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Urogynecology & Pelvic Reconstructive Surgery

Maimonides physicians are board-certified and fellowship trained in Urogynecology and Pelvic Reconstructive Surgery, and are dedicated to providing the highest quality of care available. Our team has extensive experience diagnosing and treating pelvic floor disorders, such as urinary and fecal incontinence, pelvic organ prolapse and related issues. 

Pelvic floor disorders can be quite common and affect women at varying ages, from young adolescents through mature adults. Our specialists understand that these types of health issues can sometimes create embarrassment and often negatively affect your quality of life. Be assured you will be cared for with compassion and expertise. Our staff will take the time to provide individualized attention, and answer any questions you may have.  As part of the diverse community of Brooklyn, we offer care that is culturally sensitive to your needs. 

We offer a wide variety of treatments options, from approaches such as dietary changes, pelvic floor muscle exercises, counseling and physical therapy, to medication, biofeedback and electrical stimulation, to more advanced surgical procedures. If surgery is necessary, as in the case of pelvic prolapse, we utilize minimally invasive laparoscopic techniques including advanced robotics whenever possible. 
 

What is a Urogynecologist?

A Urogynecologist is a surgeon who specializes in the care of women with Pelvic Floor Disorders, also known as PFD. The pelvic floor is a set of muscles, ligaments and connective tissue in the lowest part of the pelvis that provides support for internal organs, including the bowel, bladder, uterus, vagina and rectum. A PFD occurs when women have weakened pelvic muscles or tears in the connective tissue. PFD can develop due to excessive strain on the pelvis due to childbirth, repeated strenuous activity, menopause, chronic disease, or pelvic surgery. Some other causes include repetitive heavy lifting, tobacco use and genetics. 
 

Our Philosophy

Many health issues require a series of visits to address your condition. Our focus is always to treat the issue in the most effective manner possible, so you can return to the life you enjoy. Depending on your illness, the initial consult may be followed by diagnostic testing and an individualized treatment plan. For patients in child bearing years, we always consider using temporizing treatment options that can be followed by more definitive treatments later on in life if necessary.

Our physicians are highly trained in surgical reconstruction in the case of pelvic prolapse, and utilize minimally-invasive laparoscopic techniques including advanced robotic surery whenever possible.
 

About Pelvic Floor Dysfunction (PFD)

Symptoms

Overall, symptoms for Pelvic Floor Dysfunction (PFD) begin gradually and progress over time. Signs of PFD vary, and include:

  • Bladder Control Problems: urine leakage, overactive bladder, difficulty emptying the bladder
  • Bowel Control Problems: infrequent bowel movement, constipation or diarrhea, hard bowel movements, abnormal stool consistency
  • Pelvic Organ Prolapse: Bulging or pressure in the vagina that worsens throughout the day or during bowel movements
  • Difficulty Urinating
     

Treatments

We provide many treatment options, including:

  • Dietary and nutrition counseling.
  • Pelvic floor muscle exercises, counseling and physical therapy
  • Medication
  • Biofeedback and Pelvic floor electrical stimulation
  • Vaginal suspensions
  • Pelvic surgeries for pelvic organ prolapse