Our practice is part of Robert Wood Johnson Medical Group, the faculty practice of Robert Wood Johnson Medical School, part of Rutgers, The State University of New Jersey. As many as one in three women are One of the largest multispecialty physician affected by gynecologic and bladder practices in the state, Robert Wood Johnson Medical Group consists of over 500 physicians conditions that impair their comfort with expertise in more than 200 subspecialty and quality of life. clinical programs. We provide a full range of highly specialized services for children and adults. Conditions may range from the mild to the more severe, and include urinary or fecal incontinence Information about the Medical Group’s clinical and pelvic organ prolapse. Prolapse occurs when services can be found online at: the uterus, bladder, rectum, or bowels drop down www.RWJMedicalGroup.org and create a bulge into the vaginal opening. For additional details about the Division of Many women view these problems as part of the Female Pelvic Medicine and Reconstructive normal aging process that simply can’t be cured. Surgery , click on the division’s link located on Fortunately, this is not the case. the Department of Obstetrics, Gynecology and Reproductive Sciences page (under Clinical The specialized physicians of Rutgers Robert Services--View Medical Services). Wood Johnson Medical Group’s Division of Female Pelvic Medicine and Reconstructive Urogynecology Surgery are dedicated to these important health Division of Female Pelvic Medicine and care problems. We provide a thorough evaluation, Two convenient locations! Reconstructive Surgery including state-of-the-art onsite testing and mini - mally invasive treatment options to improve quality Main Office: Somerset Office: of life and get women back to normal daily activities. Clinical Academic Building 1 World’s Fair Drive 125 Paterson Street Somerset, NJ 08873 Suite 4200 We also treat benign gynecologic conditions, including New Brunswick, NJ 08901 abnormal bleeding, fibroids, endometriosis, and pelvic pain using minimally invasive gynecologic treatments for quick recovery and minimal post- Phone: 732-235-6600 operative pain. Fax: 732-235-6630 Our specialists provide a comprehensive pelvic floor program that addresses the MEET OUR PHYSICIANS full range of pelvic floor disorders. P elvic The Division of Female Pelvic Medicine and Reconstructive conditions we treat include: Surgery is led by Division Chief Juana Hutchinson-Colas, MD, MBA. Drs. Hutchinson-Colas, Adrian Balica, and Saya • Urgency urinary incontinence Segal specialize in the care of women with pelvic floor and • Stress incontinence benign gynecologic disorders. Drs. Hutchinson-Colas and Division Chief: Juana Adrian Balica, MD • Fecal incontinence Segal are fellowship-trained urogynecologists who treat Hutchinson-Colas, MD, MBA • Cystocele/Rectocele/Enterocele urinary and fecal incontinence and pelvic organ prolapse using robotic and vaginal surgery, in addition to non- • Uterine prolapse/Vaginal prolapse surgical treatment. Dr. Balica is an active member of • Painful bladder conditions the American Association of Gynecologic Laparoscopists • Interstitial cystitis (AAGL) and is an expert in minimally invasive benign • Sexual dysfunction gynecologic surgery. Dr. Balica and Dr. Eckhard Kemmann • Genitourinary and rectovaginal fistula perform gynecologic ultrasound and are American • Urethral diverticulum Institute of Ultrasound in Medicine (AIUM)-certified in • Vaginal cysts gynecologic ultrasound. Eckhard Kemman, MD Saya Segal, MD, MSCE • Constipation • Postpartum pelvic floor dysfunction • Pelvic pain Diagnostic Gynecologic Services Treatment Options • Endometriosis Urodynamic Testing Non-Surgical • Fibroids and endometrial polyps Urodynamic testing is designed to evaluate the function of • Pelvic floor muscle training and strengthening the bladder during filling and emptying. This outpatient test • Pessary devices We perform diagnostic services at our Robert is used for women with urinary symptoms and pelvic organ • Medical therapy for incontinence Wood Johnson Medical Group clinical sites for prolapse. Testing is done in a private, comfortable setting and • Behavioral therapy optimal treatment. As a large number of women is invaluable in diagnosing complex incontinence problems. • Percutaneous posterior tibial nerve stimulation are affected by more than one pelvic floor disorder, Cystoscopy our team of physicians also works jointly with a Surgical Cystoscopy is performed to inspect the bladder, urethra, and • Robotic-assisted pelvic reconstructive surgery colorectal surgeon from our Medical Group to uteral function. It is performed under local anesthesia in perform thorough evaluations for women with • Laparoscopic hysterectomy the office setting for conditions including blood in the urine, • Vaginal reconstructive surgery bowel disorders. refractory incontinence, and chronic urinary tract infections. • Slings for urinary incontinence • Urethral bulking Endoanal Ultrasound and Anorectal Manometry We provide these diagnostic tests for women with • Vaginal cyst excision bowel com plaints, including fecal incontinence, to provide • Sacral neuromodulation comprehensive assessments prior to recommending • Fistula repair optimal treatment. • Anal sphincteroplasty • Operative hysteroscopy Hysteroscopy We perform diagnostic hysteroscopy in the office to Benefits of Minimally Invasive Surgery decrease hospital admission for OR procedures. • Shorter hospital stay • Smaller incisions Gynecologic Ultrasound • Faster recovery Women who have abnormal bleeding, pelvic pain, fibroids, • Less post-operative pain ovarian cysts, polyps, or postmenopausal bleeding are candidates for this noninvasive imaging of the pelvic organs. Call 732-235-6600.