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Pelvic Organ Prolapse

If you struggle with pelvic organ prolapse, we can help.

Don't Struggle With Prolapse

We can restore your pelvic anatomy. 

We have a proven proprietary algorithm to help. This involves establishing your goals for treatment, root cause analysis, lifestyle modification, advanced testing, and surgery if needed. Many patients do not need surgery for prolapse until it is beyond the vaginal opening. We care, we listen, and we can help. See our experts so we can help!

Prolapse is detrimental to your health and quality of life. Ignoring prolapse can cause permanent damage to your bladder, urethral sphincter, and vaginal tissues. We can restore normalcy to your bladder, vagina, and rectum. We can help. We are experts in prolapse and can help fix it for good. We can find a long term and permanent solution to help improve your quality of life.

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3 Step Journey To Success

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Initial Visit

Our goal is to provide you personalized and innovative health care. We are professional, discreet, and empathetic. Our first visit in our clean, modern offices is to establish a relationship and understand your treatment goals. Meet us online or in person.
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Testing

We will perform a thorough physical exam. Occasionally, urodynamic testing is performed to evaluate bladder storage and emptying. Additionally, cystoscopy to evaluate the bladder and vaginoscopy to evaluate the vagina may be needed. Thse procedures are painless and done with anesthesia in our surgery centers.
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Minor Procedure

Surgery is performed robotically, laparoscopically, or vaginally. Procedures typically take 1 to 2 hours and you are sent home the same day. Surgery is covered by all major insurances.
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More About Prolapse

Types, Repair Approaches, & General Treatment

Types Of Prolapse

  1. Cystocele - This is prolapse of the bladder and often requires manually pushing the bladder back in the vagina to urinate or empty completely. Symptoms include pelvic pressure, frequency, urgency, and incomplete emptying.
  2. Rectocele - This is prolapse of the rectum, most often associated with constipation. This bulge will occur during straining especialyl with bowel movements.
  3. Enterocele - This is portrusion of bowel contents through the vaginal wall.
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General Treatment Options

  1. Lifestyle Changes - Lifestyle changes include a plant based diet, water (avoid coffee, tea, and soda), stress reduction (yoga and meditation), sleep improvement (treat sleep apnea and monitor REM sleep), exercise modification and weight loss.
  2. Medications - Medications such as estrogen or progesterone are sometimes used to help increase the strength of tissues prior to surgery.
  3. Surgery - Surgery is generally performed laparoscopically, robotically, or vaginally. Generally open surgery is not needed for over 95% of patients.
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Repair Options

  1. Vaginal (Anterior Colporrhaphy, Sacrospinous Ligament Fixation) - A vaginal approach for prolapse repair is done without the use of mesh. This is the least invasive way to repair prolapse.
  2. Laparoscopic Sacrocolpopexy - Small holes are made in the abdomen and instruments are used to fix the vagina to the sacrum bone with mesh. You are sent home the same day. This is highly effective with great outcomes.
  3. Robotic Sacrocolpopexy - Small holes are made in the abdomen and robotic instruments are used to fix the vagina to the sacrum bone with mesh. You are sent home the same day. This is highly effective with great outcomes. The robot is controlled by our expert surgeons.
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Advanced Techniques (Better Outcomes and Less Side Effects)

Advanced technology provides the best outcomes with minimal side effects. We utilize Advanced technology with 3-D spatial mapping to precisely kill kidney cancer. This targeted millimeter accuracy improves outcomes and minimizes side effects such as renal function loss. Our goal is to give you cancer free survival with the best quality of life.
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Mesh & Non Mesh Repairs

One of the most effective ways to treat severe prolapse is the use of mesh placed through a robotic or laparoscopic approach. This is very safe, effective, and has incredibly high cure rates over 10 years time. The American Urologic Association and Society for Female Urology support the use of mesh.

We can perform non mesh repairs when needed. These repairs are done by our expert surgeons in our surgery center generally through a vaginal approach. This means there is no incision in the abdomen.

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6 Reasons To Come To Advanced

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Care Navigators

We care about your experience and want to ensure a pleasant and pain free experience. Our care navigators will follow up with you to ensure the best experience and outcome.
Experience

More Experience

We have more experience with nerve stimulation, botox, and sling placement which results in better outcomes. Our personable doctors will tailor an individual treatment plan based on your unique needs.
Problem Solving

Advanced Techniques

Advanced Urology offers the latest with Advanced Nervestim and Advanced Botox. This precision allows for targeted millimeter accuracy, minimizing side effects.
Outcome

Best In Class Outcomes

We are the only Center of Excellence in the World. We continuously track quality measures and ensure the absolute best outcome. Results matter.
education

Patient Education

We focus on educating you on your condition to ensure you are informed and engaged in your care.
Doctor

Expert Doctors

Our bladder specialists are board certified with Advanced training in bladder disease. This super-specialization leads to more experience, greater expertise, and a better outcome.