Urogynecology and Pelvic Reconstructive Surgery
The Division of Urogynecology and Pelvic Reconstructive Surgery at Winthrop-University Hospital on Long Island, NY evaluates and treats a wide spectrum of pelvic floor disorders, including urinary incontinence, pelvic organ prolapse, perineal defects, pelvic floor dysfunction, fistula repair and surgical complications. In many cases, the best corrective procedure for these disorders is pelvic reconstructive surgery, but there are also other less-invasive options available.
Urogynecology Diagnosis and Treatment
A subspecialty within obstetrics and gynecology, our urogynecology program is regionally and nationally recognized. Our acclaimed program features a multidisciplinary team of highly skilled urogynecologists, specialty-trained nurses, nurse practitioners and medical assistants who implement treatments of a wide range of urogynocologic conditions [link]. During initial exams, our experienced physicians perform extensive evaluations of the pelvis and perform or prescribe one or more of the following tests:
- POPQ diagrams
- Simple and complex cystometrics
- Pressure flow studies
- Voiding diary
- Levator assessment
After diagnosis, our urogynecologists formulate an individualized treatment plan utilizing various medical, non-surgical and/or surgical treatments. Nonsurgical options may include pelvic floor exercises (i.e., Kegel) to strengthen pelvic floor muscles, biofeedback, behavior modification for incontinence, pharmacological therapy and pessary (vaginal insertion of a removable device that supports areas of pelvic organ prolapse).
State-of-the-science pelvic reconstructive surgical procedures include minimally invasive and advanced surgical treatments:
- Abdominal and robotic pelvic reconstructive surgery
- Abdominal and vaginal paravaginal repair
- Vaginal sling – helps control stress urinary incontinence
- Colporrhaphy – vaginal wall repair
- Sacrospinous ligament fixation – repairs the complete prolapse of the vaginal canal
- McCall culdopexy – method of supporting the vaginal cuff during a vaginal hysterectomy
- Colpocleisis – closure of the vagina to treat vaginal prolapse in older women
- Repair of perineal breakdown
- Fistula repair – treats abnormal connections between pelvic organs
- Enterocele repair/prevention – closes off a weakness or hernia at the top of the vagina
Award-Winning Gynecologic Surgery
U.S. News & World Report’s definitive “Best Hospitals” annual report has recognized Winthrop-University Hospital as one of the “Best Regional Hospitals” for Gynecology in 2013 and 2014.
Winthrop has also received both the Gynecologic Surgery Excellence Award and the Maternity Care Excellence Award from Health Grades, a leading independent source of physician information and hospital quality ratings.
Prominent Urogynecologist Is Department Head
Internationally acclaimed urogynecologist George Lazarou, MD is the Chief of Gynecology and Director of Urogynecology and Pelvic Reconstructive Surgery at Winthrop-University Hospital. Previously, Dr. Lazarou was the Director of Urogynecology at Jack D. Weiler Hospital, Montefiore Medical Center at the Albert Einstein College of Medicine in Bronx, New York and Chief of Female Pelvic Medicine and Pelvic Reconstructive Surgery at Bronx-Lebanon Hospital Center in Bronx, New York.
Dr. Lazarou has clinical interests in voiding dysfunction, pelvic anatomy, and minimally invasive surgery such as vaginal reconstructive pelvic surgery. He has trained and mentored fellows who graduated and went on to become directors of programs in Female Pelvic Medicine & Reconstructive Surgery. Some of his latest research achieved an award of 'Best Basic Science Project' at a recent International Urogynecologic Society Meeting.