Our practice offers the most thorough, up-to-date and accurate evaluation and the latest, least invasive treatments for these conditions including da Vinci robotic surgery. We provide integrated care and offer patients evaluation and management strategies for the following disorders affecting the female pelvic floor.
Conditions treated:
Urinary Incontinence
• Stress urinary incontinence
• Urge urinary incontinence
• Overactive bladder
Pelvic Organ Prolapse
• Uterine prolapse
• Anterior vaginal wall prolapsed (cystocele /bladder prolapse)
• Apical vaginal prolapsed (enterocele/vaginal vault prolapse)
• Posterior wall prolapse (rectocele)
Fistulas
• Vesicovaginal (bladder/vagina)
• Vesicouterine (bladder/uterus)
• Vesicocutaneous (bladder/abdominal wall)
• Rectovaginal (rectum/vagina)
• Urethral (fistula/diverticulum)
Congenital Anomalies
• Vaginal agenesis
• Imperforate hymen
• Vaginal septum
Vaginal and Vulvar malformations
• Labial hypertrophy
• Post birth perineal scarring
• Postsurgical vaginal scarring
Others
• Bladder Pain Syndrome/Interstitial cystitis
• Female Sexual dysfunctions
Treatments Options:
Conservative treatments like
• Biofeedback
• Urge suppression drill
• Electric stimulation of pelvic floor
• Pelvic floor rehabilitation (Relaxation techniques)
Medical treatments for
• Overactive bladder syndrome
• Stress urinary incontinence
• Bladder pain syndrome (eg. Bladder instillations)
Specific Diagnostic Procedures
• Complex urodynamic testing
• Micturating Cystourethrogram
• Cystourethroscopy/ Hysteroscopy
• Transperineal ultrasound
• Dynamic MRI pelvis
Minor procedures like
• Vulval/ vaginal/cervical biopsy
• Bladder biopsy
•. Hydrodistension of bladder
• Steroid / Botulinum toxin injections
• Urethral dilatation/ bladder neck incision
• Other Cystoscopic procedures
Reconstructive surgeries (Vaginal/abdominal/Laparoscopic/robotic)
• Simple fascial repair of cystocele/rectocele/enterocele (vaginal)
• Vaginal fixation of apical prolapse
– Sacrospinous ligament fixation
– Uterosacral Ligament fixation
• Vaginal mesh augmented repair of prolapse
• Lefort’s Colpoclesis
• McCall’s culdoplasty
• Burch Colposuspension
• Fistula repair (vaginal/abdominal/robotic/laparoscopic)
• Sacrocolpopexy (abdominal/robotic/laparoscopic)
• Midurethral/ Pubovaginal slings
• Fascial grafts