Female Pelvic Medicine and Reconstructive Surgery

Opening Hours : Monday to Friday: 9am to 5pm
  Contact : Syr (315) 701-5757 | Fulton (315) 592-2312

Urogynecologic Disorders

All problems women may have related to their bladder or female organs. Some primary urogynecology disorders are:

Urinary Incontinence

  • Stress incontinence – Involuntary loss of urine caused by strenuous physical activity, laughing, coughing or sneezing.
  • Urge incontinence or overactive bladder – Involuntary loss of urine that occurs due to a sudden urge to urinate

Evaluation and Management of Urinary Incontinence in Women

Want to end your annoying active-bladder symptoms?

We have the solution that will work for you.

Percutaneous Tibial Nerve Stimulation

PTNS therapy is an effective solution with amazing results.

PTNS is a minimally invasive treatment that delivers retrograde electrical stimulation and results in control of overactive bladder/incontinence symptoms.

It is an FDA-approved, effective treatment, used when other conservative treatments have failed.

And our patients are thrilled with the results
“The results have been overwhelmingly successful for my patients. Their symptoms of embarrassing urinary incontinence, inconvenient/uncontrollable urges to urinate at inopportune times, and the accompanying social anxiety with this problem have all stopped,” said Dr. Badalian.

Did you miss the NewsChannel 3 story about PTNS?  You can read it HERE.

Botox?  The “wrinkle” stuff? Yes, Botox!

One Botox injection can put an end to your urinary incontinence problems.

This FDA-approved simple treatment works for both overactive bladders and urinary leakage. It can increase your bladder capacity and decrease that annoying pressure. It will “calm your bladder.

Download a brochure on Botox for Incontinence HERE.

More Urogynecology Treatments

Behavioral Therapy
Behavioral therapy is safe, easy to learn, and does not have side effects. Examples of behavioral therapy include Pelvic muscle rehabilitation, Bladder retraining programs, Fluid and dietary modification.

Devices and Medications
Pessaries and other devices can be used to treat some conditions as a safe alternative to surgery. Medications are available to treat a variety of urogynecologic problems.

Surgery
Surgical treatment options range from minimally invasive surgery, vaginal surgery and abdominal surgery.

Minimally Invasive Surgery for Stress Incontinence   
This surgery includes transvaginal slings “tapes,” including mini-slings (no outside incisions).

Fecal Incontinence

The involuntary loss of solid or liquid stool that can result in impaired quality of life for an individual

Pelvic Organ Prolapse

Described as a fallen bladder, uterus, vagina or rectum

Fistulas

Vesicovaginal or rectovaginal – an opening between the wall of the vagina and the wall of the bladder or rectum which can lead to urine leakage
Other problems with urination or pelvic floor
A variety of therapies can be used to treat or manage these problems. Bladder or pelvic problems should not be considered as a result of the aging process.

You can start with behavioral modifications, bladder training and “Kegel” exercises (see below).

1.  Watch how much you drink (don’t force yourself to drink more than you need).
2. Avoid food and drinks that may bother your bladder.
  • coffee
  • carbonated drinks (soda)
  • citrus drinks
  • spicy foods (salsa).
3. Watch your weight (weight loss can improve urinary incontinence).
4. Stop smoking.

 Kegel exercises

They can strengthen the muscles that help hold urine in the bladder.
  • Try only once to stop your urine stream by tightening your pelvic muscles. You will then feel which muscles you need to tighten. Otherwise, do NOT do Kegel exercises during urination.
  • Then tighten the same muscles for a count of 5 when you are in the kitchen, watching TV or reading.
  • Then fully relax the muscles for a count of 5. (You should try to control both the tightening and relaxing of the muscles.)
  • Repeat 8 to 10 times. Do these at least 3 times a day.
BLADDER TRAINING
This plan will help you regain control of your bladder.  The goal: Urinating every 3-4 hours during the day without fear of wetting accidents.
Do your best to follow the same schedule each day during waking hours. You may need to get used to the idea that you can wait longer before going.
Timed voiding
  • Try to increase your time between bathroom visits during the day (wait 15 minutes longer).
  • When you can wait that long without a problem for 1 week, try to increase the time again.
Control Tips:
  1. Perform 4-5 pelvic muscle contractions. They help calm the urge.
  2. Try to distract yourself (sit down and take 5-6 deep breaths).

Most patients use more than one of these options to succeed. Some changes seem like common sense, but they can have a big impact on your life.  Voiding diary will help you and us to see the problem during 24 hours. Download our voiding diary.

Surgical Treatment of Stress Urinary Incontinence

If non-surgical management of stress urinary incontinence is not working after 3 months, you may need to consider surgical options:

A Minimally Invasive Procedure To Control Stress Urinary Incontinence

At some point, every woman experiences an episode of stress urinary incontinence (SUI). A big sneeze, a persistent cough, a case of the giggles is sometimes all it takes to experience urine leakage.
But if you or someone you care about is experiencing persistent incontinence, you know how devastating its effects can be. Such as living in fear of embarrassment over wetness or odor, worrying if friends or loved ones will discover such a private health issue, and feeling dirty despite continually changing clothes and doing laundry.

Better Support for Improved Control

A urethral support sling helps correct incontinence with a soft material called “mesh” that supports the urethra. A urethral support sling is one of today’s most successful procedures for stress urinary incontinence.
The procedure is minimally invasive and involves placing the mesh material under the urethra to give it a point of support. The sling functions much like a hammock on which your urethra rests to prevent accidental urine leakage.

The Sub-Urethral Sling Procedure

This minimally invasive procedure performed on an outpatient basis in less than 15 minutes.
Local or regional anesthesia can be used, depending on what you and your doctor choose.
In general, placing a sling involves the following steps:
  • Small incisions may be made in the vagina or where the top of thigh meets your pelvic area.
  • The soft synthetic mesh is inserted through an incision and placed under the urethra to form a cradle of support.
  • The mesh is self-fixating and anchors itself to tissue and muscle in the space surrounding the urethra.
You will be able to return home in just a few hours after the procedure is complete.Your incisions will be small and should heal quickly. For approximately 4 to 6 weeks you should avoid sexual intercourse, heavy lifting, and exercise.
Most patients are continent immediately following the procedure and can resume normal, non-strenuous activities – including returning to work – within a few days.
Studies show that even after seven years following the procedure up to 86% of patients remained completely dry and 11% significantly improved.

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