Comprehensive Evaluation & Diagnostic Testing

Urinary Incontinence

• Stress urinary incontinence
• Urge urinary incontinence
• Overactive bladder

Pelvic Organ Prolapse

• Uterine prolapse
• Anterior vaginal wall prolapse (cystocele/bladder prolapse)
• Apical vaginal prolapse (enterocele/vaginal vault prolapse)
• Posterior wall prolapse (rectocele)

Fecal Incontinence

• Post-delivery and post-surgical

Fistulas

• Vesicovaginal (bladder/vagina)
• Vesicouterine (bladder/uterus)
• Vesicocutaneous (bladder/skin)
• Rectovaginal (rectum/vagina)
• Urethral reconstruction (fistula/diverticulum)

Congenital Anomalies

• Vaginal agenesis
• Imperforate hymen
• Vaginal septum

Diagnostic Testing

• Complex urodynamic testing
• Cystourethroscopy
• Bladder instillation
• Endoanal ultrasound
• Anal manometry

Treatment Options

Conservative Treatments

• Pelvic floor re-education
• Biofeedback
• Urge suppression drill
• Relaxation techniques
• Botox injection under local anesthesia for over active bladder
• Posterior Tibial Nerve Stimulation for over active bladder

Medical Treatment for

• Overactive bladder syndrome
• Stress urinary incontinence
• Fecal incontinence
• Pessary for prolapse
• Interstitial cystitis or Painful Bladder Syndrome
• Chronic prostatitis
• Neurogenic bladder

Surgical Treatments

• Vaginal reconstructive surgery
• Abdominal reconstructive surgery
• Laparoscopic reconstructive surgery
• Pubovaginal slings, tension-free midurethral slings
• Vaginal mesh procedures, if appropriate
• Anal sphincteroplasty
• Sacral nerve stimulation
• Botulinum toxin injection
• Surgical management of stones
• Robotic, Laparoscopic, and open surgical treatment of prostate, bladder, kidney and other urinary tract cancers
• Surgical treatment for erectile dysfunction
• Repair of urinary tract fistulae
• Treatment for urinary tract obstruction by the prostate with laser, bipolar, and traditional Transurethral Resection of the prostate
• Reconstructive surgeries for neurogenic bladder

Robotic-Assisted Surgery (minimally invasive)

• Vaginal vault prolapse (details)
• Hysterectomy (details)