Blog Archive

Interstitial Cystitis Basics Mar 6th, 2020

  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 Jan 20th, 2020

  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...

Insurance news Jan 1st, 2020

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!

Nocturia Jan 1st, 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. There are two basic types of nocturia, high-volume and low-volume.  The cause...

New Youtube Channel Jan 1st, 2020

Please subscribe to our new Youtube channel, "The Holistic Urogynecologist" for videos concerning pelvic health. We are continually adding new videos with new topics.   https://www.youtube.com/channel/UCukWQQ9zMldxhS6AA8bu5YA  

Holistic Urogynecologist Apr 22nd, 2019

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 Jan 17th, 2019

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...

Recurrent Urinary Tract Infection Nov 8th, 2018

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...

Letter To Patients Oct 29th, 2018

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...

Bladder Pain Syndrome and Interstitial Cystitis Oct 11th, 2018

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...

Special Pricing on MonaLisa Touch for September Aug 21st, 2018

September special! MonaLisaTouch at 25% off our regular fee for a series of 3 treatments! Call now 561-701-2841

Pelleted hormone therapy now available!! Aug 9th, 2018

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...

Avoiding recurrent UTI’s Jul 2nd, 2018

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...

Trip to The Netherlands for prolapse surgery technique- TGR Nov 22nd, 2016

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...

Vaginal revitalization versus “rejuvenation” Apr 7th, 2016

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...

Pelvic organ prolapse and sexuality Apr 5th, 2016

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...

When Sex Is Painful Jan 19th, 2016

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...

Treatment Alternatives For Vaginal Dryness, Atrophy, Painful Sex, and Vaginal Irritation: Hormones, Jan 19th, 2016

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,...

Myofascial Pain in the Pelvis May 25th, 2015

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...

Ads for Pads Jan 2nd, 2015

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 is Treatable! Oct 11th, 2014

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...

It’s time to take the shame out of prolapse and incontinence Jul 19th, 2014

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:...

Just Had A Baby, Now I Need Diapers????? Dec 17th, 2013

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...

Robotic Surgery in Pelvic Floor Disorders Sep 8th, 2013

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 in Women (Accidental Bowel Leakage) Aug 5th, 2013

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...

Medications for Urge Incontinence and Overactive Bladder Jul 27th, 2013

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...

Surgical Treatment of Stress Incontinence Jul 7th, 2013

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...

Pelvic floor myofascial pain: It’s not the prolapse. A primer on myofascial pain in the pelvis Jun 13th, 2013

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...

Nonsurgical Treatment for Stress Incontinence Jun 3rd, 2013

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...

Incontinence is not just a “leaky faucet” May 19th, 2013

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 Prolapse Repair Apr 29th, 2013

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...

Surgical Treatments for Pelvic Organ Prolapse Apr 21st, 2013

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 of Pelvic Organ Prolapse Mar 17th, 2013

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 Mar 10th, 2013

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...

What is Pelvic Organ Prolapse? Mar 8th, 2013

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...