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Women with urinary incontinence or problems related to changes in the pelvic organs often suffer in silence. That’s because many patients are uncomfortable talking about their symptoms or assume these problems can’t be corrected. Rather than seeking medical help, they endure countless inconveniences along with a decline in quality of life.
Patients count on clinicians in the Female Pelvic Medicine & Reconstructive Surgery Program to provide compassionate care for urogynecologic conditions that may be difficult to discuss, including:
We take pride in developing individualized urogynecologic treatment plans for each patient, incorporating the most advanced surgical and nonsurgical options available today.
Our treatment philosophy, and the preference of most patients, is to avoid surgery whenever possible. Many symptoms can be address using nonsurgical approaches such as:
For patients who do require surgery, we are committed to developing and introducing minimally invasive procedures that involve less pain and a shorter recovery time. Examples include:
Learn more about the program
Program director May Wakamatsu, MD, trained under the late David Nichols, MD, a nationally known gynecologic vaginal surgeon. Research director Milena Weinstein, MD is a fellowship-trained urogynecologist. The team also includes Emily Von Bargen, DO. Our staff also includes physicians who practice obstetrics and gynecology and also specialize in urogynecologic surgery and perform many procedures to treat urinary incontinence and prolapse.
In addition to our physicians, we have three experienced urogynecologic nurses led by Christina Davison, WHNP, MSN, who provide support.
Meet our team
Our staff includes obstetricians and gynecologists who understand a woman's changing needs throughout her lifetime. We work as a tightly knit team, sharing our expertise with our peers to offer patients individualized care for their particular symptoms.
Patients can access our services in several convenient locations: on the hospital's main campus in Boston and at Mass General Waltham.
During your first visit, you and your doctor will talk about the symptoms you are experiencing. Your doctor will also conduct a comprehensive physical examination. As a next step, you may need to schedule urodynamic testing of your bladder and urethra function.
At your follow-up appointment, you and your doctor will discuss an individualized treatment plan that targets your particular condition. We often recommend patients begin with nonsurgical approaches, such as targeted physical therapy, which can be quite effective for treating mild prolapse, incontinence and other pelvic disorders.
If nonsurgical approaches are ineffective—or inappropriate for your condition—only then do we proceed with surgery. Our physicians are highly skilled in performing the full spectrum of surgical procedures, including minimally invasive laparoscopic and robotic-assisted surgeries.
We realize our patients' problems usually are multifaceted. For instance, bladder control issues may overlap with prolapse, or urinary and fecal incontinence may be interconnected. When more than one organ is involved, we work closely with the Pelvic Floor Disorders Service, a multidisciplinary team of experts dedicated to women's pelvic health.
This service offers a comprehensive one-stop center for treating pelvic floor symptoms caused by a weakening of the muscles and ligaments that hold up the pelvic organs. Patients see the most appropriate caregiver for their particular treatment. Our goal is to treat all of the patient's problems so she can enjoy a successful outcome and can return to a normal life.
Patient education is an important component of treatment, as lifestyle changes, exercises and other steps can alleviate symptoms. Our nurses have years of experience addressing these sensitive conditions and working with patients on a long-term basis to reach successful outcomes.
Accepting New Patients
Yawkey Center for Outpatient Care 32 Fruit Street, Suite 4E Boston, MA 02114 Phone: 617-724-6850 Fax: 617-724-3850
40 Second Avenue, Suite 515 Waltham, MA 02451 Phone: 781-487-3860 Fax: 781-487-3870
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