Urogynecology and Reconstructive Pelvic Surgery – Vermont Urogynecology

Urogynecology and Reconstructive Pelvic Surgery

Pelvic Floor Evaluation

Your initial evaluation generally includes a pelvic exam, a urinalysis and an ultrasonic measurement of the amount of urine retained in your bladder after voiding.

Depending upon your particular condition, you may need additional evaluation with urodynamic testing, cystoscopy or pelvic and/or transvaginal ultrasound. Our expert staff are pleased to provide all of these procedures on site for your convenience.

Because of the integrative nature of pelvic floor disorders, Dr. Viselli may suggest referral to a colorectal surgeon, a urologist or a physical therapist to more fully evaluate your condition.

Urogynecology Treatment Options

+ Discussion of dietary irritants and adequate fiber intake

+ Vulvar skin care advice and product consultation

+ Pelvic floor reeducation using biofeedback +/- electrical stimulation therapy

+ Bladder reeducation and timed voiding instruction

+ Pessary fitting

In addition to all types of abdominal, laparoscopic and vaginal surgeries, Dr. Viselli has years of experience and expertise in the following OUTPATIENT procedures:

+ Suburethral sling procedures for urinary leakage

+ Reconstructive procedures for pelvic organ prolapse

+ Percutaneous Tibial Nerve Stimulation

+ Percutaneous nerve evaluation and the Medtronic Interstim sacral  neurostimulator

+ Periurethral bulking procedures (injection therapy)

+ Intravesical Botox injection therapy

Urinary incontinence (leakage)

+ Pelvic organ prolapse (descent of the pelvic organs)

+ Urinary retention or trouble urinating

+ Urinary frequency and urinary urgency

+ Bladder and/or urethral pain

+ Fecal incontinence

+ Trouble evacuating bowels

+ Chronic constipation

+ Hematuria (blood in the urine)

+ Recurrent cystitis