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Clinical Views

The Least-Invasive Route for Gynecologic Surgery is Through the Vagina

AN EXPERT’S VIEWPOINT:

There has been a lot of talk in the media about minimally-invasive surgery for uterine fibroids, endometriosis, and other noncancerous gynecologic problems. The route discussed for these surgeries is usually laparoscopic; that is, through small incisions in the abdomen for insertion of a camera and instruments. While this approach has revolutionized some procedures, especially those for cancer cases, sometimes the practice of laparoscopy overshadows the least invasive approach for noncancerous gynecological conditions: the vaginal approach. Read full story here


Urogynecology Appointment Center

Lisa Dabney, MD, Division Director
425 West 59th Street, Suite 9B
New York, New York 10019

Phone: 212-523-7570
Fax: 212-523-5737

Anne Hardart, MD, Associate Division Director
425 West 59th Street, Suite 9B
New York, New York 10019

Phone:  212-523-7570
Fax: 212-523-5737

Chandhana Paka, MD
425 West 59th Street, Suite 4B
New York, New York 10019  

Phone: 212-581-8675
Fax: 212-459-9113


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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: