Female Pelvic Medicine

For Women First patients, Female Pelvic Medicine and Reconstructive Surgery (FPMRS) encompasses a variety of issues including:

Pelvic Prolapse: Prolapse is a condition in which the connective tissue of the pelvis is no longer able to support pelvic organs. This is a common disorder, especially in older women, and can be a result of any of a long list of causes including menopause, multiple vaginal deliveries, uterine fibroids, loss of muscle tone, obesity, chronic constipation, pelvic trauma, or family history.  Symptoms of pelvic prolapse can include urinary or bowel problems, feelings of bulging, fullness or vaginal “heaviness”, recurrent bladder infections, and excessive vaginal discharge.

Depending on the severity of the condition, treatment can range from exercise regimens and removable support devices to surgical solutions that repair the vaginal wall.

Urinary Incontinence: Uncontrollable urinary leakage is extremely common (and more so in women) and can be cured or improved in about 80% of the women who seek treatment. Urinary incontinence can be caused by a variety of factors – childbirth and pregnancy, menopause, aging, urinary tract obstructions (i.e. tumors), neurological disorders, hysterectomy, and more.

Women First employs a wide array of treatments for urinary incontinence, ranging from behavioral (exercise, pelvic floor stimulation, etc.), to pharmaceutical (i.e. medications), to surgical options to repair and strengthen muscles and organs in the pelvis. Read more about urinary incontinence here.

Labiaplasty: Women consider labiaplasty for both therapeutic and aesthetic reasons. Plastic surgery to reconstruct the inner and/or outer vaginal lips is often done to remove excess skin, reduce the size of the labia, to alleviate pain or improve sensation during intercourse, and to help reduce urinary incontinence.

Labiaplasty is usually a simple procedure performed on an outpatient basis under local anesthetic. Patients usually experience only mild discomfort following the procedure and a full recovery in less than two weeks.

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