Compassionate, respectful care is at the forefront of all our services. We have a deep understanding of the specific health care needs of women and our medical care is enhanced by the individual attention we provide.
Several special services we offer include:
Urogynecology: Improving Quality of Life for Women of All Ages
Urogynecology and Pelvic Reconstructive Surgery
Treatment for incontinence and other disorders of the lower urinary tract and pelvic floor
If you are a woman living with urinary incontinence, interstitial cystitis, chronic pelvic pain, pelvic organ prolapse or any other disorder of the lower urinary tract and pelvic floor, take comfort in this fact: You are not alone.
Disorders of this kind affect women of all ages, particularly after childbirth. Left untreated, they can become a constant source of discomfort and pain.
It’s time to feel like you again. With help from
Emad Hashemi, MD, Chief of Urogynecology and Pelvic Reconstructive Surgery at Newark Beth Israel Medical Center, these difficult medical issues can be successfully managed, and even cured. Dr. Hashemi offers a broad range of treatment options, from simple diet and exercise regimens to minimally invasive surgical procedures, all designed to help women overcome their urinary and pelvic disorders permanently. Dr. Hashemi is one of only 18 physicians in the state of New Jersey who are practicing urogynecology.
It’s important to learn about your options; if you are a woman suffering with a disorder of the lower urinary tract and pelvic floor, expert help is available at Newark Beth Israel Medical Center. During your initial consultation, you will have a complete physical evaluation then Dr. Hashemi will discuss your treatment options with you. Together you can decide on your best course of therapy.
Select an item below to learn more:
What is Urogynecology?
Urogynecology is a specialty field of medicine dedicated to the diagnosis and treatment of disorders of the lower urinary tract and pelvic floor. Physicians who practice this specialty are obstetrician/gynecologists who have completed further medical training through a fellowship in urogynecology, where they are taught to treat conditions including:
Urinary incontinence, such as
- Stress incontinence, when urine leakage is experienced while coughing, sneezing, laughing or performing strenuous activity. Stress incontinence often occurs in younger women and can result from childbirth and some surgeries that weaken the pelvic floor.
- Urge incontinence, when a woman feels as if she can’t reach the bathroom fast enough. Urge incontinence can be caused by infection in the bladder or urethra, or by major conditions like stroke and diseases of the nervous system.
- Mixed incontinence, when a woman experiences both stress and urge incontinence.
- Frequency and urgency of urination
- Interstitial cystitis, a chronic, painful inflammatory condition of the bladder wall
- Overactive bladder
- Recurrent urinary tract infection
- Pelvic organ prolapse, where muscle and tissues holding pelvic organs in place are stretched or weakened during childbirth, causing organs to move from their natural positions. Prolapse can affect the bladder, rectum, small bowel, uterus and vagina (after hysterectomy).
- Chronic pelvic pain
- Fecal incontinence or uncontrolled leakage of liquid or solid stools.
- Sexual dysfunction
These problems can affect virtually any woman at any stage of her adult life.
Treatment and techniques to help restore your quality of life
Incontinence and pelvic dysfunction are not normal consequences of aging. But rather than seeking treatment, many women keep their symptoms a secret, even when those symptoms begin to interfere with normal activities like going to work or taking long trips.
If your symptoms are beginning to affect your quality of life, it may be time to take action. Dr. Hashemi provides a variety of treatment techniques that range from behavior modification to the use of specially designed medical devices and minimally invasive surgical procedures, including:
- Biofeedback, a self-training technique in which the patient consciously controls a body function that normally is automatically regulated by the body.
- Diet and exercise regimens
Pelvic reconstructive surgery and
TVT sling urethropexy
- Interstim sacral nerve stimulation (bladder pacemaker), an FDA-approved, implantable device that regulates the bladder.
- Advance laparoscopic procedures including minimally invasive laparoscopic uterine suspension, vaginal vault suspension, supracervical hysterectomy, laparoscopic assisted vaginal hysterectomy
- Robotic-assisted sacral colpopexy using the da Vinci® Surgical System
Many patients do well with conservative management and do not need surgery. For those who do, Dr. Hashemi is trained to perform minimally invasive laparoscopic and robotic-assisted surgical procedures that leave minimal scarring, are less painful, and can often be performed on a same-day basis.
Frequently Asked Questions
For general information about Women's health isues, please visit www.augs.org.
What is a Urogynecologist?
A Urogynecologist is an Obstetrician/Gynecologist who has specialized in the care of women with Pelvic Floor Dysfunction. The Pelvic Floor is the muscles, ligaments, connective tissue, and nerves that help support and control the rectum, uterus, vagina, and bladder. The pelvic floor can be damaged by childbirth, repeated heavy lifting, chronic disease or surgery.
Some problems due to Pelvic Floor Dysfunction and their symptoms are:
- Incontinence: Loss of bladder or bowel control, leakage of urine or feces.
- Prolapse: Descent of pelvic organs; a bulge and/or pressure; 'dropped uterus, bladder, vagina or rectum.'
- Emptying Disorders: difficulty urinating or moving bowels.
- Pelvic (or Bladder) Pain: Discomfort, burning or other uncomfortable pelvic symptoms, including bladder or urethral pain.
- Overactive Bladder: Frequent need to void, bladder pressure, urgency, urgency incontinence or difficulty holding back a full bladder.
What Kind of Training Does a Urogynecologist Have?
