Please note that effective April 1, 2021 we will no longer be accepting insurance. We will be a fee for service practice only.


What Makes This Practice Different?

Is anyone tired of the confusing, mixed messages in the media and on social media these days regarding health and well-being?  Tired of consulting Dr. Google and either getting more confused or becoming frightened from what you are reading? 

Mar 23rd, 2021
Interstitial Cystitis Basics

What is Interstitial Cystitis/Painful Bladder Syndrome? Interstitial Cystitis or Painful Bladder Syndrome are terms used to describe uncomfortable or painful bladder symptoms that may include or mimic recurrent urinary tract infections, feelings of urgency

Mar 6th, 2020
Mycoplasma and ureaplasma

These organisms have a special structure that makes them resistant to most typical antibiotics. These organisms are related to (but not the same as) chlamydia so they have to be treated with special antibiotics. 

Jan 20th, 2020

What is it? Getting up to urinate two or more times per night. What causes it? There are many causes for frequent nighttime urination. It is essential to determine the cause in order to order the proper treatment.

Jan 1st, 2020
New Youtube Channel

I have a new Youtube channel which has videos and information on pelvic health. See

Jan 1st, 2020
Holistic Urogynecologist

Urogynecology, or Female Pelvic Medicine and Reconstructive Surgery, is a specialty designed to treat pelvic floor disorders in women. A holistic approach means that not only traditional treatments will be used and we will be open to any safe approach to

Apr 22nd, 2019
Medical Cannabis as a treatment option

We now offer medical cannabis as a treatment option. See our new web site at This post discusses some of the misinformation as well as the science and facts behind medical cannabis treatments.

Jan 17th, 2019
Insurance news

We are now accepting virtually all Blue Cross/Blue Shield insurance plans, most all Cigna plans, and regular Medicare in our practice. Please call for an appointment!

Jan 1st, 2020
Recurrent Urinary Tract Infection

One of the common problems we see in our practice is recurrent urinary tract infections. At least a third of women will have a urinary tract infection diagnosed by age 24. Recurrent urinary tract infections are defined as 2 or more in 6 months or...

Nov 8th, 2018
Bladder Pain Syndrome and Interstitial Cystitis

Many women come into my office with complaints of “a bladder infection that won’t go away”. Other times a description of burning, aching, stinging with urination, or even at times just intractable urinary frequency may cause them to seek consultation...

Oct 11th, 2018
Avoiding recurrent UTI’s

Tip of the day: To prevent recurrent urinary tract infections – 1. Sit down on the toilet (you may paper the seat) and relax to empty your bladder completely. 2. Stand up before flushing. 3. Wipe from front to back, and if you have a Bidet...

Jul 2nd, 2018
Trip to The Netherlands for prolapse surgery technique- TGR

I just returned from the Netherlands where I was able to work with Dr. Nieuwoudt on TGR prolapse surgery. I’m looking forward to incorporating the techniques into my practice, and offering what I believe is a significant improvement in native tissue...

Nov 22nd, 2016
Vaginal revitalization versus “rejuvenation”

I have seen many women who, after either childbirth or menopause were concerned about whether their vaginas were “too loose” and needed something done. There are many ads on the internet touting “vaginal rejuvenation” procedures purporting to restore...

Apr 7th, 2016
Pelvic organ prolapse and sexuality

I see many women with newly discovered vaginal prolapse who report they are afraid to have sex because they fear it will cause damage or worsen their prolapse. Alternatively, they may feel that the bulge makes them unattractive and for that reason...

Apr 5th, 2016
When Sex Is Painful

Many women come into the office seeking help due to painful intercourse. The complaint may be part of a number of issues involving problems with the bladder, bowel, or vaginal discomfort. Many times they will have been treated for infections or other...

Jan 19th, 2016
Myofascial Pain in the Pelvis

What is myofascial pain? The term “myofascial” refers to the tissue made up of muscle and its surrounding connective tissue. The fascia is a strong, ribbon-like tissue (such as the “gristle” in meat) that runs along muscle and connects it to bone...

