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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 our clinicians to provide compassionate care for conditions that may be difficult to discuss. The most common examples are:
We take pride in developing individualized 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:
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.
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, in Waltham and in Danvers.
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.
Cystocele is the name for a hernia-like disorder in women that occurs when the wall between the bladder and the vagina weakens, causing the bladder to drop or sag into the vagina.
Pelvic pain may originate in genital or extragenital organs in and around the pelvis, or it may be psychological, which can make pain feel worse or actually cause a sensation of pain, when no physical problem is present.
Yawkey Center for Outpatient Care 32 Fruit Street, Suite 4E Boston, MA 02114 Phone: 617-724-6850 Fax: 617-724-5843
40 Second Avenue, Suite 400 Waltham, MA 02451 Phone: 781-487-3860 Fax: 781-487-3870
104 Endicott Street, Suite 304 Danvers, MA 01923 Phone: 978-882-6767 Fax: 978-882-6775
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