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We offer several management options ranging from physical therapy to minimally invasive surgery or global pelvic prolapse repair.

We also offer second opinions if you’re have a difficult time with options provided to you. 

Medical Therapy

Certain types of urinary leaking, namely urge incontinence or “overactive bladder” (OAB) can be effectively treated with medication. If you struggle from OAB we can discuss these medications in detail and prescribe the best one for you, when indicated.

Mesh Complications

Our surgeons are experienced in management of complications of previously placed mesh for pelvic organ prolapse repair.


Some mesh products used in the 90s and 2000-2010s developed serious and painful complications. We have been removing mesh since we began training and do not use mesh for prolapse repairs.


If you have had a mesh repair in the past and are experiencing pain, bleeding, sexual dysfunction, or urinary dysfunction, please make and appointment .  Most of these complications can be addressed.

Minimally Invasive Surgery

Other types of urinary leaking such as stress urinary incontinence (SUI) are not well treated with medications.


If you do not wish to try pelvic floor physical therapy, or have done this but are not fully satisfied with your improvement, then surgical intervention may be appropriate.


We provide surgical consultations to ensure this option is appropriate and that all your questions are answered to your satisfaction prior to performing these procedures. 


Our surgeons are trained and skilled in the methods of minimally invasive pelvic organ prolapse repair and stress urinary incontinence. We are happy to talk you through the methods available and expectations of recovery. 

Physical Therapy / Biofeedback

Most women are unaware of what a complex group of muscles serve to make up their pelvic floor. There are many life factors such as physical activity, heavy lifting, genetics, smoking, pregnancy, surgery, etc. that can have adverse impacts on your pelvic floor muscles and their ability to function appropriately. This dysfunction can lead to a variety of symptoms, most of which can be treated through physical therapy.


We are fortunate enough to work along side a very skilled set of pelvic floor physical therapists in our community and would be happy to arrange a referral for evaluation and treatment when warranted.


​Additionally, education regarding the pelvic anatomy can empower a woman to be able to have a more hands-on approach to managing pelvic floor issues. We utilize history and exam and work in conjunction with local pelvic floor physical therapists to develop a tailored plan to the woman’s issues.

Sub-Specialist Referrals

There are rarer types of urinary incontinence that require more complex evaluation and interventions. When indicated, we are able to connect you to our colleagues in Anchorage for sub-specialist consultations to ensure you are receiving the appropriate workup and treatment plan.

UROGYNECOLOGY

Urogynecology is the specialty of management of urinary dysfunction, usually as a result of childbirth and pelvic relaxation that occurs with pregnancy and delivery.

 

Over time women can develop a distressing pattern of urine loss and that can affect their quality of life in significant ways. Avoiding situations, intimacy or other activities for fear of leaking urine is embarrassing and distressing. Many times this is treatable. A visit to your provider for an assessment will help guide you through the options that you have available to you.

We are experienced in evaluation and management of women who have had a mesh previously placed and are having complications from this.

 

UROGYNECOLOGY SERVICES

Medical Therapy
Mesh Complications
Minimally Invasive Surgery
Physical Therapy / Biofeedback
Sub-Specialist Referrals

Medical Therapy

Certain types of urinary leaking, namely urge incontinence or “overactive bladder” (OAB) can be effectively treated with medication and/or physical therapy, lifestyle changes or habit modification. If you struggle from OAB we can discuss these options in detail and prescribe the best one for you, when indicated.