Our Services
We provide a complete evaluation of female pelvic floor disorders in a setting that is private and comfortable. We evaluate and treat problems affecting pelvis and pelvic floor including urinary, bowel, vaginal and sexual functioning. We also provide evaluation and treatment of pelvic problems that may follow childbirth or occur with natural aging.
We offer conservative (non-surgical) or surgical therapy depending on the seriousness of your condition and your general health. Conservative options include medications, pelvic exercises, behavioral and/or dietary changes and vaginal devices (also called pessaries). Surgical procedures may also be discussed to treat incontinence, prolapse and other pelvic floor disorders.
Conditions We Treat
Incontinence
- Stress urinary incontinence
- Urge urinary incontinence
- Mixed Urinary Incontinence
- Overactive bladder- Refractory OAB
- Nocturnal enuresis
- Fecal Incontinence
- Perineal Tear
Pelvic Organ Prolapse
- Uterine prolapse
- Anterior vaginal wall prolapsed (cystocele /bladder prolapse)
- Apical vaginal prolapsed (enterocele/vaginal vault prolapse)
- Posterior wall prolapse (rectocele)
- Recurrent Prolapse
- Fistulas
Fistulas
- Vesicouterine (bladder/uterus)
- Vesicovaginal (bladder/vagina)
- Vesicocutaneous (bladder/abdominal wall)
- Rectovaginal (rectum/vagina)
- Urethral (fistula/diverticulum)
Congenital Anomalies
- Vaginal agenesis
- Imperforate hymen
- Vaginal septum
Vaginal and Vulvar malformations
- Labial hypertrophy
- Post birth perineal scarring
- Postsurgical vaginal scarring
Others
- Recurrent UTI
Female Pelvic Pain
- Bladder Pain Syndrome/Interstitial cystitis
- Female Sexual dysfunctions
- Vaginismus
- Vulvodynia
- Vaginal Laxity
Treatments Options:
Conservative treatments like
- Biofeedback
- Urge suppression drill, various pessary option, vaginal cone
- Electric stimulation of pelvic floor
- Pelvic floor rehabilitation
Medical treatments for
- Overactive bladder syndrome
- Stress urinary incontinence
- Bladder pain syndrome (eg. Bladder instillations)
Specific Diagnostic Procedures
- Complex urodynamic testing
- Micturating Cystourethrogram
- Cystourethroscopy/ Hysteroscopy
- Transperineal/Translabial ultrasound for assessment of pelvic floor
- Intriotal Ultrasound for detection of anal sphincter defects
Minor procedures like
- Vulval/ vaginal/cervical biopsy
- Bladder biopsy
- Hydrodistension of bladder
- Steroid / Botulinum toxin injections
- Urethral dilatation/ bladder neck incision
- Other Cystoscopic procedures
Reconstructive surgeries
- Simple fascial repair of cystocele/rectocele/enterocele (vaginal)
- Vaginal fixation of apical prolapse
– Sacrospinous ligament fixation
– Uterosacral - Ligament fixation
- Lefort’s Colpoclesis
- McCall’s culdoplasty
- Burch Colposuspension
- Fistula repair
- Sacrocolpopexy
- Midurethral/ Pubovaginal slings
- Fascial grafts