All of our offices will be closed on Tuesday, May 9, 2023, from 1-5 pm for staff training. Please call our office with urgent issues or problems and our answering service will assist you with being transferred to a triage nurse or to the on-call physician. For medical emergencies, please call 9-1-1 or proceed to… Read more
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Get the Facts: COVID-19 Vaccines, Pregnancy, Breastfeeding and Fertility
Register for a Virtual Discussion on Thursday, Sept. 9 from 6:00 – 7:00 p.m. Register for a virtual panel discussion with three trusted Sentara and EVMS physicians who will answer your questions about COVID-19 vaccination as it relates to pregnancy, breastfeeding, fertility, and children’s health. This webinar is free and open to all. The panel… Read more
Pamela Pyle MD, FACOG
Dr. Pamela Pyle has been practicing Obstetrics and Gynecology in Hampton Roads since 1988. She is a native of Virginia Beach, graduating as Valedictorian from First Colonial High School. She completed her undergraduate work at the University of Virginia with a Bachelor of Arts Degree in Biology and received her Medical Degree from Eastern Virginia… Read more
Reproductive Health in your 20s, 30s, and 40s
The various stages of life each bring new challenges – including ones that impact fertility. Women in the USA are holding off on having children, with many waiting until their 30s or 40s to start a family. With the “biological clock” ticking, there are often worries about maintaining reproductive health. The 20s: Programmed for Childbirth… Read more
The Importance of Water
Moms-to-be are now drinking for two. Here are some things you should know about drinking water during your pregnancy: Water Helps Deliver the Essentials to the Fetus When taking prenatal vitamins and eating healthy foods, have you ever wonder how they are absorbed and transferred through the body? Well, it all starts with water. Water… Read more
Angela Simmons PA
Angela Simmons PA has practiced as a Physician Assistant for 23 years. She graduated from St. John’s University in New York with a Bachelor of Science degree and completed an accredited Physician Assistant Training Program from Bayley Seton Hospital in 1990. She has had the opportunity to specialize in Substance Abuse and in Obstetrics and… Read more
Congratulations to Virginia Beach OBGYN’s 2016 Top Docs!
Lisbet Hanson, MD, Pamela Pyle, MD, and Reena Talreja-Pelaez, MD were honored as Coastal Virginia Magazine’s 2016 Top Docs of OB/GYN! This award is the result of a survey completed by their physician peers in Hampton Roads. Please join us in congratulating them for this well-deserved honor.
Sacral Neuromodulation and PTNS
Sacral Neuromodulation What is Interstim How to prepare 2. Pecutaneous Tibal Nerve Stimulation
PTNS
Percutaneous Tibial Nerve Stimulation Procedure overview Percutaneous Tibial Nerve Stimulation (PTNS) is a minimally invasive treatment for overactive bladder (OAB) symptoms. While many options are available for the treatment of OAB, including behavioral modification, Pelvic Floor Muscle Rehabilitation (PFMR) and medication, not all patients have success with these. PTNS works by gentle electrical stimulation of… Read more
Botox
Botox® Bladder Injection Procedure overview Botox® was approved by the FDA in the 1980s to treat certain disorders of the eye muscles and is now widely used in cosmetic surgery to treat wrinkles. It has been used in urology since the late 1990’s to treat certain disorders of the bladder and urethra. It acts by… Read more
What is Interstim Therapy?
What is InterStim Therapy? InterStim therapy is a treatment that may relieve urinary and bowel control symptoms. InterStim therapy involves surgically implanting a small neurostimulator device and a lead, which delivers gentle stimulation to the sacral nerve, much like a pacemaker does for your heart. The stimulation may reduce your symptoms to a tolerable level,… Read more
Basic Evaluation
Basic Evaluation: InterStim Therapy Test Stimulation Procedure InterStim Therapy is unique in that test stimulation can be performed to assess the effectiveness of the therapy prior to placing the more permanent neurostimulator implant. This test is designed to determine whether your urinary symptoms can be improved through stimulation of the sacral nerves which help to… Read more
Medications to treat Urge Incontinence
Urinary incontinence may be treated with medicines. But in many cases, treatment with behavioral methods (bladder training, timed urination) and Kegel exercises are tried before medicines. These treatments, when combined with medicine, may help some women more than either treatment alone. Medication Choices Anticholinergics for Urinary Incontinence in Women Generic Name Brand Name… Read more
Behavioral Treatments for Urge Incontinence
Urinary Incontinence in Women If you have urinary incontinence, you can take some steps on your own that may stop or reduce the problem. Manage your fluid intake. In 2004, the Institutes of Medicine reported that most people meet their daily hydration needs by letting their thirst guide them. Little scientific evidence exists that supports… Read more
How is it treated?
How is it treated? The first step in treatment will be to try some of the following things at home: Behavioral Treatment & Kegels Medications If you have severe overactive bladder or severe urge incontinence that hasn’t been controlled by exercises or medicine, you may be able to try other treatments. These include Botox injections or… Read more
Urge Incontinence Diagnosis
How is overactive bladder diagnosed? Dr. burns will do a physical exam. She will ask what kinds of fluids you drink and how much. She will also want to know how often you urinate, how much, and if you leak. It may help to write down these things in a BLADDER DIARY for a few days… Read more
Urge Incontinence Causes & Symptoms
What causes overactive bladder? Overactive bladder is caused by an overactive muscle in the bladder that pushes urine out. There are many things that can make this muscle overactive. It can be caused by a bladder infection, stress, or another medical problem. Some brain problems, such as Parkinson’s disease or a stroke can also lead… Read more
Urge Urinary Incontinence
Overactive Bladder What is overactive bladder? With overactive bladder, you have many strong, sudden urges to urinate during the day and night. You can get these urges even when you have only a little bit of urine in your bladder. You may not be able to hold your urine until you get to the bathroom…. Read more
Cystoscopy
Cystoscopy of the Bladder Cystoscopy is a test that looks at the inner lining of the bladder and the tube from the bladder to the outside of the body (urethra). The cystoscope is a thin, lighted viewing tool that is put into the urethra and moved into the bladder. When the cystoscope is inside your… Read more
Mid-Urethral Slings
Urethral Sling for Stress Incontinence in Women Surgery Overview Urethral sling surgeries to treat urinary incontinence involve placing a sling around the urethra to lift it back into a normal position and to exert pressure on the urethra to aid urine retention. The sling is attached to the abdominal wall. The sling material may be… Read more