What Causes Urinary Retention in Women?
November 27, 2013
Urinary retention is the inability to urinate or empty the bladder. Retention may be related to the bladder or other conditions. Causes related to the bladder: Detrusor Sphincter Dyssynergia (DSD) or neurogenic bladder, caused by neurological disorders including multiple sclerosis, stroke or spinal cord injury. In instances of DSD, the signal from the brain to the bladder that normally functions […]
Pregnancy after Labiaplasty
October 31, 2013
The labia will always swell during pregnancy. However, in patients who are pregnant and have undergone labiaplasty, the swelling is limited because of the reduced labial skin present. For this reason, pregnancy has a very minimal impact on the appearance of the labia in patients who have undergone labiaplasty.
Arise Austin Medical Center
October 18, 2013
Austin Surgical Hospital has now become physician owned Arise Austin Medical Center (AAMC). The hospital is a 23 bed facility located at 3003 Bee Caves Road, across MoPac from Zilker Park. Unlike many physician owned hospitals, AAMC not only accepts all major insurance payers, but is also Medicare accredited, which means Medicare patients do not have to be screened. Physician […]
Sexual Dysfunction in Women
October 10, 2013
Hypoactive Sexual Desire Disorder (HSDD) is little to no desire for sex. A 2008 survey of 30,000 American women found one in 10 women are affected by HSDD. Women with low sexual desire were found to consequently experience considerable distress or interpersonal difficulties. Various treatment approaches have been utilized including sex therapy, psychotherapy, hormone therapy and sexual dysfunction medications. Further […]
What is a Urogynecologist? What is Female Pelvic Medicine and Reconstructive Surgery (FPMRS)?
September 3, 2013
Urogynecology is a sub-specialty of gynecology and urology. Gynecologists who practice this sub-specialty are urogynecologists. Urogynecologists complete medical school and residency in Obstetrics and Gynecology then specialize in pelvic floor disorders. Female Pelvic Medicine and Reconstructive Surgery (FPMRS) is a specialty board that combines urogynecologists and urologists who also specialize in pelvic floor disorders. FPMRS administered their first board certification […]
The Office Labiaplasty
August 20, 2013
There are several factors to consider when performing an office Labiaplasty: The most important part of the process is communication between the patient and Dr. Shashoua. Each patient has her own idea of the ideal labial skin appearance. In order for the procedure to be a success, the amount of skin removed has to match the individual patient’s vision and […]
InTone Will Now be Offered at Austin Urogynecology!
August 1, 2013
InTone is a treatment option for some patients with urinary urgency, urgency incontinence or stress urinary incontinence. Women are given instruction in the office how to use the device, and then are able to practice exercises at home. Automated verbal instructions are provided by the InTone device during exercises. InTone is fully covered by some insurance plans including Medicare and […]
How Long Does it Take to Schedule a Labiaplasty?
August 1, 2013
Typically women are seen for an initial consult and begin scheduling at this appointment. A consult consists of a brief history of her symptoms and an exam. During the consult, she will decide with the provider how much skin will be removed and weather she wants a partial or complete labiaplasty. Once her consult is completed, she will meet with […]
New Medication for Painful Intercourse
July 9, 2013
Treatment for dyspareunia or painful intercourse is targeted at identification and treatment of the underlying cause of symptoms. Osphena (Ospemifene) is a new non-estrogen medication that works as an estrogen agonist/antagonist. Osphena is used to treat moderate to severe dyspareunia associated with vulvar and vaginal atrophy, due to menopause.
What is Post Void Residual?
July 8, 2013
Post Void Residual (PVR) is the amount of urine left in the bladder after urination. PVR can be measured by bladder ultrasound or by catheterization. We routinely check a PVR on new patients being evaluated for cystocele (bladder prolapse), urinary incontinence or urinary retention or if there is any question of incomplete bladder emptying. This is a quick and easy […]