Procedures & Treatments

• Comprehensive non-surgical and office-based treatment of prolapse and urinary incontinence

  • Medications
  • Pessaries

• Minimally-invasive surgery for prolapse

  • Laparoscopic sacrocolpopexy
  • Transvaginal repairs
  • Colpocleisis

• Surgery for stress urinary incontinence

  • Mid-urethral slings
  • Pubovaginal slings (autologous fascia)
  • Urethral bulking injections (Bulkamid, Coaptite)

• Advanced treatments for urge urinary incontinence (overactive bladder)

  • Bladder Botox injections
  • Sacral neuromodulation (Medtronic and Axonics)
  • Posterior tibial nerve stimulation (PTNS)
  • Urodynamic testing

• Management of complications from previous prolapse and incontinence surgeries

  • Recurrent prolapse or incontinence
  • Voiding dysfunction (difficulty urinating)
  • Mesh complications
  • Post-surgical pain

• Voiding dysfunction and urinary retention

  • Urodynamic testing
  • Sling revisions
  • Sacral neuromodulation (Medtronic and Axonics)

• Fecal incontinence

  • Non-surgical management
  • Sacral neuromodulation (Medtronic and Axonics)

• Fistulas and cysts

  • Vesico-vaginal fistula repair
  • Recto-vaginal fistula repair
  • Urethral diverticulum excision
  • Urethral cyst excision

• Complex pelvic pain

  • Pelvic floor muscle pain (levator myalgia)
  • Pudendal neuralgia
  • Interstitial cystitis (IC) / Painful bladder syndrome (PBS)
  • Recurrent urinary tract infections (UTI)
  • Pudendal nerve blocks
  • Trigger point injections
  • Pelvic floor muscle Botox injections (may not be covered by insurance)
  • Bladder instillations

*Conditions involving the upper urinary tract (kidneys and ureters), such as kidney stones and hematuria (blood in the urine), are better served by a provider in the Granger Urology Group