Cystoscopy of the Bladder Cystoscopy is a test that looks at the inner lining of the bladder and the tube from the bladder to the outside of the body (urethra). The cystoscope is a thin, lighted viewing tool that is put into the urethra and moved into the bladder. When the cystoscope is inside your… Read more

Urethral Sling for Stress Incontinence in Women Surgery Overview Urethral sling surgeries to treat urinary incontinence involve placing a sling around the urethra to lift it back into a normal position and to exert pressure on the urethra to aid urine retention. The sling is attached to the abdominal wall. The sling material may be… Read more

Vaginal Sling Procedure for Stress Urinary Incontinence The purpose of the vaginal sling procedure is to create a hammock of support and to help prevent the urethra from opening when you cough, sneeze, or laugh. The procedure involves placing a piece of material under the urethra. The material options available to us include synthetic mesh,… Read more

  Prevention Non-Surgical Management Surgical Management   Navigate back to Incontinence Main Page

Burch Colposuspension Midurethral Slings with Mesh Macroplastique   Navigate back to Stress Incontinence

Vaginal Pessaries  Pessaries are successfully used for the treatment of stress urinary incontinence and vaginal wall prolapse. These are plastic devices typically made of silicon, similar to vaginal contraceptive diaphragms, which are used to either liftand support the vaginal walls. Success: About half of the women who are successfully fitted with a pessary will continue… Read more

Non-Surgical Treatments Lifestyle Changes Pessary  Pelvic Floor Muscle Strengthening Exercises “KEGELS” Surgical Management Navigate back to Stress Incontinence

Diagnosis The first step is to determine which type of urinary incontinence you may have. The type of incontinence will determine which course of treatment we can off you. To begin, we will collect a thorough history and physical exam. The history and exam may give our doctor indicators or clues as to what incontinence you may be experiencing. Next,… Read more

  Indications for Urodynamic Testing: If you have a problem with urination or urinary leakage, your physician may order a test called Multichannel Urodynamic Testing to evaluate the cause of your problem. This study assesses how well your bladder and urethra muscles work at storing and releasing urine. Indications are: * incontinence * frequent urination… Read more

Burch or Marshall Marchetti Krantz (MMK) Colposupension  These procedures are also called Retropubic Colposuspensions. These have been performed for over 50 years. The surgery is performed through a small open abdominal incision or laporascopically. In this operation, stitches are placed into the vaginal wall alongside the urethra at the bladder neck and then secured to… Read more

Stress Urinary Incontinence Stress urinary incontinence is loss of urine that occurs at the same time as physical activities that increase the pressure in the abdomen (such as sneezing, coughing, laughing, and exercising). These activities can increase the pressure within the bladder, which behaves like a balloon filled with liquid. The rise in pressure can… Read more

There is no single way to prevent these problems. Certain women are at genetic risk and have inherently poor strength of connective tissue Women can make lifestyle choices that can reduce her risk. In general, decreasing pressure on the pelvic floor walls is wise. This can be done by: Maintain normal weight or losing weight… Read more

After being diagnosed with pelvic organ prolapse, a woman generally has four options: No treatment – watch how things go Pessary for support Pelvic Floor Muscle Exercises “KEGELS” or referral to pelvic floor physical therapy to improve muscle tone Surgery to correct the prolapse Just because you have been diagnosed with prolapsed , does not… Read more

If desire to maintain sexual function, the most important aspect of a repair is restoring the support of the upper 1/3 portion of the vagina. Common procedures that do this are: Abdominal Sacral Colpopexy Uterosacral or Sacrospinous Ligament Fixation  If a patient does not have a desire to maintain sexual function, a third option is Colpoceisis… Read more

After being diagnosed with pelvic organ prolapse, a woman generally has four options: No treatment – watch how things go Pessary for support Pelvic Floor Muscle Exercises “KEGELS” or referral to pelvic floor physical therapy to improve muscle tone Surgery to correct the prolapse Just because you have been diagnosed with prolapsed , does not… Read more

There is no single way to prevent these problems. Certain women are at genetic risk and have inherently poor strength of connective tissue Women can make lifestyle choices that can reduce her risk. In general, decreasing pressure on the pelvic floor walls is wise. This can be done by: Maintain normal weight or losing weight… Read more

There is no single way to prevent these problems. Certain women are at genetic risk and have inherently poor strength of connective tissue Women can make lifestyle choices that can reduce her risk. In general, decreasing pressure on the pelvic floor walls is wise. This can be done by: Maintain normal weight or losing weight… Read more

There is no single way to prevent these problems. Certain women are at genetic risk and have inherently poor strength of connective tissue Women can make lifestyle choices that can reduce her risk. In general, decreasing pressure on the pelvic floor walls is wise. This can be done by: Maintain normal weight or losing weight… Read more

After being diagnosed with pelvic organ prolapse, a woman generally has four options: No treatment – watch how things go Pessary for support Pelvic Floor Muscle Exercises “KEGELS” or referral to pelvic floor physical therapy to improve muscle tone Surgery to correct the prolapse Just because you have been diagnosed with prolapsed , does not… Read more