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Urogynecology Procedures, Urinary Incontinence and Pelvic Organ Prolapse

Winthrop-University Hospital offers advanced urogynecology procedures for patients on Long Island, NY suffering from urinary incontinence and pelvic organ prolapse, common and embarrassing medical problems that affect millions of women of all ages.

Urogynecologic Conditions Treated

Patients no longer have to live with these debilitating conditions, because our urogynecologists provide safe and effective treatment options that improve their quality of life. We consult with the referring physicians and provide customized treatment plans for a wide spectrum of conditions:

Incontinence

  • Urinary Incontinence – uncontrollable loss of urine
  • Stress Incontinence – leakage of urine with cough, sneeze, exercise or any activity
  • Urge Incontinence – leakage of urine with the urge to go, i.e. loss of bladder control when you feel the desire to urinate
  • Mixed Incontinence – a combination of stress incontinence and urge incontinence
  • Overflow Incontinence – leakage of urine that occurs because you are not fully emptying your bladder
  • Fecal Incontinence – an uncontrollable loss of stool or gas with fecal soiling or staining
  • Other – leakage of urine that can be caused by infection, medication, vaginal atrophy or fistula

Pelvic organ prolapse

  • Cystocele – when the bladder drops out of its normal position
  • Rectocele – when the rectum is pushing up into the vagina
  • Enterocele – when the small bowel is herniating through the back wall of the vagina
  • Uterine Prolapse – when the uterus and cervix fall into the vagina and sometimes beyond the vaginal opening
  • Vaginal Vault Prolapse – following a hysterectomy, the top of the vagina can prolapse

Other pelvic abnormalities

  • Overactive Bladder – urinating more than eight times per day; getting up to urinate more than two times during the night
  • Painful Bladder Syndrome/Interstitial Cystitis (PBS/IC) – symptoms of urinary urgency, frequency and bladder pain
  • Voiding Dysfunction – inability to empty the bladder completely, slow flow rate of urine and post-urination dribbling
  • Fistulas – abnormal connections between the bladder and vagina that cause constant urine; abnormal connections between rectum and vagina that cause fecal material or gas to leak out of the vagina
  • Recurrent Urinary Tract Infections – chronic infections of the kidneys, urethra, ureters and bladder
  • Pelvic Floor Muscle Spasm – occurs when the pelvic floor muscle is in a chronic contracted state
  • Congenital Anomalies – Gartner duct vaginal cysts

Urogynecology Procedures

We provide a variety of procedures for urinary incontinence and pelvic organ prolapse:

Pelvic Organ Prolapse

  • Non-surgical and minimally invasive options

Advanced laparoscopic surgery

Robotic Colpo Sacrocolpopexy

  • Abdominal reconstruction with Sacrocolpopexy
  • Para vaginal repairs
  • Vaginal reconstruction with or without graft augmentation
  • Pessary

Incontinence

  • Physical therapy
  • Minimally invasive sub-urethral slings (TVT, TOT, single incision)
  • Transurethral bulking agent injections  
  • Bladder instillation
  • Trigger point injections
  • Pudendal nerve blocks    
  • Medications
  • Botox injections
  • Sacral nerve modulation
  • Posterior tibial nerve stimulation  

Other

  • Fistula repair
  • Perineorrhaphy
  • Labial reduction