Services & Procedures
Our fellowship-trained physicians offer a complete range of care for the management of pelvic floor disease. This includes both surgical and conservative therapies for prolapse of the uterus and vaginal walls, urinary and fecal incontinence, chronic pelvic pain, including pain that originates in the bladder, abnormal uterine bleeding, and fibroid treatment.
Some of these conditions can be treated with non-invasive procedures; others require minor outpatient surgery or inpatient treatment. For conditions that require surgery, we use a minimally invasive approach when possible, operating either through the vagina or laparoscopically (through tiny abdominal incisions) to achieve maximum success and minimal discomfort.
Urodynamic testing is used for diagnosis to better understand how a patient’s bladder is working. It allows the physicians to determine the most effective course of treatment based on the findings. Some common types of tests performed with urodynamics are:
- Uroflow Testing
- Multichannel Cystometry
- Voiding Pressure-Flow Studies
- Urethral Pressure Profiles
Pelvic Floor Rehabilitation
This non-surgical option for urinary incontinence uses biofeedback to teach patients how to strengthen their pelvic floor muscles using “Kegel” exercises and electrical stimulation. This treatment also helps patients who need to strengthen pelvic muscle control following surgery.
Our physicians and nurse practitioner also treat patients who need routine gynecologic care and examinations. Our physicians follow up abnormal Pap tests with outpatient colposcopy examinations and LEEP procedures.
Minimally Invasive Procedures
We specialize in innovative surgical procedures, including advanced laparoscopic procedures and robotic surgery using the da Vinci Surgical System. These minimally invasive techniques may decrease recovery time, scarring, pain, and risk of infection. For more info, please see the da Vinci website.
Diagnosis and Treatment
The following websites may help you better understand your condition and the possible treatments. Specific questions should be addressed to one of our physicians at your consultation.
Pelvic Organ Prolapse
Information from Albemarle Pulmonary Medicine Associates
Information from WebMD
- Go Ask Alice!
- National Library of Medicine
- Columbia University Center for Chronic Pelvic Pain
- Columbia University Breast Health Center
- North American Menopause Society
- National Osteoporosis Foundation
- American Urogynecologic Society
- American Society for Reproductive Medicine
- Gay and Lesbian
- Intersex Society
- International Society for the Study of Women’s Sexual Health