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 and frequent need to urinate (including at night), burning, pain, pelvic...
MYCOPLASMA AND UREAPLASMA These organisms have a special structure that makes them resistant to most typical antibiotics. They are often called “fastidious” or “atypical bacteria” for that reason. While they may be present normally in small numbers in humans and animals, they may cause infection, inflammation, or predispose...
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!
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. There are two basic types of nocturia, high-volume and low-volume. The cause...
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Urogynecology, or Female Pelvic Medicine and Reconstructive Surgery, is a specialty designed to treat pelvic floor disorders in women. A holistic approach means that traditionaland non-traditional treatments may be used and we will be open to any safe approach to treat these disorders. Traditional western medicine generally tends towards medications...
Medical Cannabis as a treatment option With the opioid crisis in full swing across the USA and a decades long history of a "Drug War", the controversy over medical marijuana continues to be a topic of great debate in the legislatures and in the press. Trying to separate the facts...
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 3 or more in one year. There are...
To my dear patients: It has been my honor and privilege to get to know you all and work with you to improve your pelvic health over these past several years. It is therefore with incredibly mixed emotions that I must that effective November 1, I will no longer...
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. It is not unusual to see someone with a bladder...
September special! MonaLisaTouch at 25% off our regular fee for a series of 3 treatments! Call now 561-701-2841
We are pleased to announce that we are once again able to offer pelleted hormone therapy in the office. Dr. Kiley is accepting appointments for new and ongoing hormone replacement therapy consultations including pelleted hormone therapy. This therapy can be helpful when traditional hormone replacement therapy fails to provide satisfactory...
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 be sure to have...
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 surgical repairs of prolapse. For more information on TGR...
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 tone and improve sexual enjoyment, among other things. One of the things...
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 become reluctant to have sex. Certainly a vaginal...
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 conditions without success. Pain during sex may have a number of...
Discomfort from vaginal dryness is common. It is most likely to show up a few years after menopause, but may develop earlier in some women due to medications, other medical conditions that may cause dryness in multiple locations of the body (for example, dry eye), or following surgery, radiation treatment,...
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. It usually looks white or greyish in meat. When a muscle becomes irritated and...
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 of these common problems, the implication with pads and undergarments designed...
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. There are probably many more who are too embarrassed to report this problem...
Many years ago the subject of breast cancer was embarrassing to most people. Few people remember now how mortified women were at the thought of discussing cancer of the (gulp!) BREAST! It took the bravery of Betty Ford, the First Lady of the United States, to stand up and say:...
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 to weakened, stretched muscles and/or damaged nerves...
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 been found. Traditionally, repairs have been designed either for a vaginal approach...
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 experience fecal incontinence. What are risk factors...
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 the treatment of overactive bladder(OAB) or urge incontinence(UI). The most commonly used is oxybutynin, either in pill form or...
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 because they are unwilling or unable to undergo a course of physical therapy. Since...
I regularly see women coming in for a complaint of pelvic organ prolapse, a “dropped bladder” or “uterine prolapse” who have very little observable in the way of prolapse. I always try to establish whether or not a woman actually feels tissue protruding or is simply feeling pressure and heaviness...
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 physical therapy, they often become rather skeptical. Often, they will...
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 for their condition, or simply believe it is a normal...
Mesh Use in Pelvic Organ ProlapseThe 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. Ads from attorneys regarding mesh litigation are all over the...
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 discussed in detail, which may lead to frustration or regret later. Understanding the...
Nonsurgical Treatment for Pelvic Organ ProlapseMany 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. It is important to understand...
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 foods or beverages tend to irritate your bladder and thus avoid those things as well.2. Place yourself...
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 loose connective tissue. These tissues hold the contents...