Urogynecology

Total Page：16

File Type：pdf, Size：1020Kb

Urogynecology Providers associated with this clinic: Janet Harris-Hicks, M.D., FACOG, FPMRS Board Certified in Female Pelvic Medicine & Reconstructive Surgery Alexandria P. Ross, FNP-C Jaclyn Bates, PA-C Office Hours Monday-Thursday 8 a.m.-5 p.m. Friday 8 a.m.- Noon 108 Endo Lane, Suite 1 Hamlet, NC 28345 (910) 205-8909 or fax (910) 205-8952 www.firsthealth.org 761-92-20 Thousands of women suffer from pelvic floor disorders, such as urinary and fecal incontinence, pelvic-organ prolapse, overactive bladder and painful bladder syndrome. These disorders can cause embarrassment and affect their quality of life. Our staff at FirstHealth Urogynecology is dedicated to delivering compassionate treatment that will allow our patients to pursue activities they enjoy. Conditions Commonly Treated • Urinary incontinence • Pelvic-organ prolapse • Fecal incontinence • Overactive bladder What is a Urogynecologist? • Painful bladder syndrome A urogynecologist is a physician with special training in • Vesicovaginal and rectovaginal fistula urology and gynecology who focuses on the evaluation • Recurrent urinary tract infections and treatment of non-cancerous conditions concerning • Incomplete bladder emptying the female pelvic organs and their supporting muscles and tissues, as well as pelvic reconstructive surgery. Our services include: • Pelvic-organ prolapse reconstructive surgery • Pelvic floor muscle therapy for incontinence and chronic pain • Urinary and fecal continent procedures • Minimally invasive laparoscopic surgeries • Botox injection treatment for overactive bladder • Interstim placement and management (to treat urinary urgency, frequency and fecal incontinence) • Pessary fitting • Percutaneous tibial nerve stimulation (for overactive bladder syndrome) • Clinical Trials.

Copy Link

Recommended publications

Defining the Role of the Urogynecology Nurse Practitioner: a Call to Contemporary Distinction Through Subspecialty Certification
Copyright 2021 Society of Urologic Nurses and Associates (SUNA) All rights reserved. No part of this document may be reproduced or transmitted in any form without the written permission of the Society of Urologic Nurses and Associates. Defining uRologIC NuRSINg Defining the Role of the Urogynecology Nurse Practitioner: A Call to Contemporary Distinction through Subspecialty Certification Jennifer L. Cera, DNP, APRN-NP, WHNP-BC; Melanie Schlittenhardt, DNP, APRN, FNP-BC, CUNP; Amy Hull, DNP, WHNP-BC; and Susanne A. Quallich, PhD, ANP-BC, NPC, CUNP, FAUNA, FAANP Research 1.4 contact hours Urogynecology is emerging as a subspecialty role © 2021 Society of Urologic Nurses and Associates for nurse practitioners (NPs) whose focus is on pre- Cera, J.L., Schlittenhardt, M., Hull, A., & Quallich, S.A. (2021). vention and treatment of female urinary and fecal Defining the role of the urogynecology nurse practitioner: incontinence (also known as dual incontinence) and A call to contemporary distinction through subspecialty pelvic floor disorders (PFDs). An increased demand certification. Urologic Nursing, 41(3), 141-152. https:// for NPs with knowledge and expertise in this sub- doi.org/10.7257/1053-816X.2021.41.3.141 specialty is projected to grow considering the preva- lence of these conditions, the aging population, and This is the first survey conducted to examine the role of the current shortage of physicians who provide care the urogynecology nurse practitioner (NP) and highlights the need for the development of a current, distinct for this population. According to the U.S. Census description of the sub-specialty role. Descriptive statis- Bureau, by 2030, there will be a 35% increased tics were used to report the characteristics of the sam- demand in care for women with incontinence and ple group (N = 55).