Urogynecologists have completed medical school and a four-year residency in Obstetrics and Gynecology. These doctors become specialists with additional training and experience in the evaluation and treatment of conditions that affect the female pelvic organs, and the muscles and connective tissue that support the organs. The additional training focuses on the surgical and non-surgical treatment of non-cancerous gynecologic problems including pelvic reconstructive surgery, the evaluation of bladder with cystoscopy and urodynamic testing.
When Should I See a Urogynecologist?
Although your primary care physician or OB/GYN may have knowledge about these problems, a Urogynecologist can offer additional expertise. You should see (or be referred to) a Urogynecologist when you have problems of prolapse, and/or troublesome incontinence such as frequency and urgency of urination or getting up at night to urinate, or when your primary doctor recommends consultation. Other problems for which you or your doctor might think about consulting a urogynecologist include: problems with emptying the bladder or rectum, pelvic pain, and the need for special expertise in vaginal surgery.
How can I prevent urinary incontinence and prolapse?
We don't fully understand all the factors that cause urinary leakage and prolapse, so it is difficult to recommend ways to prevent these problems. Pelvic Floor Exercises (Kegel's) - are probably the best way to prevent stress incontinence and prolapse. Other things that might help include not smoking, avoiding repetitive strenuous activities that involve very heavy lifting (for example lifting 50lb boxes onto a truck several hours a day) and avoiding the use of forceps or vacuum assistance during childbirth. There is much discussion among urogynecolgists about how much vaginal childbirth (as opposed to cesarean section) and pregnancy itself predisposes to the development of urinary incontinence and pelvic organ prolapse. It is clear that being pregnant and delivering babies are important contributors. However, it is important to remember that there are women who have never been pregnant who leak urine or have prolapse - and women who have delivered many times who do not. There is no clear answer to this question at this time.
If you are troubled by your uncontrolled urine loss or prolapse you should consider seeing your primary care physician or a urogynecologist who can evaluate the problem and recommend appropriate treatment. Seeing a specialist does not mean that you will have to have surgery. Other suggestions are listed below:
Get yearly pelvic exams to watch for changes or problems, call between visits if you have increasing symptoms, and follow these suggestions:
- Avoid heavy lifting (no more than 20 pounds).
- Watch your weight. Being over weight increases pressure on your pelvic floor.
- If you smoke, try to quit. Smoking decreases circulation to your pelvis and a chronic cough will aggravate pelvic floor prolapse.
- Avoid constipation. Straining with bowel movements increases prolapse. If constipation is a problem for you, talk to us about treatment.
- Learn and practice pelvic floor exercises.
- Hormone replacement may be an option to increase the circulation to your pelvic, and restore some tissue tone.
- Be sure your doctor is measuring your prolapse in a systematic way – so that he/she will be able to notice subtle changes over time. The most commonly used system of measure for prolapse is called the “pelvic organ prolapse quantification” or POP-Q system.
About the Department of Obstetrics and Gynecology at Newark Beth Israel
Newark Beth Israel’s Department of Obstetrics and Gynecology provides high quality, comprehensive care for women of all ages. Male and female board-certified gynecologists are on staff to provide customary health needs including screenings, contraception issues and routine exams. Specialists in urogynecology, reproductive endocrinology, maternal-fetal medicine and gynecologic oncology are also integral members of our team.
The medical center’s state-of-the-art equipment and facilities include 3-D and 4-D ultrasound technology, the latest generation da Vinci® Surgical System for robotic-assisted GYN procedures, and a new labor and delivery unit that features five private labor/delivery/recovery suites.
Newark Beth Israel’s Women’s Health Center provides comprehensive OB/GYN services to women in the community. The medical center’s integrated private practice is comprised of OB/GYN physicians and midwives who deliver at Newark Beth Israel. Each year close to 3,000 babies are born at the medical center’s Mother-Infant Pavilion, which is designated as a Regional Perinatal Center and provides experienced care for both healthy and high-risk mothers and infants.
Schedule an appointment
To schedule an appointment with Dr. Hashemi in his Newark office, please call (973) 926-7342. To schedule an appointment in the South Orange office, please call (973) 275-0025. You will need a referral from your primary physician.
Dr. Hashemi participates in most insurance plans and managed care programs. He has offices located at Newark Beth Israel Medical Center, L Building, 2nd Floor, 201 Lyons Avenue in Newark, NJ and 120 Irvington Avenue in South Orange.
We believe the better educated you are about treatment options, the more active a participant you can be in your medical care. This approach is especially true for patients with endocrinologic conditions.
Our Reproductive Endocrinology team treats a variety of conditions including infertility and recurrent pregnancy loss, endometriosis, premenstrual syndrome and other menstrual disorders, ovulation disorders, menopause, postmenopausal hormone therapy, hirsutism (excessive hair growth in women), osteoporosis, female sexual dysfunction and decreased libido.
We also perform gynecologic microsurgery as well as tubal repair and female sterilization repair.
There may be no more difficult time in a women's life than when she is being faced with a diagnosis of malignancy are we are committed to your care every step of the way.
Our gynecologic cancer services address the diagnosis and treatment of women with premalignant or invasive cancers of the female genital tract as well as vaginal infections, uterine fibroids and genital prolapse.
When a diagnosis is made, the latest treatment is tailored specifically to the needs of each patient. Our gynecological oncologists manage all surgical care, chemotherapy and radiation therapy, in conjunction with our radiation oncologists. Emotional and social support programs, and nutritional and exercise guidance are also available.
Utilizing robotic technology, surgeons can treat some of gynecology's most complex problems while diminishing the patient's postoperative pain, blood loss and scarring. For more information about Gynecologic Robotic Surgery at Newark Beth Israel Medical Center, click here.
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