Will I Go Through Menopause if I Have a Hysterectomy?
May 7, 2014
There are different types of hysterectomies. A hysterectomy refers to removal of the uterus and the cervix (total hysterectomy) or removal of the uterus without removal of the cervix (supracervical or partial hysterectomy). If the ovaries are removed at the same time, this is called a hysterectomy with bilateral salpingectomy (BSO). The ovaries are usually left in place unless there […]
Hormones are secreted from the ovaries. These hormone levels decline with age and are minimal in post-menopausal women. If the ovaries are left in place at the time of a hysterectomy, there is no change in the level of hormones excreted by the ovaries and pre-menopausal women will experience menopause naturally. If the ovaries are removed in a pre-menopausal woman, […]
Do I Need a Mid-Urethral Sling if I Only Leak on Occasion?
April 30, 2014
You came in for a vaginal bulge and you only leak every once in a while when you cough or sneeze but it doesn’t really bother you…so why did we recommend prolapse repair with a mid-urethral sling (TVT)? When the bladder drops (cystocele) or the uterus protrudes down into the vagina (uterine prolapse), sometimes this kinks the urethra and decreases […]
Nonsurgical Treatment of Prolapse
April 21, 2014
Treatment of prolapse is based on the patient’s symptoms and her desired outcome. Prolapse is not usually considered a medical emergency unless other acute medical conditions occur secondary to the prolapse. Women sometimes live with prolapse for months or years without bothersome symptoms. When there are not coexisting medical conditions or complications, we counsel patients that the sound of surgery […]
Da Vinci Surgery: Who Controls the Robot?
April 14, 2014
A common question from patients who are scheduled for da Vinci robotic assisted surgery is, “How does the robot do the surgery?” While robotic surgery sounds like something of the future where the robot goes on autopilot and does the surgery, this is not the case! The robot is controlled at all times by the surgeon. The surgeon sits at […]
Nonsurgical Treatment of Urinary Incontinence
April 4, 2014
There are three types of urinary incontinence: stress urinary incontinence (SUI), urgency urinary incontinence (UUI) and mixed urinary incontinence (MUI). Stress urinary incontinence occurs when there is a physical stressor such as coughing, sneezing, running or exercise. Urgency urinary incontinence is when one experiences a strong urgency to urinate and is not able to defer or wait until she gets […]
What is the Difference between Labia Reduction and Labiaplasty?
January 28, 2014
Labiaplasty typically refers to reduction of the labia minora. Labia reduction refers to reduction of the labia majora. Our in-office labiaplasty refers to reduction or excision of the labia minora.
Is Labia Reduction Vaginal Surgery or Vagina Surgery?
January 22, 2014
While this may seem like a trick question, it is a common question for women researching vaginal reconstructive options. Labiaplasty typically refers to reduction of the labia minora which is outside of the vagina. Vagina or vaginal surgery refers to surgical repair done inside the vagina which may include vaginal rejuvenation or prolapse repair.
Labiaplasty Pre-Operative Instructions Updated
January 13, 2014
We have updated our preoperative instructions for patients having in-office labiaplasties. Applying a topical numbing medication prior to the procedure helps to minimize pain from the injection of a local numbing agent. We now prescribe EMLA, a topical numbing gel to be applied to the labia and clitoral skin 1-2 hours before the procedure. Another addition to our preoperative instructions […]
When is Vaginal Rejuvenation indicated?
January 10, 2014
Vaginal Rejuvenation is indicated in patients with an increased caliber (diameter) of the vaginal canal with no evidence of prolapse. Symptoms of increased vaginal caliber may include decreased sensation during intercourse or a sense of vaginal looseness. Perineorrhaphy (reconstruction of the perineal body) is the procedure of choice to restore vaginal caliber. If the caliber is increased and prolapse is […]
What is a Prophylactic Sling?
December 10, 2013
A tension-free vaginal tape (TVT) is a mid-urethral sling placed around the urethra to treat stress urinary incontinence (SUI). When women present with concurrent prolapse (cystocele, enterocele, uterine prolapse or rectocele) and SUI, the surgical treatment is da Vinci sacrocolpopexy with TVT or vaginal prolapse repair with TVT. In some cases, women present with a significant prolapse without SUI by […]