1) Vaginal Agenesis and Stenosis, MRKH, post mesh stenosis requiring advanced flaps,
2) Vaginal mesh kit complications,
3) Post vaginal delivery conditions such as perineal trauma, incontinence, muscle trauma,
4) Advanced 3D Ultrasound diagnostic imaging of vaginal mesh, tape slings, cysts, masses, prolapse, perineal and anal sphincter issues.
I hope to spend the required time with the patients to help them understand the complex causes of their conditions. These assessments include a detailed patient history, a physical examination and advanced diagnostic testing. In most cases, women are evaluated in a single visit and sent home with a treatment plan.
Vaginal agenesis / MRKH
Vaginal stenosis or non-functional vagina (Narrowing of vaginal diameter and length requiring corrective surgery)
Developmental variations requiring corrective surgery
Levator ani injury / avulsion associated with vaginal birth
Perineal injury associated with vaginal birth
We do not have a pelvic pain practice unless the pain is occuring in the context of mesh or such issues.
The clinic offers non-surgical treatments, including medications, pelvic exercises, biofeedback, electric stimulation, behavioral and dietary modifications and mechanical devices. When symptoms continue to interfere with daily activities, vaginal, abdominal or laparoscopic surgery may be necessary. Depending on your condition the most appropriate route for surgery will be chosen. Corrective surgeries for pelvic and bladder conditions can be outpatient procedures with small incisions and minimal post-operative pain and recovery time.