Authored by Amy Rosenman, MD
The connection between incontinence and childbirth has been assumed for a long time. When gynecologists see women for problems of incontinence, we are not surprised to find the most severe problems often in those women who had many children or who delivered large babies. Recently doctors started working out the details of these relationships and are looking for the specific reasons why some women go on to develop incontinence and other women never have this problem.
Childbirth and Incontinence >
A recent development in pelvic floor surgery is the advent of Vaginal Rejuvenation Surgery. This may mean different things to different people. As a pelvic floor surgeon it is part of the treatment for pelvic floor dysfunction. When the pelvic floor is damaged by childbirth and further affected by hormone changes and gravity, it may become necessary to perform reconstructive surgery of the vagina. As part of the correction of prolapse and incontinence the overall health of the vaginal support structures must be assessed and corrected. This often results in a return to a more normal vaginal anatomy, a narrowing of the vaginal opening, and a reconstruction of the space between the vaginal and rectal openings. This treats the gaping vaginal opening caused by childbirth.
Vaginal Rejuvenation Vs. Pelvic Floor Reconstruction >
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We help women regain continence in a caring, convenient setting. State-of-the-art evaluation and treatment is available for incontinence and prolapse (dropped bladder). We offer specialized urodynamic testing at our Pacific Continence Center. Our methods of diagnosis and treatment allow us to design effective treatment plans for even the most persistent and hard-to-treat cases. We offer a myriad of treatment modalities - medications, non-invasive methods, and, if needed, surgery, all based on a conservative philosophy. Minimally invasive procedures are available as well as a new Robotic Surgery program for certain prolapse patients.
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We emphasize using the most up-to-date evidence to provide a balance between proven traditional therapies and cutting-edge technologies to give our patients the very best in care. Our philosophy is to offer a diverse variety of treatment strategies employing educational, behavioral, dietary, physical therapy and surgery to tailor to our patients’ individualized needs. As a part of UCLA Healthcare system, one of the nation’s leading institutions in healthcare, the Division of Female Pelvic Medicine and Reconstructive Surgery assists in leading the way with novel clinical research offering the latest minimally invasive techniques to provide improved care to our patients.
Westwood Location >