[Show full text]
A Discursive Approach to Female Circumcision: Why the United Nations Should Drop the One-Sided Conversation in Favor of the Vagina Dialogues
NORTH CAROLINA JOURNAL OF INTERNATIONAL LAW Volume 38 Number 2 Article 6 Winter 2013 A Discursive Approach to Female Circumcision: Why the United Nations Should Drop the One-Sided Conversation in Favor of the Vagina Dialogues Kathleen Bradshaw Follow this and additional works at: https://scholarship.law.unc.edu/ncilj Recommended Citation Kathleen Bradshaw, A Discursive Approach to Female Circumcision: Why the United Nations Should Drop the One-Sided Conversation in Favor of the Vagina Dialogues, 38 N.C. J. INT'L L. 601 (2012). Available at: https://scholarship.law.unc.edu/ncilj/vol38/iss2/6 This Note is brought to you for free and open access by Carolina Law Scholarship Repository. It has been accepted for inclusion in North Carolina Journal of International Law by an authorized editor of Carolina Law Scholarship Repository. For more information, please contact [email protected]. A Discursive Approach to Female Circumcision: Why the United Nations Should Drop the One-Sided Conversation in Favor of the Vagina Dialogues Cover Page Footnote International Law; Commercial Law; Law This note is available in North Carolina Journal of International Law: https://scholarship.law.unc.edu/ncilj/vol38/iss2/ 6 A Discursive Approach to Female Circumcision: Why the United Nations Should Drop the One-Sided Conversation in Favor of the Vagina Dialogues KATHLEEN BRADSHAWt I. Introduction ........................................602 II. Background................................ 608 A. Female Circumcision ...................... 608 B. International Legal Response....................610 III. Discussion......................... ........ 613 A. Foreign Domestic Legislation............. ... .......... 616 B. Enforcement.. ...................... ...... 617 C. Cultural Insensitivity: Bad for Development..............620 1. Human Rights, Culture, and Development: The United Nations ................... ............... 621 2.
[Show full text]
Program Speakers Guest Speakers Department of Radiology Susan L
Program Speakers Guest Speakers Department of Radiology Susan L. Baker, MD Deidre D. Gunn, MD Director of Maternal-Fetal Medicine Assistant Professor Associate Professor, Obstetrics and Gynecology Reproductive Endocrinology & Infertility University of South Alabama Mobile, AL Jacqueline P. Hancock, MD Assistant Professor Mary E. D’Alton, MD Women’s Reproductive Healthcare Willard C. Rappleye Professor and Chairman, Obstetrics and Gynecology Lorie M. Harper, MD, MSCI Director, Obstetrics and Gynecology Services, New York-Presbyterian Associate Professor Hospital Maternal-Fetal Medicine Columbia University Director, Maternal-Fetal Medicine Fellowship Program New York, NY Kim H. Hoover, MD James W. Orr, Jr. MD, FACOG, FAGS Professor 21st Century Oncology Women’s Reproductive Healthcare Clinical Professor, Florida State School of Medicine Director, Pediatric and Adolescent Gynecology Fellowship Program Medical Director, FL Gynecologic Oncology & Regional Cancer Care Tera F. Howard, MD, MPH Fort Myers, FL Assistant Professor Carolyn A. Potter, MA Women’s Reproductive Healthcare Executive Director Warner K. Huh, MD The WellHouse Professor Odenville, AL Director, Gyn Oncology Kelly H. Tyler, MD, FACOG, FAAD Sheri M. Jenkins, MD Assistant Professor Professor Division of Dermatology Maternal Fetal Medicine Department of Obstetrics and Gynecology Ohio State University Todd R. Jenkins, MD Professor and Interim Chair Columbus, OH Director, Women’s Reproductive Healthcare Kenneth H. Kim, MD UAB Speakers* Associate Professor, Gyn Oncology Janeen L. Arbuckle, MD, PhD Associate Director, Gyn Oncology Fellowship Program Assistant Professor Morissa J. Ladinsky, MD Women’s Reproductive Healthcare Associate Professor Pediatric and Adolescent Gynecology Department of Pediatrics Rebecca C. Arend, MD Charles A. “Trey” Leath, III, MD Assistant Professor Professor Gyn Oncology Gyn Oncology Kerri S.
[Show full text]
Urogynecology
Department of Gynecology Patient Instructions Urogynecology Urogynecology treats problems affecting the your bladder function in order to precisely female pelvic floor – the urologic, gynecologic, and determine what is causing your bladder problem. rectal organs which, along with the pelvic floor This will allow him/her to recommend treatments muscles, occupy the space between the pubic bone specifically designed for your care. In order to and the tail bone. evaluate your bladder function, you may be asked to complete a bladder diary, undergo a full pelvic Why do I need to see a Urogynecologist? exam, undergo bladder function testing As the name implies, urogynecologists have their (urodynamics), or undergo cystoscopy to examine expertise in gynecology, urology, and bowel the inside of your bladder. dysfunction in women. Due to the close proximity of the pelvic organs, there is a frequent What is Vaginal/Uterine Prolapse? coexistence of problems in adjacent organs. As Due to weakness of connective tissues, the uterus, such, women with a “dropped” vagina may also vagina, bladder, or rectum can drop into the have urinary incontinence or experience trouble vaginal canal and even through the vaginal with bowel movements. It opening. This is termed prolapse. This is analogous is estimated that more than 45% of women will at to a hernia which can occur along the lower some point have problems with bladder control, abdomen due to weakness of the tissue in the 10% have problems with prolapse (dropping) of lower abdominal wall. Prolapse can result in the pelvic organs, and 10% of women may require urinary incontinence if the bladder has prolapsed surgery for correction of these problems.
