Patient Education

Sterling Group Urogynecology and Pelvic Surgery would like to be your partner in health care. Feel free to ask your questions and share your concerns with us. We will work with you to develop a wellness program for the care and treatment you need.

We welcome you to our practice and look forward to caring for you.

Sterling Group Urogynecology and Pelvic Surgery provides a full range of medical services including the following:


Urinary Incontinence

Urinary incontinence, also known as UI, is a common condition that involves the involuntary loss of urine. Although it is not usually a serious condition, UI can be embarrassing and affect a person's daily life. Urinary incontinence is most common in women, especially during and after pregnancy, but can affect people of all ages. ...


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InterStim® Therapy

InterStim® therapy involves the implantation of device to treat problems with urination. Urge incontinence, commonly known as overactive bladder, is a common condition that occurs when an individual experiences sudden, compelling urges to urinate, frequent urination, or urinary incontinence. These symptoms occur because the bladder muscles that control the release of urine contract at inappropriate times. The same neurological problem may also lead to urine retention. InterStim therapy stimulates the affected nerves with electrical impulses (neurostimulation) in order to overcome bladder issues. It is used when other methods of bladder control have been ineffective. ...


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Uroflowmetry

A uroflowmetry is a diagnostic test to measure the flow of urine released as well as the amount of time it takes to completely empty the bladder during urination. This test may be recommended for patients who are experiencing problems with urinary flow.

Preparing for the Uroflowmetry

This test provides the most accurate results when performed on a full bladder, so patients are advised to refrain from urinating for two hours before the test and to drink plenty of fluids in preparation. Patients are also advised to notify their doctor of all medications they are currently taking, as some of them may have to be stopped temporarily before the uroflowmetry. ...


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Bladder Prolapse

Bladder prolapse, also known as cystocele, is a common condition in women that involves a stretching or weakening of the pelvic floor muscles that support the bladder. Once this occurs, the bladder gradually sags into the vagina and may even protrude through its opening, causing urinary problems. Normally, in women, the bladder is held in position by supportive pelvic floor muscles and ligaments. When the muscles and tissues are stretched and weakened, the bladder can sag through the ligaments and into the vagina, resulting in bladder prolapse. ...


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Nocturia

Nocturia is a urinary condition that involves waking during the night because of an urge to urinate. This condition occurs as a result of excess urine production or low bladder capacity. Nocturia causes patients to wake frequently and may interfere with the ability to get a decent night of sleep. ...


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Transobturator Sling Therapies and Surgery

Stress incontinence is a common condition that involves an involuntary loss of urine; it occurs when physical movement places pressure, or stress, on the bladder. Women with this condition may experience urine leakage while coughing, laughing or participating in physical activities. Stress incontinence often occurs as a result of weakened sphincter and pelvic muscles that cannot adequately support the bladder and/or urethra. If conservative treatment is unsuccessful, a transobturator sling procedure may be performed to support a weak pelvic floor and urethral sphincter muscles. During a transobturator sling procedure, a strip of synthetic mesh tape is used to create a sling under the urethra. The transobturator sling acts like a hammock; it supports the urethra and helps keep it closed, preventing urine from leaking out. The transobturator sling procedure is safe and effective, and has a lower risk of bowel and bladder injury than other sling procedures. ...


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Overactive Bladder

Overactive bladder, also known as OAB or urge incontinence, occurs when a person experiences a sudden and frequent urge to urinate that may also be accompanied by urine leakage. This happens because the bladder muscles contract at inappropriate times, regardless of how much urine has collected in the bladder. It can happen to anyone at any age, although it is most common in women and the elderly. ...


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Sacral Nerve Stimulation

Sacral nerve stimulation is an advanced electrical stimulation procedure performed to treat urinary incontinence and other bladder control problems in patients who have not responded to more conservative treatment options. A neurotransmitter device placed under the skin of the upper buttocks will send electrical impulses to the sacral nerve, which controls the bladder, sphincter and pelvic floor muscles. ...


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Cystoscopy

Cystoscopy is a minimally invasive diagnostic procedure that is performed to examine and treat conditions within the bladder that may not show up clearly on an X-ray or other common imaging procedure. With this procedure, doctors can clearly visualize targeted areas within the bladder. Doctors may perform a cystoscopy for a variety of reasons that may include: ...


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Urinary Tract Infection

A urinary tract infection (UTI) is a common infection of the urinary system, which includes the kidneys, ureters, bladder and urethra. The urinary tract refers to just the bladder and the urethra, and an infection can develop in either of these areas. These infections occur much more frequently in women than in men and may cause intense pain and discomfort. ...


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Hematuria

Hematuria is the presence of red blood cells in the urine. When blood is visible in the urine, it is called gross hematuria. Microscopic hematuria is visible only under a microscope and is most often discovered as part of a routine medical exam.

Causes of Hematuria

Bleeding can occur at any location along the urinary tract. This includes the kidneys, ureter, bladder, urethra and the prostate in men. While blood in the urine is not always the sign of a serious disease or condition, it may be an indication of any of the following conditions: ...


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Cystitis

Cystitis is an infection of the bladder that is caused by bacteria. It occurs most often in women because of the short length of the urethra and the proximity of the urethra to the vagina. Bacteria are often found in the vagina and sexual intercourse can sometimes force bacteria into the urethra. Cystitis can also be known as a urinary tract infection and can lead to kidney complications if left untreated. ...


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Pelvic Prolapse

Pelvic prolapse is a common condition in women that involves a pelvic organ moving from its normal position to push against the vaginal walls, causing pressure, stretching and pain.

Symptoms of Pelvic Prolapse

Women with pelvic prolapse may experience the following symptoms: ...


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Colporrhaphy

Colporrhaphy, also known as vaginal wall repair, is a surgical procedure performed to correct defects in the vaginal wall, or pelvic-organ prolapse, including cystoceles and rectoceles. The colporrhaphy procedure aims to effectively restore prolapsed organs back to their normal position and relieve symptoms such as urinary incontinence and pelvic pain. ...


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Incontinence

Incontinence is a common condition that involves the involuntary loss of urine. Although it is not usually a serious condition, incontinence can be embarrassing and affect a person's daily life. Incontinence is more common in women, especially during and after pregnancy, but can affect people of all ages. ...


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Sacrospinous Suspension

Sacrospinous suspension is a minimally invasive treatment for vaginal prolapse, that surgically lifts up the top of the vagina and holds it in place. The sacrospinous ligament is a thin ligament attached to the spine and it is used in this procedure to support the vagina and prevent prolapse. Vaginal prolapse affects many women, and often occurs after a hysterectomy. This condition may lead to difficulties with bladder function and sexual activity, significantly affecting a patient's quality of life. Fortunately, prolapse can be easily corrected through the sacrospinous suspension procedure, which restores any affected organs back to their normal position and effectively relieves the symptoms of pelvic prolapse. ...


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Uterine Prolapse

Uterine prolapse involves the dropping of the uterus into the vaginal canal as a result of weakened pelvic floor muscles. This condition can occur as a result of aging and multiple pregnancies and is most common in post-menopausal women. Obesity or excessive weight gain may also contribute to uterine prolapse. ...


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Surgical Mesh

Surgical mesh is a synthetic, permanent material made from polypropylene. It is stronger than the body's natural tissue and is frequently used to repair weakened tissue. The insertion of surgical mesh is a minimally invasive treatment for pelvic prolapse that effectively relieves pain and pressure in the pelvic area by placing a piece of soft synthetic mesh in the affected area to restore organ support. As a result of this procedure, patients can engage in their everyday activities without the discomfort and inconvenience of prolapse symptoms. Surgical mesh has been used in the past to strengthen abdominal hernia repairs. More recently, doctors are using mesh products to repair pelvic organ prolapse (POP) and as a surgical treatment of stress urinary incontinence. ...


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Uterosacral Ligament Suspension

Uterosacral ligament suspension is a procedure that is designed to restore support to the uterus and the vaginal vault, or the top of the vagina. Uterosacral ligament suspension is a minimally invasive surgical treatment for uterine or vaginal prolapse, that surgically lifts up the top of the vagina and holds it in place. ...


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Nongonococcal Urethritis

Nongonococcal urethritis, also known as NGU and nonspecific urethritis (NSU), is an infection that can be transmitted through sexual intercourse. There are several other types of bacteria that have been found to cause NGU but the bacteria most often found to be the cause of NGU is the Chlamydia trachomatis bacterium. The infection affects the urethra which is the tube that carries urine from the bladder to outside the body. This condition most often affects men between the ages of 15 and 30, and is considered one of the most common STDs in the United States. Women are less likely to be affected by this condition because the female urethra is not easily infected during sexual intercourse. ...


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Bedwetting in Children

Bedwetting, also known as or nocturnal enuresis, refers to nighttime incontinence in children once they have been toilet-trained. Occasional bedwetting, especially in boys, is not uncommon up until the age of 7. After that time, medical consultation and treatment may be required. Bedwetting is more likely to occur in children who have a family history of the problem and in children diagnosed with attention-deficit/hyperactivity disorder (ADHD). In the majority of cases, bedwetting simply indicates a slight delay in this particular area of development. ...


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Sexually Transmitted Diseases

A sexually transmitted disease (STD) is a disease or infection that is spread from one person to another through sexual contact. Most STDs are caused by bacteria, parasites or viruses that are transmitted through contact with the genitals, skin, mouth, rectum or bodily fluids. Sexually transmitted diseases can cause problems ranging from mild irritation to severe pain. Left untreated, some STDs can cause illness, cancer and infertility, or harm to a fetus. ...


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Robotic Gynecologic Surgery

Women undergo gynecologic surgery for a number of conditions such as endometriosis, uterine fibroids, excessive bleeding and cancer. While medication and nonsurgical procedures are available for most of these conditions, surgery may be the only treatment option that provides long-lasting, effective results. ...


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