Botched Labia
Botched Labia This 26-year-old Michigan patient presents to Dr Miklos with a botched labiapasty which was performed only 6 months earlier. She had the initial labiaplasty because she suffered from pain, irritation and discomfort. She felt the pain was due to the labia minora protruding beyond the edge of the labia majora. This patient is distraught over the results of her labiaplasty. She has not had intercourse since her [...]
Labial Tear Labiaplasty – Cosmetic Vaginal Surgery
Labial Tear Labiaplasty Cosmetic Vaginal Surgery Labial tears are best repaired using a type of labiaplasty which is defined as plastic surgery on the labia. This is an 18-year-old female who comes to Miklos and Moore Urogynecology for cosmetic repair of a torn labia. Her tear did not occur with childbirth like many women but instead due to a childhood injury while playing. She injured her labia while on [...]
Colpocleisis
Colpocleisis Colpocleisis is a surgical procedure which results in close the vaginal canal. It is used to treat advanced vaginal prolapse, especially in older women who are no longer sexually active. The Colpocleisis is a safer alternative to more invasive operation such as the sacrocolpopexy or those procedures which utilize mesh. The colpocleisis results in excellent support, high cure rates but renders a patient with a closed vaginal canal [...]
Adhesiolysis, Hysterectomy and Endometriosis Surgery for Chronic Pelvic Pain
This patient is a 28-year-old from California who has never been married and has no children. She has complained of pelvic pain due to endometriosis and adhesions. She has had multiple abdominal and pelvic surgeries for endometriosis and adhesions as well as ovarian cysts in the past. Previous surgery resulted in the loss of both of her ovaries. She is here to see Dr Miklos for adhesion surgery and [...]
Vaginal Rejuvenation – Surgical Vaginal Tightening
This patient is a 45-year-old female who has had 4 vaginal deliveries and comes to Atlanta Ga from South Carolina. She first saw Dr Miklos in 2018 with complaints of vaginal prolapse symptoms: pressure, vaginal bulge and less friction with intercourse. She also admits to urine leakage with cough as well as urgency, frequency of urination. She had a hysterectomy only 8 weeks prior for excessive vaginal bleeding and [...]
Defining Urinary Incontinence
There’s that old saying: “when you’ve got to go, you’ve got to go,” and it becomes more true as we age. Urinary incontinence is defined as the involuntary loss of urine that represents a hygienic or social problem to a person. Urinary Incontinence is simply the uncontrollable loss of urine and this constitutes a problem for any woman or man!!!! Regardless of the way it is presented, urinary incontinence must [...]
TVT Sling Removal Complete or 100% TVT removal
This 36 years old patient is from Provo Utah and t had a TVT sling, laparoscopic hysterectomy, anterior and posterior repair in 2016. She had the TVT retropubic sling for stress urinary incontinence. Since that time, she has had problems with pain in her groin, vagina and lower back. She also complains of pain with intercourse (aka dyspareunia). She had none of these symptoms prior to the 2016 surgery. [...]
Patient Testimonial – Pelvic Floor Pain
Dr. Moore is an excellent doctor. I had my first visit with him in January 09' after going from doctor to doctor to find the source of the continual pain that I had been in for a while. He spoke with me for about 30 minutes before the exam and then over an hour after the exam, explaining in detail what was going on with me. I'm 54 years old, [...]
Neovagina for MRKH Syndrome – Laparoscopic Davydov Neovagina Surgery
This patient is an 18-year-old female with MRKH syndrome from Gainesville FL. She presents to the Atlanta office with MRKH i.e. Mayer Rokitansky Kuster Hauser Syndrome. She has been diagnosed with vaginal agenesis, uterine agenesis and cervical agenesis. Her MRI is consistent with having two kidneys, vaginal agenesis, cervical agenesis and uterine agenesis. She has failed dilator therapy to stretch her vagina and after months of research has decided to [...]
Hymen Restoration
Hymen Restoration, or Hymen Reconstruction Surgery, is the surgical restoration of the hymen. Such procedures are not generally regarded as part of mainstream gynecology, but are available from some plastic surgery centers, generally as a day surgery. The normal aim is to cause bleeding during post-nuptial intercourse, which in some cultures is considered proof of virginity. Contrary to popular belief that an intact hymen is the utmost proof of virginity, [...]
Laparoscopic Burch for Stress Urinary Leakage
Laparoscopic Burch Procedure Performed for Stress Urine Leakage 5 Years After TOT Sling Removal The patient in question came to see Dr. Miklos from New York City on 11-24-14 with a chief complaint of vaginal mesh extrusion in the vagina. She suffered from pain which was made worse with intercourse. She had the following surgical history: 2012 TVT-O sling (TOT procedure) (Figure #1), Posterior Repair, Anal Sphincter Repair 2013 Anterior [...]
Laparoscopic TVT Mesh Removal and Burch Procedure
Laparoscopic TVT Mesh Removal and Burch Procedure for the Treatment of Pelvic Pain and Stress Urine Incontinence This patient is a 46-year-old woman who has had 3 pregnancies and 3 vaginal deliveries and approaches Drs. Miklos and Moore with a chief complaint of urine incontinence and pelvic pain. She admits to urgency, frequency, and nighttime urination. She is not currently sexually active due to painful intercourse ie sex since 2011 [...]
Sparc TVT and Essure Removal
Sparc TVT and Essure Removal After Failed Essure Removal for Pelvic Pain This patient is a 46-year-old woman who has had 3 pregnancies and 3 vaginal deliveries and approaches Drs. Miklos and Moore with a chief complaint of vaginal prolapse as well as urine incontinence. She admits to urgency, frequency, and nighttime urination. She is not currently sexually active due to painful intercourse since 2011 at the entry point and [...]
Patient Testimonial – Pelvic Floor Disorder
Six weeks after the traumatic delivery of my son, I knew something was not right. I had terrible pelvic pressure, heaviness, and a constant ache when standing. Because of these symptoms, I found it hard to go about my daily routine, take care of my son, and do the things I enjoyed. I saw six different providers over the course of two years, and all of them had differing opinions [...]
Uterine Prolapse Surgery With Uterine Didelphy
Uterine Prolapse Surgery in a woman with Uterine Didelphy A 60-year-old woman presented to Dr. Miklos & Moore a complaint of uterus prolapse and uterus didelphy (i.e. two uteruses). She was diagnosed with a didelphic uterus approximately 30 years ago. She was seen by 3 gynecologists, in Atlanta, all of which either refused to do her prolapse surgery or recommended a hysterectomy. She informed the surgeons she would not settle [...]