagina to the pelvic ligaments. The surgery can be performed laparoscopically.
Sacral Colpopexy – a treatment for vaginal prolapse in which the upper vagina is secured to the sacrum (tailbone) using a mesh. The procedure can be performed laparoscopically.
Vaginal Hysterectomy – removal of the uterus through the vagina. It is associated with fewer complications, a shorter length of hospitalization and faster recovery than the removal of the uterus through an abdominal incision.
Vaginal Pelvic Floor Reconstruction – a procedure that aims to re-support the vagina, bladder and/or rectum through the vagina, thereby avoiding an abdominal incision.
Vaginal Mesh Procedures – placement of synthetic materials vaginally, avoiding an abdominal incision, to aid in the support of the vagina, bladder and/or rectum
Interstim (Sacral Neuromodulation Therapy) – a treatment designed to treat urinary urge incontinence, urinary retention or significant symptoms of urgency-frequency in select individuals. The therapy uses a small device to send mild electrical pulses to a nerve located in the lower back (just above the tailbone). This nerve, called the sacral nerve, controls the bladder and surrounding muscles that manage urinary function. The electrical stimulation may eliminate or reduce certain bladder control symptoms in people for whom other treatments have failed.
Pessary – a silicone, rubber or plastic device that is inserted into the vagina non-surgically to support the uterus, vagina, bladder and rectum. There are many different pessaries and they can be used to treat prolapse and/or stress incontinence.
Biofeedback and Kegel Exercises - Kegel exercises help strengthen the muscles of the pelvic floor that surround and support the vagina, bladder and rectum. Biofeedback (a technique where one learns to be aware of and control specific physiological processes), used in conjunction with Kegel exercises, helps women gain awareness and control their pelvic muscles
Postpartum Rehabilitation & Symptom Relief - pelvic floor exercise after childbirth can significantly reduce stress urinary incontinence symptoms and may also benefit sexual function. We also treat post-childbirth problems such as painful episiotomy sites, sexual dysfunction and bowel problems.
Urtheral Injections - a minimally invasive procedure that involves agents injected around the urethra while the patient is under anesthesia. It is used to treat stress incontinence.
Sexual Dysfunction - the doctors at the Center for Female Sexual Dysfunction can perform a detailed history and physical examination to identify the cause of the problem. Laboratory testing is done to evaluate for hormonal imbalance and different treatment options are available when this is detected. Surgical correction of vulvar or vaginal abnormalities is available to women who have enlarged labia or vaginal prolapse that interferes with there sexual function. The doctors work in conjunction with counselors who can help establish a stronger relationship with your partner.
Novasys Renessa Procedure – the Renessa procedure is a non-surgical treatment option for stress urinary incontinence. It involves a small probe that is passed through the urethra and delivers radiofrequency energy to generate controlled heat at low temperatures in tissue targets within the lower urinary tract. The heat denatures collagen in the tissue at multiple small treatment sites. Upon healing, the treated tissue is firmer, increasing resistance to involuntary leakage at times of heightened intraabdominal pressure, such as laughing, coughing or exercise, thereby reducing or eliminating incintinence episodes. There are no incisions, bandages or dressings required. Recovery is rapid and comfortable, with minimal post-procedure limitations.
TVT Suburethral Sling - a minimally invasive procedure in which a small piece of thin mesh is placed under the urethra for the treatment of stress incontinence. It offers a high cure ratio.
Burch Procedure – a treatment for stress incontinence in which the lower bladder is supported by suturing the vagina to the pelvic ligaments. The surgery can be performed laparoscopically.
Sacral Colpopexy – a treatment for vaginal prolapse in which the upper vagina is secured to the sacrum (tailbone) using a mesh. The procedure can be performed laparoscopically.
Vaginal Hysterectomy – removal of the uterus through the vagina. It is associated with fewer complications, a shorter length of hospitalization and faster recovery than the removal of the uterus through an abdominal incision.
Vaginal Pelvic Floor Reconstruction – a procedure that aims to re-support the vagina, bladder and/or rectum through the vagina, thereby avoiding an abdominal incision.
Vaginal Mesh Procedures – placement of synthetic materials vaginally, avoiding an abdominal incision, to aid in the support of the vagina, bladder and/or rectum
Interstim (Sacral Neuromodulation Therapy) – a treatment designed to treat urinary urge incontinence, urinary retention or significant symptoms of urgency-frequency in select individuals. The therapy uses a small device to send mild electrical pulses to a nerve located in the lower back (just above the tailbone). This nerve, called the sacral nerve, controls the bladder and surrounding muscles that manage urinary function. The electrical stimulation may eliminate or reduce certain bladder control symptoms in people for whom other treatments have failed.