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About Urge Urinary Incontinence

  Prevention Non-Surgical Management Surgical Management   Navigate back to Incontinence Main Page

Pessary for Incontinence

Vaginal Pessaries  Pessaries are successfully used for the treatment of stress urinary incontinence and vaginal wall prolapse. These are plastic devices typically made of silicon, similar to vaginal contraceptive diaphragms, which are used to either liftand support the vaginal walls. Success: About half of the women who are successfully fitted with a pessary will continue… Read more

Non-Surgical Options for Stress Incontinence

Non-Surgical Treatments Lifestyle Changes Pessary  Pelvic Floor Muscle Strengthening Exercises “KEGELS” Surgical Management Navigate back to Stress Incontinence

Diagnosis & Testing for Incontinence

Diagnosis The first step is to determine which type of urinary incontinence you may have. The type of incontinence will determine which course of treatment we can off you. To begin, we will collect a thorough history and physical exam. The history and exam may give our doctor indicators or clues as to what incontinence you may be experiencing. Next,… Read more

Urodynamic Testing (UDT)

  Indications for Urodynamic Testing: If you have a problem with urination or urinary leakage, your physician may order a test called Multichannel Urodynamic Testing to evaluate the cause of your problem. This study assesses how well your bladder and urethra muscles work at storing and releasing urine. Indications are: * incontinence * frequent urination… Read more

Burch or Marshall Marchetti Krantz (MMK) Colposuspension

Burch or Marshall Marchetti Krantz (MMK) Colposupension  These procedures are also called Retropubic Colposuspensions. These have been performed for over 50 years. The surgery is performed through a small open abdominal incision or laporascopically. In this operation, stitches are placed into the vaginal wall alongside the urethra at the bladder neck and then secured to… Read more

About Stress Urinary Incontinence

Stress Urinary Incontinence Stress urinary incontinence is loss of urine that occurs at the same time as physical activities that increase the pressure in the abdomen (such as sneezing, coughing, laughing, and exercising). These activities can increase the pressure within the bladder, which behaves like a balloon filled with liquid. The rise in pressure can… Read more

Prevention of Apical Prolapse

There is no single way to prevent these problems. Certain women are at genetic risk and have inherently poor strength of connective tissue Women can make lifestyle choices that can reduce her risk. In general, decreasing pressure on the pelvic floor walls is wise. This can be done by: Maintain normal weight or losing weight… Read more

Non-Surgical Management of Apical Prolapse

After being diagnosed with pelvic organ prolapse, a woman generally has four options: No treatment – watch how things go Pessary for support Pelvic Floor Muscle Exercises “KEGELS” or referral to pelvic floor physical therapy to improve muscle tone Surgery to correct the prolapse Just because you have been diagnosed with prolapsed , does not… Read more

Apical Prolapse Surgical Management

If desire to maintain sexual function, the most important aspect of a repair is restoring the support of the upper 1/3 portion of the vagina. Common procedures that do this are: Abdominal Sacral Colpopexy Uterosacral or Sacrospinous Ligament Fixation  If a patient does not have a desire to maintain sexual function, a third option is Colpoceisis… Read more

Non-Surgical Prolapse Treatment

After being diagnosed with pelvic organ prolapse, a woman generally has four options: No treatment – watch how things go Pessary for support Pelvic Floor Muscle Exercises “KEGELS” or referral to pelvic floor physical therapy to improve muscle tone Surgery to correct the prolapse Just because you have been diagnosed with prolapsed , does not… Read more

Prevention of Prolapse

There is no single way to prevent these problems. Certain women are at genetic risk and have inherently poor strength of connective tissue Women can make lifestyle choices that can reduce her risk. In general, decreasing pressure on the pelvic floor walls is wise. This can be done by: Maintain normal weight or losing weight… Read more

Prevention of Prolapse- Posterior Vaginal Wall

There is no single way to prevent these problems. Certain women are at genetic risk and have inherently poor strength of connective tissue Women can make lifestyle choices that can reduce her risk. In general, decreasing pressure on the pelvic floor walls is wise. This can be done by: Maintain normal weight or losing weight… Read more

Prevention of Posterior Vaginal Wall Prolapse

There is no single way to prevent these problems. Certain women are at genetic risk and have inherently poor strength of connective tissue Women can make lifestyle choices that can reduce her risk. In general, decreasing pressure on the pelvic floor walls is wise. This can be done by: Maintain normal weight or losing weight… Read more

Non-Surgical Management of Posterior Vaginal Wall Prolapse

After being diagnosed with pelvic organ prolapse, a woman generally has four options: No treatment – watch how things go Pessary for support Pelvic Floor Muscle Exercises “KEGELS” or referral to pelvic floor physical therapy to improve muscle tone Surgery to correct the prolapse Just because you have been diagnosed with prolapsed , does not… Read more

Surgical Management Options for Specific Prolapse Conditions

Anterior Vaginal Wall Prolapse Anterior Colporrhaphy Paravaginal Repair Posterior Vaginal Wall Prolapse Posterior Colporrhaphy & Perineorrhaphy Apical Prolapse Abdominal Sacral Colpopexy Uterosacral or Scarospinous Ligament Fixation   Navigate back to Prolapse main page

Anterior Vaginal Wall Surgical Management

Surgical Management Anterior Vaginal Prolapse Repair A cystocele or bulge of the front wall of the vagina usually results in loss of support to the bladder that rests upon this part of the vagina. The goal of a cystocele repair is to elevate the anterior vaginal wall back into the body and support the bladder…. Read more

Types of Pelvic Prolapse

Anterior Vaginal Wall Prolapse Posterior Vaginal Wall Prolapse Apical Prolapse     Navigate back to the main Prolapse page

Best of the Beach!

Congratulations Everyone! Thank you to our patients and supporters who voted for Virginia Beach Obstetrics & Gynecology as the best OB/GYN practice in Virginia Beach! We won GOLD in Pilot’s 2014 Best Of Contest!