Burch procedure
Burch Procedure is used to correct urine loss that occurs with coughing, sneezing, laughing or activity (stress incontinence). We also offer this procedure to women who don’t complain of incontinence but do show loss of urine when their pelvic relaxation is replaced during urodynamics (bladder testing) and require other abdominal surgery for prolapse (pelvic relaxation).
Read more about what you can expect.
Colpopexy
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Abdominal sacral
Abdominal Sacral Colpopexy (ASC) is a procedure is typically done to correct slippage of the top of the vagina and/or uterus and cervix. A hysterectomy can be done first if it is needed with this procedure. If a hysterectomy is done, the cervix may remain after removing the uterus so that more tissue is available to attach our supports (mesh) to. In some patients a Burch procedure or suburethral sling is performed to support the bladder neck as associated urinary stress incontinence is common. This entire procedure can also be performed through minimally invasive laparoscopic surgery in some patients. Read more about what you can expect.
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Laparoscopy/robotic sacral
Laparoscopic or Robotic procedures are minimally invasive technologies that can be utilized to perform this specialized surgery, which is considered the most durable for appropriate candidates and is done to correct uterine and vaginal prolapse. Only small incisions are needed to complete the procedure so that patients have less pain, a shorter hospital stay, and a quicker recovery.
This procedure is typically done to correct prolapse of the top of the vagina and/or uterus and cervix. A hysterectomy is done first if it is needed. If a hysterectomy is done, the cervix may remain after removing the uterus so that more tissue is available to attach our supports to. Read more about what you can expect.
Hysterectomy
A hysterectomy is the surgical remove a woman's uterus or womb and can be performed by a variety of minimally invasive procedures such as a laparoscope-assisted vaginal hysterectomy/ robot-assisted laparoscopic hysterectomy, laparoscopic supracervical hysterectomy or a vaginal hysterectomy.
Learn more about the various surgical hysterectomy techniques.
Laparoscopy/gynecologic surgery
Laparoscopy is a procedure used to examine the organs of the abdominal cavity. Laparoscopy utilizes a laparoscope, a thin flexible tube containing a video camera. The laparoscope is placed through a small incision in the abdomen and produces images that can be seen on a computer screen. A similar procedure can be used to look at the organs of the pelvis (gynecologic laparoscopy or pelviscopy).
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Learn more about laparoscopy.
Paravaginal repair of cystocele
Paravaginal repair is typically done to correct bulging of the front wall (anterior wall) of the vagina that has resulted from lateral detachment of the supports of the bladder. This is typically done through a bikini incision in the abdomen, but can be done laparoscopically (minimally invasive) as well.
Learn more about what you can expect.
Pessary
A Pessary is a device that is placed into the vagina to support the uterus, bladder and rectum to relieve prolapse and urinary incontinence. They are made in a variety of shapes and sizes. Pessaries are an alternative to surgery. Some people wear them until they are able to have surgery. Others may choose to wear them the rest of their life.
Read more information detailing the exercises.
Urethral bulking
Urethral bulking is a type of therapy used for stress urinary incontinence. It is a minor office procedure to treat some patients with stress urinary incontinence. This procedure, done in the office under local anesthesia, is FDA approved for certain types of stress incontinence.
Urgent PC/neuromodulation
Urgent PC is a non-surgical, non-drug treatment for overactive bladder. The procedure is done in the office and is designed to provide percutaneous tibial nerve stimulation for the treatment of overactive bladder and associated symptoms of urinary urgency, frequency, and urge incontinence.
Vaginal cystocele repair
Vaginal cystocele repair is typically done to correct bulging of the front wall of the vagina. This bulging can cause symptoms such as the sensation of sitting on a ball, incomplete emptying of the bladder, overactive bladder symptoms, recurrent urinary tract infections, and pelvic discomfort.
Learn more about what you can expect.
Vaginal mesh removal
Some women may have had adverse reactions to implants (vaginal mesh) placed for repair of prolapse or incontinence. These reactions may include erosion or exposure of the implant material, pelvic pain, pain with sex, incontinence, or voiding problems. Treatment options include surgical removal, medical therapy and physical therapy.
Vaginal rectocele repair
Vaginal rectocele repair is typically done to correct bulging of the bottom wall of the vagina. This bulging can cause symptoms such as the sensation of sitting on a ball, incomplete emptying of the rectum, and pelvic discomfort.
The surgery is usually done through a vaginal approach, but in some circumstances a combined abdominal and vaginal approach to the repair is made.
Learn more about what you can expect.