May 25th, 2015
Ads for Pads

It is astounding to me how many ads are coming up for incontinence pads and undergarments. Accidental bowel leakage and urine leakage are certainly significant problems faced by many women. While it is certainly appropriate to increase public awareness..

Jan 2nd, 2015
Accidental Bowel Leakage is Treatable!

Accidental bowel leakage (fecal incontinence) is treatable. Talking about it is the first step. First, it’s important to understand that this is not a rare problem. At least 15 per cent of individuals report accidental bowel leakage....

Oct 11th, 2014
Just Had A Baby, Now I Need Diapers?????

Following childbirth, it is common to experience accidental leakage of urine or even bowel contents. Sometimes leakage is related to a lack of sensation when there is a full bladder or need to have a bowel movement, and sometimes it is purely due...

Dec 17th, 2013
Robotic Surgery in Pelvic Floor Disorders

The evolution of pelvic organ prolapse repair and incontinence surgeries has been as notable for its failures as its successes. Because of the complexity and variability of pelvic organ prolapse problems a universal best surgical solution has never...

Sep 8th, 2013
Fecal Incontinence in Women (Accidental Bowel Leakage)

Fecal incontinence is a problem that is often not addressed, probably in no small part due to embarrassment on the part of the sufferer. Fecal incontinence is not rare. One study in 1996 from Illinois revealed that nearly 20% of individuals over 18...

Aug 5th, 2013
Medications for Urge Incontinence and Overactive Bladder

When physical therapy and behavior modifications or environmental modifications fail to address urge incontinence or overactive bladder problems, medications may be an appropriate second-line therapy. There are several approved medications for...

Jul 27th, 2013
Surgical Treatment of Stress Incontinence

Previous posts have discussed different types of incontinence and how to distinguish one from another. Surgical treatment for stress incontinence is an option many women pursue, either after having an unsatisfactory response to physical therapy or...

Jul 7th, 2013
Nonsurgical Treatment for Stress Incontinence

Many women are afraid to discuss their stress incontinence symptoms with their doctor because they fear that their only option for treatment is “that mesh thing”. In fact, when I see women for stress incontinence problems and recommend pelvic floor...

Jun 3rd, 2013
Incontinence is not just a “leaky faucet”

Urinary incontinence is a common problem, affecting approximately 80 per cent of women at some point in their lives. Forty per cent of women deal with incontinence regularly. Many women are either too afraid or too embarrassed to seek help...

May 19th, 2013
Mesh Use in Pelvic Organ Prolapse Repair

The use of meshes to repair pelvic organ prolapse has generated significant interest in the past few years among members of the medical community, the media, the general public, and of course the legal community....

Apr 29th, 2013
Surgical Treatments for Pelvic Organ Prolapse

When nonsurgical treatment for pelvic organ prolapse is unsuccessful in alleviating symptoms, or when a woman desires a surgical option for repair, the choices may sometimes be overwhelming. Depending upon the consultation, all options may not be...

Apr 21st, 2013
Nonsurgical Treatment of Pelvic Organ Prolapse

Many women are afraid to seek consultation for pelvic organ prolapse because they incorrectly believe that surgery is the only option to treat prolapse. Surgery for pelvic organ prolapse is certainly an option, but it is not the only one...

Mar 17th, 2013
Overactive Bladder: First Steps Towards Control

Overactive Bladder: First Steps Towards Control 1. Eliminate bladder irritants from your diet. This may include caffeine, alcohol, tobacco, carbonated beverages, artificial sweeteners, and highly spicy (hot) foods. You may also notice that specific...

Mar 10th, 2013
What is Pelvic Organ Prolapse?

Pelvic organ prolapse refers to the loss of support and subsequent drooping of tissues or organs usually through the natural openings in the pelvic floor. The pelvic floor consists of a bowl of muscles, ligaments and tendons as well as dense and...

Mar 8th, 2013