[Show full text]
Urogynecology and Reconstructive Pelvic Surgery Zeyad Lee Nagasaki University, Brazil
www.jbcrs.org Urogynecology and Reconstructive Pelvic Surgery Zeyad Lee Nagasaki University, brazil Abstract: Biography: Urogynecology a specialized field of gynecology and obstetrics Due to its ionization radiation, the length of your time it takes to that deals with female pelvic medicine and plastic surgery. image pelvic organs, and its limited ability to contrast soft tissues, Urogynecologists are doctors who diagnose and treat pelvic floor CT has not been used extensively to review pelvic floor disorders. It conditions like weak bladder or pelvic organ prolapse (your remains effective in imaging abdominal and pelvic masses and is a organs drop because the muscles are weak). The pelvic floor is superb technique to review suspected postoperative pelvic that the area of the body that houses your bladder, genital system, hematomas and abscesses the most focus of this special issue is on and rectum. Urogynecologists complete school of medicine and a new and existing diagnostic and treatment methods for pelvic floor residency in Obstetrics and Gynecology or Urology. These disorders. The articles summarize current approaches to the doctors are specialists with additional training and knowledge treatment of those disorders and appearance into the longer term by within the evaluation and treatment of conditions that affect the discussing possible novel interventions for the treatment of pelvic feminine pelvic organs, and therefore the muscles and animal floor dysfunction. The primary paper of this issue, published by a tissue that support the organs. Many, though not all, complete gaggle of clinicians from Netherlands, explores the association of formal fellowships (additional training after residency) that POP severity and subjective pelvic floor symptoms.
[Show full text]
Study Protocol and Statistical Analysis Plan
Postoperative Environment 1 RESEARCH PROTOCOL Date 7/20/20 Title The influence of postoperative environment on patient satisfaction and perception of care following pelvic reconstructive surgery Principal Investigator Rachel N. Pauls, MD Sub-Investigators Catrina Crisp MD MSc, Jennifer Yeung DO, Tiffanie Tam MD, Emily Aldrich MD Research Specialist Eunsun Yook MS, Department Department of OB/Gyn, Division of Urogynecology and Reconstructive Pelvic Surgery Hatton # 17-076 NCT # 03379753 Purpose of Study To determine the influence of homeopathic therapies such as music therapy and images of calming nature scenes in their hospital suite following vaginal reconstructive surgery for pelvic organ prolapse on parameters of recovery such as pain, satisfaction and perception of care. o Primary Aim: To determine if patients following prolapse repair including vaginal vault suspension have decreased pain measured via a visual analog scale (VAS) on postoperative day one and just prior to discharge when exposed to the diad of music, and positive images compared to patients receiving standard care. o Secondary Aims: To determine if patients following prolapse repair including vaginal vault suspension have improved satisfaction scores and perception of care when exposed to the diad of music, and positive images compared to patients receiving standard care. Hypothesis or Research Question We hypothesize that patients exposed to alternative therapies such as music, and calming nature scenes will have decreased VAS scores for pain following vaginal reconstructive surgery when compared to controls. We further hypothesize that patients who experience the modified post-operative environment will report an improvement in overall satisfaction when providing their Postoperative Environment 2 overall hospital rating and will be more likely to refer their friends to the hospital for care in the future, as measured by the HCAHPS and VAS satisfaction scores.
[Show full text]
Surgical Techniques
SURGICAL TECHNIQUES ■ BY DEE E. FENNER, MD, YVONNE HSU, MD, and DANIEL M. MORGAN, MD Anterior vaginal wall prolapse: The challenge of cystocele repair What’s the best strategy? Repairs often fail and the literature is inconclusive. Three experts analyze what we can learn from the limited studies to date, and offer tips on technique. sk a pelvic reconstructive surgeon to above the hymen, since the patient rarely name the most difficult challenge, reports symptoms in these cases. Aand the answer is likely to be anteri- Another challenge involves the use of or vaginal wall prolapse. The reason: The allografts or xenografts, which have not anterior wall usually is the leading edge of undergone sufficient study to determine their prolapse and the most common site of relax- long-term benefit or risks in comparison with ation or failure following reconstructive sur- traditional repairs. gery. This appears to hold true regardless of This article reviews anatomy of the ante- surgical route or technique. rior vaginal wall and its supports, as well as Short-term success rates of anterior wall surgical technique and outcomes. repairs appear promising, but long-term out- comes are not as encouraging. Success usually Why the anterior wall is claimed as long as the anterior wall is kept is more susceptible to prolapse ne theory is that, in comparison with the KEY POINTS Oposterior compartment, the anterior ■ At this time, the traditional anterior colporrhaphy wall is not as well supported by the levator with attention to apical suspension remains the plate, which counters the effects of gravity gold standard.
