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Clinical Views

FDA Reports to Patients on Risks of Vaginal Mesh
March 27, 2013

The FDA wants patients with pelvic-organ prolapse to know that having a surgery with transvaginal mesh may put you at risk for needing additional surgery, and in some cases, repeat surgery may not resolve complications. Click here for the full patient advisory PDF.

Controversies in the Field of Urogynecology: Mesh Used in Vaginal Surgery

Message from the Urogynecology Division, Department of Obstetrics and Gynecology, Mount Sinai Roosevelt and Mount Sinai St. Luke’s

An ongoing public controversy was stimulated by the FDA’s 2011 warning regarding the use of synthetic mesh in vaginal surgery for prolapse.

As a matter of fact, departmental urogynecologists Lisa Dabney, MD, and Anne Hardart, MD, have never used much mesh in their practices. They have been especially reluctant to use mesh to augment pelvic-organ-prolapse repairs performed through the vaginal route. Fortunately, they have extensive expertise in performing these procedures vaginally without the use of mesh—and they have had excellent results.
Read full story here.


Urogynecology Physicians

Anne Hardart, MD

Faculty Attending Physician

Office Location 425 West 59th Street, Suite 5D, New York, NY 10019; (212) 523-7570.
Insurance Providers
Board Certifications

Obstetrics and Gynecology

Urogynecology and Pelvic Reconstructive Surgery

Education
  • 1995 MD, State University of New York at Stony Brook School of Medicine
  • 1995-1996 Internship, Gynecology and Obstetrics, Johns Hopkins Hospital
  • 1996-1999 Residency, Department of Obstetrics, Gynecology and Reproductive Medicine, SUNY Stony Brook
  • 1999-2002 Fellow, Urogynecology and Reconstructive Surgery, University of Southern California, Los Angeles
Academic Appointment Assistant Clinical Professor of Obstetrics and Gynecology, Columbia University College of Physicians and Surgeons
Special Interests or Skills
  • Surgical and nonsurgical management of pelvic organ prolapse and urinary incontinence
  • Laparoscopic surgery

Dr. Anne Hardart attended medical school at the School of Medicine of the State University of New York at Stony Brook, and then began her residency training in obstetrics and gynecology at Johns Hopkins Hospital. She completed residency in the Department of Obstetrics, Gynecology and Reproductive Medicine at SUNY-Stony Brook. She received a fellowship in urogynecology and pelvic reconstructive surgery at the University of Southern California, in Los Angeles, where she also served as a clinical instructor of obstetrics and gynecology.

As a urogynecologist, Dr. Hardart has special interests in the surgical and nonsurgical management of pelvic organ prolapse and urinary incontinence, and is also a highly-skilled laparoscopic surgeon. She has been a faculty attending physician in the Division of Urogynecology at St. Luke's-Roosevelt since 2002, and is also an assistant clinical professor of obstetrics and gynecology at the Columbia University College of Physicians and Surgeons. In 2006, Dr. Hardart was chosen by the department’s residents as their best teacher among our faculty physicians, and thus, she received the National Faculty Award of the American College of Obstetricians and Gynecologists (ACOG). She is board certified in Urogynecology and Pelvic Reconstructive Surgery, as well as Obstetrics and Gynecology, with the American Board of Obstetrics and Gynecology. She is a member of the American College of Obstetricians and Gynecologists, the American Urogynecological Society, and the American Association of Gynecological Laparoscopists.

Dr. Hardart’s Insurance Providers

This list is a guide. Please also call Dr. Hardart’s office to verify that she accepts your insurance coverage.

Academic Health Plan (Yeshiva Students)
Aetna HMO/POS
Aetna PPO/EPO
Aetna NYC Community Plan
Aetna Medicare
Anthem
Atlantis
Beechstreet
Cigna HMO
Cigna PPO
Easy Choice Healthplan of New York HMO
Easy Choice Healthplan of New York PPO
Empire Blue Cross/Blue Shield EPO
Empire Blue Cross/Blue Shield HMO
Empire Blue Cross/Blue Shield Indemnity
Empire Blue Cross/Blue Shield PPO/POS
Empire Blue Cross/Blue Shield Mediblue
Empire Healthy New York HMO
Galaxy
Greatwest
GHI HMO
GHI PPO
Healthnet HMO/POS
Healthnet PPO
HIP Classic
HIP Prime
HIP Prime EPO
HIP Prime PPO
HIP HMO
HIP PPO
HIP VIP (Medicare)
Horizon BCBS of New Jersey
Humana
Local 6
Local 1199
Magnacare
Medicare
Multiplan
Private Healthcare Systems (PHCS)
Oxford Freedom
Oxford Liberty
Oxford Secure Horizons
United Healthcare Evercare Plan
United Healthcare Empire Plan
United Healthcare Options PPO
United Healthcare Select HMO

OB Gyn Gynecology St. Luke's Hospital New York Manhattan Pregnancy Risks Specialist Midwife Physicians Home
OB Gyn Gynecology St. Luke's Hospital New York Manhattan Pregnancy Risks Specialist Midwife Physicians Contacts
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OB Gyn Gynecology St. Luke's Hospital New York Manhattan Pregnancy Risks Specialist Midwife Physicians Division Overview
OB Gyn Gynecology St. Luke's Hospital New York Manhattan Pregnancy Risks Specialist Midwife Physicians Physicians
OB Gyn Gynecology St. Luke's Hospital New York Manhattan Pregnancy Risks Specialist Midwife Physicians Appointments
OB Gyn Gynecology St. Luke's Hospital New York Manhattan Pregnancy Risks Specialist Midwife Physicians Types of Urinary Incontinence
OB Gyn Gynecology St. Luke's Hospital New York Manhattan Pregnancy Risks Specialist Midwife Physicians About Prolapse
OB Gyn Gynecology St. Luke's Hospital New York Manhattan Pregnancy Risks Specialist Midwife Physicians Treatments for Incontinence & Prolapse
OB Gyn Gynecology St. Luke's Hospital New York Manhattan Pregnancy Risks Specialist Midwife Physicians Minimally-Invasive Surgery for Other GYN Problems

Types of Urinary Incontinence

Your doctor will work with you to determine the type of incontinence, so that you can receive appropriate therapy.

Stress Incontinence: Loss of urine during exertion, such as coughing, laughing, or running.

Urge Incontinence: Loss of urine for no apparent reason after suddenly feeling the need or urge to urinate.

Mixed Incontinence: A combination of stress and urge incontinence.

About Pelvic Organ Prolapse

Pelvic organ prolapse is the dropping or falling of the uterus, bladder, rectum, or vagina.



Uterine Prolapse: Pelvic support structures break down and the uterus drops into the vagina. Most often, other organs are also out of place.

Anterior wall prolapse, or cystocele: This is the most common type of pelvic floor defect. The bladder drops and rotates into the vaginal opening, and sometimes bulges out. Some cystoceles can cause urine leakage while large cystoceles can cause difficulty voiding.

Posterior wall prolapse, or rectocele: This condition can result in the rectum bulging into the vaginal opening. A large rectocele can make it difficult to move the bowels.
 
Pelvic prolapse images and captions
used by permission of Ethicon Women’s Health and Urology, a Johnson and Johnson Company.

Treatments for Incontinence & Prolapse: