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Urogynecology, Female Pelvic Medicine and Reconstructive Surgery

Urogynecology, Female Pelvic Medicine and Reconstructive Surgery
Request An Appointment or Refer a Patient | Call 845.369.8800.


Providing Care for Women with Pelvic Floor Disorders

As women get older, muscles begin to weaken. That includes delicate muscles that support your bladder, bowel and uterus. This can lead to unpleasant situations, like a leak when you laugh or discomfort during intimacy. Childbirth, heavy lifting and chronic straining are all causes of weak pelvic muscles.

If you’re worried about your pelvic health, you aren’t alone. Nearly one in three women experience issues with urinary incontinence (and one in ten men). And those numbers rise as we get older to nearly half of all seniors.

Even though these occurrences may create socially uncomfortable situations, they don’t need to disrupt your life. The pelvis floor specialists at Bon Secours Medical Group are here to help men and women like you regain control of your bowels and bladder. We’ll talk you through every surgical and nonsurgical option to help you decide what course of treatment is right for you. Our team-based strategy, along with active listening to your concerns, desires, and needs, helps to ensure you get the care you need at Bon Secours Medical Group Urogynecology.

Call Now for an Appointment or to Make a Referral

To schedule an appointment or make a physician referral, please call 845.369.8800.


Conditions We Treat

Our goal is to deliver the highest quality care to you and your loved ones by providing personalized, compassionate, and advanced treatments. We are uniquely trained to provide specialty consultation and management of the full spectrum of female pelvic floor disorders.

Request An Appointment or Refer a Patient | Call 845.369.8800.

Select a condition below for more information.

Female Pelvic Floor Disorders and Conditions include:

Urinary incontinence, urinary retention, and other voiding problems

Disorders resulting in the involuntary leakage of urine include functional, stress, urge and overflow incontinence, as well as overactive bladder syndrome (OAB).

Pelvic organ prolapse

Types of pelvic organ prolapse affect different parts of the vagina and may include cystocele, urethrocele, rectocele and uterine prolapse.

Fecal incontinence

A lack of control over defecation, leading to involuntary loss of bowel contents.

Urethral diverticulum

Urethral diverticulum may develop overtime and are a weakness in the lining or the urethra. This may bresent as a vaginal bulge, painful intercourse, sensation of fullness, recurrent urinary tract infections, altered urination.

Overflow incontinence

Urinary incontinence that occurs when the bladder is so full that it continually leaks urine. Urethral diverticulum A short section of the urethra that bulges outward, creating a small pocket in which urine can collect.

Urethral diverticulum

This a rare condition where an unwanted pocket or sac forms along the  urethra, the tube that carries urine  out of the body. UD most often occurs in women; symptoms can include pain, frequent  urinary tract infections, blood in urine and incontinence.

Urethral sphincter insufficiency

A condition in which insufficient bladder sphincter support causes urine leakage when the abdominal muscles tighten during a physical movement or activity, such as coughing, laughing, and sneezing.

Uterine prolapse

Occurs when the uterus drops down into the vagina, and in severe cases, outside the vagina.

Vaginal vault prolapse

A condition characterized by part of the vaginal canal protruding from the opening of the vagina; usually occurs when the pelvic floor collapses as a result of childbirth.

Fistulas

An abnormal passage or hole that has formed between two organs or an internal organ and the skin.

Call Now for an Appointment or to Make a Referral

To schedule an appointment or make a physician referral, please call 845.369.8800.


Services We Offer

Our Urogynecologist performs an extensive array of surgical and medical procedures for the female reproductive system.

Request An Appointment or Refer a Patient | Call 845.369.8800.

Urogynecology Services offered include:

Abdominal Sacrocolpopexy

Abdominal sacrocolpopexy is a procedure that uses a mesh material to support the top of the vagina to treat pelvic prolapse. Stitches attach the mesh to the front of the tail bone (sacrum). If necessary, a vaginal repair of the bladder and bowel might also follow this procedure.  

Biofeedback therapy

Biofeedback therapy is a non-pharmaceutical treatment in which patients learn to control bodily processes that are normally involuntary, such as muscle tension, blood pressure, or heart rate.

Botox

Botox may be used in cases of overactive bladder that do not respond to medication. The botox is injected via a thin camera that is used to look into the bladder. Most individuals who do not respond to medications for OAB are good candidates for this 15 minute procedure that does not require any anesthesia.

Colposuspension

Colposuspension is an operation to treat stress incontinence (leakage of urine when you exercise, sneeze or strain). Stitches are made inside the pelvis either through an incision across your lower stomach or laparoscopically through a series of small abdominal incisions. During the procedure the neck of the bladder is lifted, and stitched into this lifted position.

