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Mass General West
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Division of Urogynecology and Pelvic Reconstructive Surgery at the Massachusetts General Hospital Department of Obstetrics & Gynecology and the Pelvic Floor Disorders Service.
Obstetrics & Gynecology
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Milena Weinstein, MD, joined the division of Female Pelvic Medicine and Reconstructive Surgery at Massachusetts General Hospital in 2008 after completion of fellowship in Female Pelvic Medicine and Reconstructive Surgery at the University of California San Diego School of Medicine. She completed medical school and Obstetrics and Gynecology residency at University of California Los Angeles. Dr. Weinstein evaluates and treat patients with a complex pelvic floor disorders including urinary incontinence and pelvic organ prolapse, which can include uterine prolapse, vaginal vault prolapse, anterior vaginal wall prolapse (cystocele) and posterior vaginal wall prolapse (rectocele). She also sees patients with mesh-related complications (mesh erosion, mesh exposure), urogenital fistula and other pelvic floor issues.She is a member of the Mass General Pelvic Floor Disorders Service, a multidisciplinary group comprised of pelvic reconstructive surgeons, colorectal surgeons, urologists, gastroenterologists and physical therapists. The service provides surgical and nonsurgical treatment options, including minimally-invasive surgeries such as vaginal, laparoscopic and/or robotic assisted surgeries. The service holds regular multidisciplinary conferences to discuss discuss and coordinate the care of patients with complex and combined pelvic floor disordersDr. Weinstein has served on multiple national committees at American Urogynecolgic Society (AUGS). She also has been trained in three-dimensional pelvic floor ultrasound. She teaches on pelvic floor ultrasound nationally and uses pelvic floor ultrasound for research and to assist with diagnosis and treatment. Dr. Weinstein sees patients at Mass General West in Waltham and at Mass General Boston, in Suite 4E in the Yawkey Center for Outpatient Care. Dr. Weinstein performs surgery at the Mass General Boston and Danvers facilities.
Selected publications include:
Hicks CW, Weinstein MM, Wakamatsu M, Savitt L, Pulliam S, Bordeianou L. In patients with rectoceles and obstructed defecation syndrome, surgery should be the option of last resort. Surgery. 2014 Apr; 155(4):659-67.
Kim YS, Weinstein MM, Raizada V, Jiang Y, Bhargava V, Rajasekaran MR, Mittal RK. Anatomical disruption and length-tension dysfunction of anal sphincter complex muscles in women with fecal incontinence. Dis Colon Rectum. 2013 Nov; 56(11):1282-9.
Hicks CW, Weinstein MM, Wakamatsu MM, Pulliam SJ, Savitt L, Bordeianou L. Are Rectoceles the cause of the result of obstructed defecation syndrome (ODS)? A prospective anorectal physiology study. Colorectal Dis. 2013 Aug; 15(8):993-9.
Alperin M, Weinstein MM, Kivnick S, Menefee S. A Randomized Trial of Prophylactic Uterosacral Ligament Suspension at the time of Hysterectomy for Prevention of Vaginal Vault Prolapse (PULS): design and methods. Contemp Clin Trials 2013 Jul:35(2):8-12.
Clemens JL, Weinstein MM, Guess MK, Alperin M, Moalli P, Gregory WT, Lukacz ES, Sung VW, Chen BC, Bradley CS. Impact of the 2011 FDA Transvaginal Mesh Safety Update on AUGS Members’ Use of Synthetic Mesh and Biologic Grafts in Pelvic Reconstructive Surgery. Female Pelvic Med Reconstr Surg. 2013; 19(4):191-198.
Lau T, Weinstein MM, Wakamatsu MM, Macklin EA, Pulliam SJ. Low back pain does not improve with surgical treatment of pelvic organ prolapse. Int Urogynecol J. 2013 Jan;24(1):147-53.
Milena Weinstein, MD, urogynecologist at the Mass General Department of Obstetrics and Gynecology says urinary incontinence or vaginal bulge can be related to pelvic floor disorders, which affect one out of three women. Learn more about the treatments available for pelvic floor disorders, from exercise to support devices to surgery.
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