Understanding Uterine Prolapse
UNDERSTANDING UTERINE PROLAPSE Uterine Prolapse – means the uterus lacks support because the original supporting ligaments known as the uterosacral ligaments have broken. When the ligaments break, the uterus droops or prolapses (displaces from its normal position, usually downward or outward). This is a common phenomenon among women of all ages but most commonly associated with women who have had childbirth. Drs Miklos and Moore recommend a hysteropexy or [...]
The Cause and Correction of Uterine Fibroids
Uterine fibroids are noncancerous growths of the uterus that often appear during childbearing years. Also called leiomyomas or myomas, uterine fibroids aren’t associated with an increased risk of uterine cancer and almost never develop into cancer. Uterine fibroids develop from the smooth muscular tissue of the uterus. A single cell divides repeatedly, eventually creating a firm, rubbery mass distinct from nearby tissue. The growth patterns of uterine fibroids vary [...]
Patient Testimonial – Pelvic Floor Pain
I would like to express my deepest gratitude to Dr. Miklos, but there are no words to thank him enough. Dr. Miklos is the most humble and selfless doctor I have had the pleasure to know. He is unique in that he does not just soothe your symptoms but treats them. He also goes out of his way to provide you with top-notch referrals for any further treatments outside of [...]
Preventing Pelvic Organ Prolapse
Pelvic Organ Prolapse is caused by a variety of things, including vaginal childbirth, trauma, nerve damage, muscle strain, increased abdominal pressure (often due to being overweight, chronic cough, or straining) and age, which naturally weakens muscles. Older women are more likely to experience this, and the number of women affected is increasing due to longer lifespan. Pelvic Organ Prolapse happens when one or more of a woman’s organs in the [...]
Vaginal Lengthening for Surgically Shortened Vaginas
Vaginal Lengthening for Surgically Shortened Vaginas (pain with intercourse) Most patients who undergo a laparoscopic Davydov Neovagina do so because they have the condition known as MRKH. MRKH also known as Meyer-Rokitansky-Kuster-Hauser Syndrome is a condition which effects approximately 1/4000 patients and the patient is born without a full uterus and usually only a dimple for a vagina. However, the second most common reason for vaginal lengthening surgery is [...]
What to Expect After a Hysterectomy
After a hysterectomy, you will have a brief recovery time in the hospital. Your recovery time at home, before you can get back to all your regular activities, will vary depending on the procedure you had. Abdominal hysterectomy: Most women go home two to three days after this surgery, but complete recovery takes from six to eight weeks. During this time, you need to rest at home. You should not [...]
MRKH Patients – Surgeons Perform Laparoscopic Neovagina
MRKH Patients – Surgeons Perform 3 laparoscopic Neovagina in One Day On January 7th, 2020 Drs’ Miklos & Moore performed three laparoscopoic Davydov Neovaginas in one day, two for MRKH and one for vaginal shortening. These 3 women, two of which were from Florida and the other from Maine, scoured the country looking for a surgeon with the experience, expertise, reputation and compassion to fulfill their surgical dreams. How is [...]
Common Complications from Using Mesh
There are many complications associated with Transvaginal mesh, slings, and sacrocolpopexy. Tens of thousands of women have been affected by Transvaginal mesh in some form to treat pelvic organ prolapse and stress urinary incontinence. Unfortunately, many patients suffer needlessly and are even told that nothing can be done about the symptoms of their complication. While it is certainly true that complications from any pelvic floor surgery are complex, true experts [...]
Vaginal Shortening and the Laparoscopic Neovagina
Vaginal shortening can occur after any gynecologic surgery. When shortening occurs, it can be one of the most difficult complications to correct. Procedures that could cause vaginal shortening include: hysterectomy, vaginal prolapse repair, bladder suspension surgery, bladder tack, anterior repair, posterior repair, enterocele repair, vaginal mesh surgery, sacrospinous ligament suspension, vault suspension, or after cervical or uterine cancer surgery and radiation therapy. A shortened vagina as a result of these [...]
Perineoplasty to the Rescue!
There’s no doubt that the medical world is a confusing place. It seems like no matter the ailment, modern medicine has found a way to solve many issues women experience. This is especially true in the world of vaginal procedures such as the perineoplasty. Drs. Miklos and Moore are here to help define perineoplasty as well as its intended function for a woman. What is perineoplasty? Perineoplasty is a surgery [...]
Bladder Suspension
Bladder suspension refers to the surgery that helps place a sagging bladder back into its normal position. What is it? Bladder suspension surgery is a procedure that can be used to treat urine leakage that occurs when a person sneezes, laughs, or coughs, a condition called stress incontinence. Childbirth, as well as hormonal changes that come with menopause, can cause a woman to lose muscle tone along the pelvic floor. [...]
Non-Surgical Options for SUI and POP
SUI and POP – or Stress Urinary Incontinence and Pelvic Organ Prolapse – are common, distressing, and costly conditions for women. It is estimated that 25 million Americans suffer from urinary incontinence, with stress urinary incontinence as the predominant type. This can lead to social isolation and depression. In many cases, pelvic organ prolapse and stress urinary incontinence occur concomitantly. In a recent study done by Doctor Miklos and Doctor [...]
Treating Vesicovaginal Fistulas
Vesicovaginal Fistulas (also known as VVF, or Vaginal Fistulas) are abnormal tracts extending between the bladder and the vagina that allow the continuous involuntary discharge of urine into the vaginal vault. The effects of this disorder extend beyond a woman’s physical discomfort and can severely impair their lives on a social, sexual, and emotional level. World-renowned Doctors Miklos and Moore understand the severity of VVF and have effectively provided relief [...]
Perineoplasty to the Rescue!
Perineoplasty (also perineorrhaphy) denotes the plastic surgery procedures used to correct clinical conditions (damage, defect, deformity) of the vagina and the anus. Among the vaginal-anal conditions resolved by perineoplasty are vaginal looseness, vaginal itching, damaged perineum, incontinence, genital warts, dyspareunia, intraoital stenosis, vaginismus, vulvar vestibulitis, and decreased sexual sensation. Depending upon the vaginal-anal condition to be treated, there are two variants of the perineoplasty procedure: the first, to tighten the [...]
44 year old Woman with Stress Urinary Leakage Mini Sling
44 year old Woman with Stress Urinary Leakage Mini SlingMF is a 44 year old woman who presented with urinary leakage with laugh, cough sneeze and with exercise, classic symptoms of stress urinary incontinence (SUI). She previously delivered2 children vaginally with no complications, current ages 10 and 14. She developed occasional urinary leakage with big sneezes or coughing in her 30’s, but it was rare and did not really [...]