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
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
robotic-assisted surgical procedures that leave minimal scarring, are less painful, and can often be performed
on a same-day basis.