Cystocele repair

A moderate or severe cystocele may require reconstructive surgery to move the bladder into a normal position. There are a number of ways to perform this surgery, including an anterior repair. In an anterior repair, an incision is made in the wall of the vagina and the tissue that separates the bladder from the vagina is tightened. Another option, for more severe prolapse, is to place a synthetic material with a laparoscopic approach through the abdomen. This method may give more support to the tissue and help prevent the condition from happening again.

Injections, medication, and physical therapy and rehabilitation

Posterior tibial nerve stimulation (PTNS)

Percutaneous Tibial Nerve Stimuation (PTNS) is a low-risk, non-surgical treatment. PTNS works by indirectly providing electrical stimulation to the nerves responsible for bladder and pelvic floor function. During PTNS treatment, the patient’s foot is comfortably elevated and supported. Also during treatment, a slim needle electrode is placed near the nerve at the ankle known as the tibial nerve. A device known as the Urgent PC Stimulator is connected to the electrode and sends mild electrical pulses to the tibial nerve. These impulses travel to the sacral nerve plexus, the group of nerves at the base of the spine responsible for bladder function. By stimulating these nerves through gentle electrical impulses (called neuromodulation), bladder activity can be changed.  

Rectocele repair

Sacral nerve stimulation (SNS)

Sacral nerve stimulation (SNS), also called sacral neuromodulation, involves surgical implantation of a device that sends a low-voltage electrical current to the sacral nerve. The sacral nerve is located at the base of the spine that affects the bladder, bowel, and pelvic floor. The implant stimulates the sacral nerve and to alleviate fecal and/or urinary incontinence. A hand-held device is used to stop the contraction of your sphincter muscles when you need to empty your bowels.

Sacrospinous Ligament Suspension

A sacrospinous ligament suspension is a surgical procedure to restore the support of the top of the vagina, most commonly after hysterectomy. It can be performed at the same time as a hysterectomy, or later on in life in women who have previously undergone a hysterectomy. In this surgery, the top of the vagina is sewn to the sacrospinous ligament, which is a strong, supportive structure that runs between the bones of the pelvis and the sacrum, thereby restoring its support. This type of prolapse procedure is referred to as a “native tissue repair” as we are utilizing your own tissue to restore the support of the vagina.

Urethral sling

A sling is placed around the urethra to lift it back into a normal position and to exert pressure on the urethra to aid urine retention. The sling is attached to the abdominal (belly) wall. The sling material may be muscle, ligament, or tendon tissue taken from the woman or from an animal, such as a pig. It may also be composed of synthetic material such as plastic that is compatible with body tissues or of absorbable polymer that disintegrates over time.

Urodynamic testing

Urodynamic testing is any procedure that looks at how well the bladder, sphincters, and urethra are storing and releasing urine. Most urodynamic tests focus on the bladder's ability to hold urine and empty steadily and completely.

Call Now for an Appointment or to Make a Referral

To schedule an appointment or make a physician referral, please call 845.369.8800.


Why Choose Bon Secours Medical Group?

At Bon Secours Medical Group, we understand the importance of an accurate diagnosis for the right treatment. Our pelvic floor specialists see patients every single day with the same issues you’re experiencing. We know it can be an embarrassing. That’s why our team listens to your concerns, reviews your symptoms and takes the time to find the treatment works for you. So don’t be afraid to bring it up. Patients who get successful treatment always tell us they wished they’d reached out to us sooner. From physical therapy to surgical intervention, we’re here to help you improve your quality of life.

Urogynecology patients will find that choosing therapy close to the community they live will make doctors’ visits, hospitalizations and follow-up appointments easier and less stressful – important factors that physicians recognize as key to patients’ successful healing and recovery.

The Bon Secours Medical Group Urogynocology department is led by Dr. Patrick Popiel who is an emerging leader in his field, and has recently been recognized by the American Association of Gynecologic Laparoscopists (AAGL) for his excellence in minimally invasive surgery. Additionally, he was honored with the Excellence in Female Pelvic Medicine and Reconstructive Surgery award by the American Urogynecologic Society (AUGS). Bon Secours Medical Group is proud to offer local access to esteemed urogynocology experts.

Call Now for an Appointment or to Make a Referral

To schedule an appointment or make a physician referral, please call 845.369.8800.


Our Location

257 Lafayette Avenue
Suite 200
Suffern, New York 10901
Phone: 845.369.8800
Get Directions

Popiel, Patrick M., MD
Urogynecology