Bookmark and Share

Clinical Views

The Truth About Incontinence

The Truth About Incontinence

Sept 25, 2012 - In an interview on Channel 4's New York Live, Urogynecologist Lisa Dabney, MD, debunks several myths about urinary incontinence.

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 St. Luke’s and Mount Sinai West

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.

Grooming Tips for GYN Health

Barely-there underwear, Brazilian bikini waxes, and shaved pubic hair have become cultural beauty standards for women. And yet, the skin of a woman’s genital area is more sensitive than the skin on her face. Lisa Dabney, MD, urogynecologist in the Department of Obstetrics and Gynecology at Mount Sinai West Hospital Center, wants to remind women that redness and irritation from harsh grooming procedures and tight clothing are the body’s way of saying “stop torturing me.” Here are the general guidelines that Dr. Dabney hands out to her patients with pain and discomfort in the vaginal area and recurrent yeast infections. Most of the time, says Dr. Dabney, these patients don’t have some horrible infection; they just need to change their grooming habits.


Urogynecology Physicians

Chandhana Paka, MD, FACOG

Faculty Attending Physician

Office Location

425 West 59th Street, Suite 4B, New York, NY 10019;
Phone: 212-581-8675

Insurance Plans
Board Certifications

Certified in Obstetrics and Gynecology

Education
  • 2002 BA, Cum Laude, Psychology, New York University, New York, NY
  • 2007 MD, Royal College of Surgeons, Dublin, Ireland
  • 2007-2011 Obstetrics and Gynecology Residency, St. Luke’s and Roosevelt Hospitals, New York, NY
  • 2011-2013 Minimally Invasive Gynecologic Surgery Fellowship, Center for Minimally Invasive Surgery, Stanford Hospital, Palo Alto, CA
  • 2013-2016 Female Pelvic Medicine and Reconstructive Surgery Fellowship, Johns Hopkins University, Baltimore, MD
Special Interests or Skills
  • Surgical and nonsurgical treatment of pelvic organ prolapse and urinary incontinence
  • Surgical and nonsurgical treatment for interstitial cystitis, high tone pelvic floor and pudendal neuralgia
  • Specialty training in minimally-invasive gynecologic surgery, including advanced laparoscopy and robotics
  • Provides treatment of benign gynecologic conditions including fibroids and endometriosis

Chandhana Paka, MD, is a double-fellowship-trained urogynecologist, and a highly-trained minimally-invasive gynecologic surgeon. She is adept at the surgical and nonsurgical treatment options for management of urinary incontinence and repair of pelvic organ prolapse—the “dropping” of organs such as the uterus and bladder. In addition, her training in minimally-invasive gynecologic surgery has made her proficient at complex surgical treatments for a wide range of non-cancerous gynecologic problems. She is board certified in obstetrics and gynecology.

Dr. Paka received her BA in psychology from New York University in 2002. She received her medical education at the Royal College of Surgeons in Dublin, Ireland, graduating in 2007 with a First-Class Honors Degree in Obstetrics and Gynecology and Honors Degrees in both Surgery and Medicine.

She completed her obstetrics and gynecology residency training at St. Luke’s and Roosevelt Hospitals from 2007-2011. During her residency, she received multiple teaching awards. In 2008 and 2009 she was honored with the Best Teaching Resident Award for contributions to medical student and intern education and in 2010 she was awarded the prestigious Arnold P. Gold Foundation Humanism and Excellence in Teaching Award from Columbia University School of Medicine. Dr. Paka served as an administrative chief resident in her final year of her residency.

Dr. Paka went on to enter an AAGL Fellowship in Minimally Invasive Gynecologic Surgery at the Center for Minimally Invasive Surgery at Stanford Hospital in Palo Alto, California, where she developed skills in conventional laparoscopy, robotics and hysteroscopic surgery. During this fellowship, she published widely on surgical techniques, especially concerning complex treatment for endometriosis. She graduated in 2013.

From 2013-2016, Dr. Paka completed a second fellowship in Female Pelvic Medicine and Reconstructive Surgery at Johns Hopkins Hospital in Baltimore, Maryland, where she focused her surgical skills in vaginal and robotic surgery in treating pelvic organ prolapse, urinary and fecal incontinence and other pelvic disorders. During her time at Hopkins she was awarded a visiting scholarship to work in Australia, where she focused on ultrasound imaging for fecal incontinence. She continues to publish in these and other related areas.

Dr. Paka’s Insurance Plans

Dr. Paka is an in-network provider with the following insurance plans. Please make sure yours is listed. In addition, when you make your appointment with Dr. Paka, please double-check that she participates as an in-network provider with your plan.

Dr. Paka's Insurance Plans (pdf)

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
OB Gyn Gynecology St. Luke's Hospital New York Manhattan Pregnancy Risks Specialist Midwife Physicians Clinical Services

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: