Surgical Therapies Offered by USF Urogynecology

• When conservative therapies fail to correct your symptoms USF Urogynecology surgeons can perform many types of surgeries to successfully treat your pelvic floor complaints.
• For pelvic organ prolapse (Cystocele, rectocele, enterocele, dropped bladder), our surgeons may offer
  • Minimally invasive vaginal vault suspensions, including
    • Da Vinci(tm) Robotic sacrocolpopexy with/without hysterectomy.
    • Da Vinci (tm) Robotic uterosacral suspension with/without hysterectomy.
    • Laparoscopic uterosacral suspension with/without hysterectomy.
    • Laparoscopic sacrocolpopexy with/without hysterectomy.
  • Vaginally performed procedures, including
    • Anterior repair, without or with mesh augmentation.
    • Posterior repair, without or with mesh augmentation.
    • Sacrospinous Ligament Fixation.
  • Traditional open Sacrocolpopexy with/without hysterectomy.

• For women with severe overactive bladder symptoms, unresponsive to medications and behavioral therapies, we offer
  • Sacral neuromodulation (INTERSTIM).
    
    
• For women with urinary incontinence, we offer
  • Vaginally placed sling procedures, for confirmed “Stress type” urinary incontinence
    • TVT, and TOT slings.
    • Autologous Slings( made from your own tissues) for women who have had prior slings fail or erode through your vagina.
  • For women with confirmed “urge” type incontinence, unresponsive to conservative therapy
    • Sacral Neuromodulation ( INTERSTIM ).
      
      
• For women with VesicoVaginal fistulas (abnormal communication between bladder and vagina), we offer
  • Da Vinci™ Robotic vesicovaginal fistula repair.
    • A Minimally Invasive approach with excellent success rates.
  • Transvaginal vesicovaginal fistula repair.
    
    
• For women with rectovaginal fistulas (abnormal communication between rectum and vagina), we offer
  • Transvaginal rectovaginal fistula repair.
    
    
• For women with Fecal Incontinence related to solid stool, when conservative therapies fail, we offer
  • Anal Sphincteroplasty ( Success rates are limited, and relief, if obtained, lasts about 5 years for most women).
  • Sacral neuromodulation ( INTERSTIM ) for those women who also have symptoms of overactive bladder.

• For women with complications related to mesh based prolapse repair surgery, we offer
  • Transvaginal/laparoscopic removal of vaginal mesh, and vaginal wall reconstruction.