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Consultation

We realize that coming to The Center for Advanced Gynecologic Surgery for evaluation is very important event in your life. Our office is committed to making your treatment successful.

Majority of patients referred to our office for consultation come with problems related to pelvic organs prolapse and/or urinary and/or fecal incontinence as well a bladder or bowel evacuating difficulties. This page is intended to familiarize you with you visit.

Please, come to your appointment with a moderately full bladder. It is best not to have emptied your bladder for at least 2 hours before your appointment, if that is at all possible. Evaluation starts with meticulous history taking and reviewing any available previous medical records such as operative reports, tests results, and etc. followed by thorough urogynecologic and pelvic examination. Then you will be provided with detailed explanation of possible reasons for development of your problems and if necessary diagnostic work up as well as management options.

Some patients will require a second visit to complete the urogynecologic evaluation to understand your problem better and offer you most appropriate treatment plan. For patients with urinary incontinence it includes Urodynamic Testing and/or Cystoscopy if needed. For patients with fecal incontinence Ano-Rectal Manometry, Pudendal Nerves Motor Latency Study and Ano-Rectal Ultrasound as needed. Only if required patients with bowel evacuatory difficulties and/or rectal prolapse might be referred for imaging studies such as, Barium Enema and/or Defecography as well as Colon Transit Time. Click on each test to find out more about these diagnostic modalities.

We look forward to your visit and we promise to give you the best attention and care possible.