Female Pelvic Medicine and Reconstructive Surgery
As surgeons subspecialized in Female Pelvic Medicine and Reconstructive Surgery (FPMRS), we are trained to manage more complex conditions involving the lower urinary tract.
Fortunately conditions like pelvic anatomy including fistula, urethral diverticulum, and urethral stricture are rare. When help is needed, our team is dedicated to a patient-focused approach and equipped to provide an efficient diagnosis and effective surgical plan.
Symptoms of Lower Urinary Tract Conditions
- Continuous, silent leakage of urine or stool
- Urinary control problems following hysterectomy, other pelvic surgery, or, pelvic radiation treatments
- Bowel control problems after childbirth, or after pelvic surgery or radiation treatments
- Bulge or protruding tissue arising from underneath the urethra
- Slowed urinary stream, incomplete emptying of urine
Lower Urinary Tract Surgeries
Fistulas are abnormal connections or holes that can develop between the bladder or urethra and the vagina or bowel, sometimes leading to severe or constant leakage of urine or stool. They can be caused by childbirth trauma, previous hysterectomy or other gynecologic or pelvic treatments, and/or other inflammatory conditions. The patient-specific method for fistula surgery is recommended based on the type of fistula and its location, size, and the amount of time it has been present. We commonly perform vaginal fistula repairs and in other cases may recommend robotic assisted laparoscopy. Nearly all of these surgeries are performed on an outpatient basis.
Urethral Diverticulum Repair
Diverticulum in the urinary tract refers to an outpouching of the urethral or bladder wall that can cause infection, irritating symptoms during or after urination, and/or a small bulge of skin protruding from the vagina. Surgery for a urethral diverticulum is performed on an outpatient basis, typically using a small vaginal incision with no external incision required.
Urethral Stricture Repair
Urethral strictures refer to narrowing of the urethral tube, creating a slow urinary stream and sense of incomplete voiding. This can occur as a minor congenital issue (from birth), or due to chronic inflammation, previous surgery or radiation, or lack of estrogen in post-menopausal women. We provide diagnostic evaluation and non-surgical treatments for urethral strictures. We facilitate referral to our colleagues in the Department of Urology for cases requiring surgery.
3-D Ultrasound Imaging: Diagnosing your condition in the office
While MRI imaging may be needed in select cases, we can utilize in-office 3D pelvic ultrasound imaging to determine the nature of the problem and outline a treatment plan for many women with complex conditions. Our 3D pelvic ultrasound imaging provides vivid mapping of pelvic floor anatomy. This can clearly delineate abnormalities and lesions such as a urethral diverticulum.
Who We’ve Helped
Before my procedure, I was unable to walk across the room without pain and discomfort due to my prolapse. In short, your care and this procedure were life-changing. I feel great and I thank Dr. Rostami and her team so much!
My procedure was a repeat surgery and involved a high level of complexity. This was the reason I traveled from out-of-state to specifically see Dr. Goldberg. I felt I couldn’t be in better hands and am delighted with my recovery.
Being a nurse of many years can be problematic in that some providers think “I know everything” and I certainly don’t. Dr. Dutta explained everything in detail, which was very helpful to me because I don’t know much about my problem except what I can find on the internet. She was amazing.
Let’s get you feeling like yourself again.
From scheduling a telemedicine consultation to helping you arrange travel before and after your treatment, we are here to support you at every step. Reach out with questions or to get started.