What is InTone for bladder control?
March 29, 2013
InTone is a device used intravaginally to reduce or treat urinary incontinence through pelvic floor muscle stimulation and biofeedback. InTone is available by prescription and costs around $600. The device is aimed to strengthen pelvic floor muscles as well as to calm the detrusor muscle of the bladder. Optimal treatment is based on a patient’s history, physical exam and often […]
What is Dyspareunia?
March 27, 2013
Dyspareunia is persistent or recurrent genital pain that occurs before during or after intercourse. Causes may be physical or psychological in origin. A thorough patient history, pelvic exam and sometimes imaging such as ultrasound or CT may be utilized to determine the cause. Symptoms vary depending on the origin or the pain. Pain may occur upon entry or with shallow […]
Answers to Patient Questions Regarding Mid-Urethral Slings
March 20, 2013
Women have many questions when it comes to vaginal mesh products and mid-urethral slings. Advancing Female Pelvic Medicine and Reconstructive Surgery (AUGS) and Society of Urodynamics, Female Pelvic Medicine & Urogenital Reconstruction (SUFU) published frequently asked questions by patients. Find these questions and answers by clicking here.
Dr. Shashoua’s Hospital Affiliations
March 18, 2013
As of the second week in February of 2013, Kyle opened its first outpatient surgery center, Hays Surgery Center (HSC). The new surgery center has 5 operating rooms and over 20 practicing surgeons. Dr. Shashoua utilizes the surgery center for outpatient procedures including vaginal prolapse repairs, mid-urethral slings and urethral bulking as well as laparoscopic procedures. HSC provides a convenient […]
What is the Difference Between Sacrocolpopexy and Sacrocolpoperineopexy?
March 18, 2013
Both Sacrocolpopexy and Sacrocolpoperineopexy are surgical procedures to correct cystocele, rectocele, vaginal vault prolapse and enterocele. Both procedures may be done by da Vinici robotic assisted surgery, laparoscopically, or as an open procedure. Sacrocolpopexy is a prolapse repair done from the abdomen, elevating the prolapse using a surgical mesh. The mesh is placed between the bladder and the vagina and […]
Is a Labiaplasty a Cosmetic Surgery?
March 18, 2013
The answer is yes and no. If a patient has symptoms of labial hypertrophy, then the procedure is considered non-cosmetic. Symptoms of labial hypertrophy include chronic irritation, discomfort and rubbing during sexual intercourse and when wearing tight fitting clothing. Regardless of whether the procedure is done for cosmetic reasons or for symptoms of labial hypertrophy, the mainstay of the labiaplasty […]
Are My Recurrent Urinary Tract Infections Caused by Prolapse?
March 11, 2013
A urinary tract infection (UTI) is an infection of any part of the urinary tract, including the urethra, bladder, ureters (the tubular connection between the kidneys and the bladder) or kidneys. A UTI occurs when bacteria travels into the urethra and up the urinary tract. UTI symptoms may include urinary urgency, frequency, and painful urination. In cases of more severe […]
Do I Need Prolapse Surgery?
March 4, 2013
Some women live with prolapse without symptoms or adverse effects. They may learn they have a cystocele, rectocele, enterocele or uterine prolapse during a well woman exam and wonder what to do next. Other women may notice a bulge protruding beyond the vaginal opening and become panicked or even present to ER for fear this is a medical emergency. Prolapse […]
Is Vaginal Rejuvenation the Procedure I Need?
March 4, 2013
This procedure is designed for patients who complain of diminished sensation or friction during intercourse. Vaginal Rejuvenation increases the tightness of the vaginal walls and opening to the vagina. If a rectocele is also present, a formal rectocele repair is the procedure of choice. A thorough exam and evaluation is needed prior to recommending any type of Vaginal Rejuvenation procedure. […]
Tensioning of a Mid-Urethral Sling- What Happens if the Sling is Too Tight
February 28, 2013
All mid-urethral slings are placed tension free. Tension varies from patient to patient. For example, in a patient with Intrinsic Sphincteric Deficiency (ISD) of the urethra in addition to movement of the urethra, the sling is placed tighter than in a patient who only has movement of the urethra. Sometimes after a mid-urethral sling, patients have difficulty voiding. When that […]