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Posted by Manhattan Women's Health & Wellness on 05/22/2020



Urogynecology, is a sub-specialty of Gynecology. It is also known as Female Pelvic Medicine and Reconstructive Surgery. Urogynecologists complete medical school and a residency in Obstetrics and Gynecology or Urology. Urogynecologists are specialists with additional training and experience in the evaluation and treatment of conditions that affect the female pelvic organs, as well as the tendons, muscles, and fascia that support them. Many, though not all, complete formal fellowships (additional training after residency) that focus on the surgical and non-surgical treatment of non-cancerous gynecologic problems.

Common Urogynecology Problems

Some of the common problems treated by urogynecologists include:

  • Urinary incontinence or leakage
  • Pelvic organ prolapse (dropping of the vagina, uterus, bladder, rectum).

Urogynecologists also treat urinary problems associated with urination, such as:

  • Increased urgency, frequency
  • Pain with urination
  • Overactive bladder
  • Recurrent UTIs and cystitis.

Urogynecologists are responsible for the care of women who have experienced trauma to the perineum especially during childbirth.

Treatment Options

Treatment options for prolapse include more conservative options such as:

  • Pelvic floor physical therapy
  • Pessary placement
  • Surgical treatment.

Prolapse can be repaired safely and effectively surgically if needed. Prolapse surgery includes:

  • Vaginal laparoscopic
  • Vaginal robotic or open approaches, depending on the patient’s specific needs.

Pelvic floor physical therapy is an important aspect of treating prolapse, the most advanced aspect of this type of physical therapy includes biofeedback which can help the patient learn how to activate the correct muscles in order to target their specific type of prolapse.

Pessary Placement

Pessary placement includes first a vaginal exam to evaluate the type and size of pessary needed to treat the patient’s prolapse. Pessaries can come in varying shapes and sizes. Some patients will need to try a few different types of pessaries before they find the one which fits their specific type of prolapse. Pessaries require maintenance of removal, cleaning, and replacement at least once every three months. This can be done by the patient or at the gynecologist’s office depending on the patient’s preferences.

Your urogynecologist will evaluate patients with overactive bladder with a thorough history and physical exam, and can also include testing of the bladder with Urodynamic examination. Once the evaluation is complete the urogynecologist can tailor her treatment depending on the results with medication, physical therapy, or other treatments such as posterior tibial nerve stimulation. More invasive treatments include bladder botox, or bladder pacemaker instillation (neurostim bladder stimulator).

Read more: https://www.obgynecologistnyc.com/procedures/urogynecology-nyc/

Make your appointment today in Manhattan Women`s Health & Wellness by either calling our Union Square office at (212) 378-9985 or our Upper East Side NYC office at (212) 389-1904.

Working Hours Union Square & Upper East Side:

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Tuesday: 8AM - 7PM

Wednesday: 8AM - 7PM

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Manhattan Women's Health & Wellness

Union Square Office Location:

55 W 17th St Ste 104,

New York, NY 10011

(212) 378-9985

Location on map: https://goo.gl/maps/pQsdaPh9n8VwXEuv6


Upper East Side Office Location:

983 Park Ave, Ste 1D17,

New York, NY 10028

(212) 389-1904

Location on map: https://goo.gl/maps/tbNsjJdHaMQMCoew8


Web -address: https://www.obgynecologistnyc.com

E-mail: info@obgynecologistnyc.com

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Read more: https://www.zocdoc.com/doctor/anat-zelmanovich-md-275777


Keywords: Women`s health, Obstetrician and Gynecologist, Chronic Pelvic Pain, Vaginoplasty, Gynecology, Abnormal Uterine Bleeding, Pain During Sex, endometriosis treatment, Uterine Fibroids, Dysmenorrhea Specialist, Ovary Pain Specialist, PCOS Treatment, Uterine Fibroids, Uterus Specialist, Endometrial Polyps, Pelvic Pain Specialist, Pelvic Pain, Adenomyosis Treatment, Endometriosis Treatment, pelvic inflammatory disease treatment, pid treatment, Endometritis Specialist, ibs treatment, interstitial cystitis treatment, cervicitis treatment, Hysteroscopy Procedure, leep procedure, Polyp Removal, Oophorectomy, hysteroscopic myomectomy, cone biopsy, colposcopy, dnc surgery.

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