Relaxed, friendly initial consultation
New patient visits are allotted at least 30 minutes face to face with the doctor so we can really get to know you and your needs. There is usually no pelvic examination during the initial visit unless the patient requests it.
Comprehensive bladder function testing
We employ complex four-channel urodynamics testing with fiberoptic technology to help ensure the most accurate diagnosis
Non-surgical options
Prescription of medication when indicated
Vaginal support devices (pessary)
Office-based external neurostimulation when medication unsuccessful (percutaneous tibial nerve stimulation, or PTNS) http://www.urgentpcinfo.com
Surgical options
Single-incision incontinence sling procedures: A single 20-30 millimeter incision (vaginal only, no abdominal or groin incisions), highly effective, permanent, 15-minute outpatient surgery (for leakage with cough/sneeze/laugh) https://www.bostonscientific.com/content/dam/bostonscientific/uro-wh/portfolio-group/health-conditions/stress-urinary-incontinence/SUI-Patient-Brochure.pdf
Reconstruction of any other encountered vaginal support defects ("dropping bladder or rectum", "vaginal prolapse")
Implantation of permanent sacral neurostimulator (for uncontrollable urge incontinence and/or urinary frequency) www.everyday-freedom.com