Pelvic Floor Reconstruction
  State-Of-The-Art Treatment Available For Pelvic Organ Prolapse Women who experience pelvic organ prolapse usually fall into three categories: 1) those who have no symptoms at all, 2) those who experience symptoms but are effectively treated with conservative therapies, and 3) those who require advanced care. The women in the third category often suffer from heavy  sensations or bulging feelings in the vaginal area, urinary or bowel dysfunction, lower back and pelvic pain, intense pressure, or uncomfortable intercourse. When these symptoms become extremely painful or debilitating, pelvic floor reconstruction surgery is often the best option.   “Pelvic floor procedures are extremely specialized and I’m proud that our practice can offer state-of-the-art surgery that can make a huge impact for patients,” said Scott MacDiarmid, MD, FRCPSC, director of the Alliance Urology Specialists Bladder Control & Pelvic Pain Center.   Pelvic Floor Reconstruction Procedures The physicians at Alliance Urology Specialists are highly experienced in performing innovative pelvic floor reconstruction techniques. Available procedures include: * Urethral Sling (transvaginal, trans-obturator): In a urethral sling surgery, a synthetic or nonsynthetic sling is attached to the abdominal wall and around the urethra to lift it and hold it in place. The sling is positioned in order to aid urine retention. * Anterior Vault Repair: Anterior vault repair is especially effective for cystocele (when the bladder bulges into the vagina). The surgeons at Alliance Urology Specialists are experienced with resorbable and permanent mesh repairs designed to reinforce and stabilize fascial structures. * Combination Anterior Vault Repair: Mesh techniques can also be used for combination anterior vault repairs associated with enterocele (when the small intestine bulges into the vagina) and rectocele (when the rectum bulges into the vagina). * Individual Rectocele Repair: Rectoceles, also called posterior prolapses, can be performed transvaginally and have a high success rate. * Robotic-Assisted Approach: When appropriate, some patients are managed with a robotic-assisted approach using laparoscopy. This option involves smaller incisions, less postoperative pain, decreased hospitalization, and quicker overall recovery, all while maintaining the same high success rates. Our physicians are available for consultation and referral of challenging pelvic organ prolapse cases. For more information, contact Alliance Urology Specialists at 336-274-1114.  

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