[Show full text]
New Advances in Urogynecology
Obstetrics and Gynecology International New Advances in Urogynecology Guest Editors: Lior Lowenstein, Peter L. Rosenblatt, Hans Peter Dietz, Johannes Bitzer, and Kimberly Kenton New Advances in Urogynecology Obstetrics and Gynecology New Advances in Urogynecology Guest Editors: Lior Lowenstein, Peter L. Rosenblatt, Hans Peter Dietz, Johannes Bitzer, and Kimberly Kenton Copyright © 2012 Hindawi Publishing Corporation. All rights reserved. This is a special issue published in volume 2012 of “Obstetrics and Gynecology.” All articles are open access articles distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Editorial Board Sean Blackwell, USA Howard D. Homesley, USA Julian T. Parer, USA Diane C. Bodurka, USA Shi-Wen Jiang, USA Faustino R. Perez-L´ opez,´ Spain Curt W. Burger, The Netherlands Marc J. N. C. Keirse, Australia Tonse N.K. Raju, USA Linda D. Cardozo, UK Russell K. Laros Jr., USA Neal S. Rote, USA Nancy Chescheir, USA Jonathan Ledermann, UK Giovanni Scambia, Italy Robert Coleman, USA Kimberly K. Leslie, USA Peter E. Schwartz, USA W. T. Creasman, USA Lawrence D. Longo, USA John J. Sciarra, USA Mary E. D’Alton, USA G. A. Macones, USA J. L. Simpson, USA Gian Carlo Di Renzo, Italy Everett Magann, USA Anil Sood, USA Keith A. Eddleman, USA James A. McGregor, USA Wiebren A. A. Tjalma, Belgium Edmund F. Funai, USA Liselotte Mettler, Germany J. R. Van Nagell, USA Thomas Murphy Goodwin, USA Daniel R. Mishell, USA John M. G. van Vugt, The Netherlands WilliamA.Grobman,USA Bradley J. Monk, USA M.
[Show full text]
Title of Clerkship: Urogynecology Elective Elective Year: Third Year Elective Department: Obstetrics and Gynecology Type Of
Title of Clerkship: UroGynecology Elective Elective Year: Third Year Elective Department: Obstetrics and Gynecology Type of Elective: Clinical __x__ Clerkship Site: ProMedica Toledo and Flower Hospitals and Parkway Surgery Center Course Number: OBGY 766 Blocks Available: ALL Number of Students/Block: 1 Coordinating Faculty: Dr. Dani Zoorob Elective Description/Requirements: The Third Year Elective in UroGynecology is a 4-week clinical rotation during which students participate in the evaluation and treatment of middle-aged and mature women with concerns related to pelvic organ prolapse, urinary incontinence, and pelvic floor dysfunction. The Third Year Elective’s premise is one that provides the opportunity for a student to develop medical and surgical skillsets in UroGynecology. The context also stresses the more active role of a student in the diagnosis, workup, and management of these conditions within a controlled-learning environment at the UroGynecology office as well as in the Operating Room. The student will be observing pessary fittings and urodynamics procedures - and will be involved in patient identification, findings, and case analysis. Furthermore, the student will join the pelvic floor physical therapist sessions where treatments for management of pelvic pain and pelvic floor dysfunction are offered. Related education will be provided by the involved doctor in pelvic floor physical therapy. Through this exposure, the student will further develop interpersonal and communication skills with members of the healthcare team as well as with patients/families. The student is expected to contribute to the patient plan development based on high-quality, safe, evidence-based, cost-effective and individualized care. Day-to-day activities include the following: evaluation of new patients, writing notes on patients, patient presentation to faculty, short presentations when in clinic regarding topics pre-selected by the course mentor, assisting in surgical cases.
