Quick Quiz – Do I Have Urinary Incontinence?
Many women that experience some urine leakage feel that their symptoms are normal, a part of the aging process, or a consequence of childbirth. As leaders in the field of urogynecology, Drs. Miklos and Moore know that you can live a leak-free life. But the first step is assessing your condition and developing a baseline of your current symptoms. Since urinary incontinence can creep into your life gradually, it may [...]
Learn More About Your Pelvic Floor
Sometimes we take for granted the structures and systems that provide the most support in our lives. It’s easy to enjoy the security these networks provide – no matter what form they come in. But there’s one vital support system that you may have overlooked, until it starts to give way: the pelvic floor. This important network of muscles supports a woman’s pelvic organs and reproductive system. At Miklos & [...]
Labiaplasty Recovery – What to Expect
Learn how to care for your incisions after undergoing labiaplasty i.e. labia reduction surgery, and know what to expect while recovering. Labiaplasty surgery is regularly performed as an outpatient procedure. Recovery time after surgery often breaks down as follows: 60-90 minutes in the recovery area while recovering from anesthesia after which you will be discharged to go home. 36 hours pampering yourself at home using a fresh ice pack every [...]
ThermiVA & The FDA – Valuable Insights from the Reputable Dr. Marco Pelosi III
Today we are highlighting the findings that our great colleague Dr. Marco Pelosi III posted while doing research on the most recent reports associated with the use of transvaginal energy-based devices (tv-EBD) for vaginal rejuvenation treatments. This is a great analysis on the topic for anyone looking for more information on the safe use of these devices. Miklos and Moore Urogynecology would like to reiterate our belief that urogynecology health [...]
Altis Mesh Sling Removal for Vaginal & Groin Pain
Failed diagnosis - Naples, Florida. This case study focuses on a 57-year-old woman who had Laparoscopic Sacrocolpopexy (i.e. mesh) and a Coloplast Altis single incision or Mini Sling (Figure 1) for vaginal vault prolapse and stress urinary incontinence respectively in March of 2018. The Altis sling is known as a single incision sling as it only requires a single incision to place the sling underneath the skin of the urethra. [...]
Complete Retropubic TVT Sling Removal
Failed mesh removal Yale University Hospital. This patient is a 41-year-old woman from Danbury, CT who had a TOT sling (Figure 1) for stress urinary incontinence (2014). The sling was too tight and she had it revised for incomplete bladder emptying. (Figure 2) (2017) The same urogynecologist then placed a TVT retropubic sling (Figure 3) for recurrent stress urinary incontinence (2017). As of 2017 she has both a TOT and [...]
Failed TOT Mesh Removal by MAYO CLINIC
This patient is a 46-year-old woman from Oregon who had a TOT sling inserted in 2010. (Figure 1) Immediately after surgery, she felt there was something wrong as her vagina felt tight and she could not close her legs. Three months later, she went back to the implanting gynecologist and the physician cut the sling which helped with vaginal tension. (Figure 2) Figure 1 - Normal TOT Sling [...]
TVT Advantage Sling Removal – Failed Mesh Removal at UCLA
This patient is a 61-year-old female with a chief complaint of chronic pelvic pain which all began after her TVT Advantage Sling (retropubic) insertion in 2010. (Figure 1) Initially she complained of tightness in her vagina, and then the pain got worse and she complained of pain down both her legs, specifically pointing to her medial thigh (i.e. adductor region). Figure 1: Normal placement of TVT retropubic sling. A [...]
Mesh Removal of TVT Retropubic Sling due to Vaginal & Pubic Pain
Gynecologist wife out of Philadelphia with undiagnosed painful TVT Sling by Georgetown University. The wife a prominent Philadelphia gynecologist had her whole TVT removed (100% of the mesh) by vaginal mesh removal surgeons Drs. Miklos and Moore in Atlanta Ga. The whole TVT was removed using a laparoscopic and transvaginal approach as the patient suffered for 4 years with bladder neck obstruction, urine retention, pubic and vaginal pain. [...]
TOT Sling & Anterior Avaulta Mesh Removal
Failed Mesh Removal at Duke University. This patient was a 57-year-old patient that came to us with the following chief complaints: 1) vaginal pain 2) urethral pain and 3) right groin and right hip pain that goes from the deep groin all the way to the buttocks. She had the original TOT sling (Figure 1) and the anterior Avaulta Mesh (Figure 2) for treatment of stress urinary incontinence, as [...]
TOT & TVM (Anterior Vaginal Mesh) Mesh Removal
Failed Mesh Removal at Wake Forest University. A 57-year-old patient comes to us from Winston Salem, NC where she had a TOT sling placed by her urologist in 2014. This patient has had pain ever since the surgery. Her implanting urologist told her the pain was in her head and there was nothing wrong with her. She then saw an excellent internationally renowned urologist at Wake Forest Baptist Hospital who did [...]
Complete TVT Mesh Removal in Woman Suffering from Pelvic, Leg & Vaginal Pain
Drs. Miklos and Moore completely removed a Boston Scientific TVT retropubic sling in a 44-year-old woman from Alabama on Tuesday. This patient was originally seen by Dr. Miklos in 2012, when at that time Dr. Miklos removed a Boston Scientific TOT i.e. transobturator sling. In 2012 the patient had the TOT sling removed as she was suffering from vaginal pain. Two years later (2014) she saw another surgeon in Alabama with [...]
TVT Sling and Vaginal Pain
TVT Sling and Vaginal Pain Tension-free vaginal tape ie TVT slings whether retropubic, obturator (aka TOT) or single incision (aka mini slings) can all cause complications such as vaginal pain and painful intercourse. However, it is often difficult getting to get the physician or surgeon to understand or diagnose the problem. Industry, doctors, surgeons and key opinion leaders in the field of Urology and Urogynecology refuse to believe that synthetic [...]
TVT Sling and Abdominal Pain
TVT Sling and Abdominal Pain Complete TVT sling removal is a form of transvaginal mesh removal and can be performed using both laparoscopy and a vaginal approach in patients who suffer from vaginal, pubic and or lower abdominal pain. TVT sling also known as tension free vaginal tape sling is the original retropubic synthetic sling for stress urine incontinence that was introduced in Europe in 1995 and finally into [...]
Laparoscopic Sacrocolpopexy Mesh Removal
Laparoscopic Sacrocolpopexy Mesh Removal The sacrocolpopexy for the treatment of vaginal vault prolapse is the gold standard operation in the world for vaginal vault prolapse however it sometimes need to be removed due to unexpected complications. Drs Mklos & Moore have been removing these meshes for more than 20 years through either a vaginal approach or a laparoscopic approach if the whole mesh needs to be removed. What [...]