[Show full text]
Obstetrics and Gynecology: Urogynecology Rotation Objectives: (Core of Discipline)
Obstetrics and Gynecology: Urogynecology Rotation Objectives: Page 1 of 6 (Core of Discipline) Rotation Information CanMEDS Framework: Medical Expert, Communicator, Collaborator, Leader, Health Advocate, Rotation Contact: Scholar, and Professional. Dr. Momoe Hyakutake Urogynecology Learning Objectives Reading material: Prior to this rotation, the resident should Medical Expert: read the following: Syllabus, rotation objectives and assigned readings for Upon completion of this sub-specialty rotation, the urogynecology resident will have acquired week 0. The resident resource Google the following competencies and will function effectively as a medical expert. drive link with above information will be provided to residents 2-3 weeks The resident must demonstrate: prior to start of their rotation via email. • Diagnostic and therapeutic skills for effective and ethical patient care. • The ability to access and apply relevant information in clinical practice. Rotation duration: 12 weeks • Effective consultation services concerning patient care and education. • Recognition of personal limitations of expertise, including the need for appropriate patient referral in continuing medical education. Vacation and time off: See PARA guidelines and resident In order to achieve the objectives, the urogynecology resident must demonstrate both knowledge vacation policy. and technical ability in the approach to problems in the practice of urogynecology. Review of rotation objectives: Rotation objectives should be reviewed with the Other Educational Objectives resident soon after their rotation begins. The resident will possess the knowledge of the following clinical conditions or problems Assessment: Please review the orientation package. encountered commonly in the practice of urogynecology. This list should be considered in its totality and not be considered as comprehensive for all disorders in the practice of You will be required to complete quizzes on some of your weeks.
[Show full text]
Nonsurgical Treatments for Urinary Incontinence in Adult Women: Diagnosis and Comparative Effectiveness Comparative Effectiveness Review Number 36
Comparative Effectiveness Review Number 36 Nonsurgical Treatments for Urinary Incontinence in Adult Women: Diagnosis and Comparative Effectiveness Comparative Effectiveness Review Number 36 Nonsurgical Treatments for Urinary Incontinence in Adult Women: Diagnosis and Comparative Effectiveness Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 540 Gaither Road Rockville, MD 20850 www.ahrq.gov Contract No. 290-2007-10064-I Prepared by: Minnesota Evidence-based Practice Center Minneapolis, Minnesota Investigators: Tatyana Shamliyan, M.D., M.S. Jean Wyman, Ph.D. Robert L. Kane, M.D. AHRQ Publication No. 11(12)-EHC074-EF April 2012 Nonsurgical Treatments for Urinary Incontinence in Adult Women: Diagnosis and Comparative Effectiveness Structured Abstract Objectives. Our objectives were to assess methods to diagnose urinary incontinence (UI) and monitor treatment effectiveness in community-dwelling adult women, and to assess clinical efficacy and comparative effectiveness of pharmacological and nonsurgical treatments for UI. Data Sources. We searched major electronic bibliographic databases, the FDA (Food and Drug Administration) reviews, trial registries, and research grant databases up to December 30, 2011. Review Methods. A systematic review of diagnostic studies and therapeutic randomized and nonrandomized studies published in English was performed to synthesize diagnostic accuracy; minimally clinically important differences in validated tools for diagnosing UI; and rates of continence,
[Show full text]
Disclosures Pots Postural Orthostatic Tachycardia
4/5/2019 AUTONOMIC AND CARDIOGENIC DISORDERS Juan J. Figueroa, MD Assistant Professor, Neurology Froedtert & Medical College of Wisconsin A Practical Guide to Dizziness and Disequilibrium April 5, 2019 DISCLOSURES • Nothing to disclose (no financial or pharmaceutical affiliations) • All discussed pharmacologic treatments are off-label A Practical Guide to Dizziness and Disequilibrium April 5, 2019 POTS POSTURAL ORTHOSTATIC TACHYCARDIA SYNDROME 1 4/5/2019 POTS • First case reported in 1982 - Disabling postural tachycardia without postural hypotension • Nosology is confusing due to several terms used in the past - Postural tachycardia syndrome - Hyperadrenergic orthostatic tachycardia - Idiopathic orthostatic tachycardia - Neurocirculatory asthenia - Vasoregulatory asthenia - Hyperdynamic beta-adrenergic state - Irritable heart • Debilitating disorder that is not fully understood A Practical Guide to Dizziness and Disequilibrium April 5, 2019 EPIDEMIOLOGY • Estimates - Prevalence: > 170 per 100,000 - Over 500,000 Americans, primarily young woman (1999) • Women (5:1) • Childbearing age (15-50 years) • Most patients have undergone a cardiac evaluation before neurology referral A Practical Guide to Dizziness and Disequilibrium April 5, 2019 MORBIDITY • Growing source of impairment and disability in working age people • Debilitating with a functional impairment similar to CHF and COPD resulting in poor quality of life • Sources of disability - Dizziness during even simple activities (eating, showering, and low-intensity exercise) reduces standing
[Show full text]