When you need surgery to treat conditions such as pelvic organ prolapse or incontinence, turn to the female pelvic medicine and reconstructive surgery experts at Boston Urogynecology Associates, an affiliate of Mount Auburn Hospital.
Our physicians will take time to explain your options and help you choose the best procedure to relieve your symptoms, so you can return to a better quality of life.
Minimally Invasive Procedures
Whenever possible, your urogynecologist will use a minimally invasive (laparoscopic) technique, sometimes with the aid of a surgical robot that moves more precisely and steadily than human hands. Our approach to surgery means you benefit from:
Less post-operative pain
Lowered risk of complications
You can trust our experience; we perform more laparoscopic procedures than any other urogynecological group in New England.
Innovative Surgical Treatments
Get advanced, innovative surgical care from leaders in female pelvic medicine and reconstructive surgery. Our doctors have developed minimally invasive procedures used by urogynecologists across the country. That means your surgery will be performed by the experts.
Treatments We Offer
Find a wide range of surgical options to treat incontinence and prolapse. Learn more about some of our most common procedures:
During fistula repair surgery, your doctor will separate tissues that shouldn’t be connected and close any abnormal openings. Your urogynecologist will recommend the best procedure for your specific condition.
Your doctor may recommend a hysterectomy—surgery to remove the uterus—to treat conditions such as pelvic prolapse, fibroids or heavy bleeding. At Mount Auburn, the majority of hysterectomies are performed using minimally invasive techniques, which means you’ll benefit from less pain and scarring, a shorter hospital stay and a quicker recovery.
Laparoscopic Supracervical Hysterectomy (LSH) This minimally invasive procedure removes the uterus through several small abdominal incisions. Ovaries and fallopian tubes also may be removed, but the cervix is left in place. Laparoscopic Hysterectomy with Transcervical Morcellation (LH/TCM) If your best treatment option is an Laparoscopic Supracervical Hysterectomy with Transcervical Morcellation (LSH/TCM)—a procedure developed by Anthony DiSciullo, MD and Peter Rosenblatt, MD—you’ll benefit from even less pain and scarring because the uterus is removed vaginally. Prolapse Repair
If pelvic organ prolapse causes symptoms that disrupt your life, your doctor may recommend surgery to treat your condition. Your physician will consider your age, childbearing plans, health conditions and other factors to recommend the best treatment for you.
This minimally invasive procedure, developed by Peter Rosenbatt, MD, treats uterine prolapse by removing the uterus through very small incisions, then using a
safe synthetic mesh to suspend the cervix and vaginal walls. Mid-urethral Sling Placement
Mid-urethral Sling Placement
You may benefit from a mid-urethral sling if you experience stress incontinence—leakage with everyday activates such as coughing or exercising. Some women with prolapse may also benefit from a mid-urethral sling to prevent stress incontinence. The sling, which is made of a
safe synthetic mesh, acts like ligaments, supporting a weakened urethra. In most cases, you’ll be able to return home the same day as your surgery. Sacral Neuromodulation (InterStim® System) for Incontinence
Sacral Neuromodulation (InterStim® System) for Incontinence
InterStim System helps you regain control of your bladder or bowels through an implanted device that stimulates the sacral nerves, which help control your pelvic floor and lower urinary tract. You’ll start with a percutaneous nerve evaluation—a test of how your body would respond to InterStim. In this short minimally invasive procedure, your doctor will place a temporary wire near your sacral nerves. You’ll wear this temporary wire and an external neurostimulator for one to two weeks and use a symptom tracker to monitor your bathroom activities. If you experience a reduction in symptoms during your evaluation, you may choose to implant the InterStim System for long-term therapy. The stimulator, which is the size of a half-dollar, is surgically implanted under the skin of the upper buttock. You’ll have a hand-held programmer that allows you to control the stimulator. Surgery for Bowel Incontinence
Surgery for Bowel Incontinence
If surgery is your best option for regaining bowel control, your doctor will recommend a procedure such as sacral neuromodulation (see above) or the following:
Anal Sphincter Repair Your doctor may recommend anal sphincter repair if you experience a loss of bowel control due to damaged or torn muscles. TOPAS (Trans-Obturator Post-Anal Sling) Placement This procedure, which was developed by Peter Rosenblatt, MD, places a safe synthetic mesh sling under the rectum to support weak pelvic floor muscles. In most cases, you’ll be able to return home the same day as your surgery. Your Surgery: What to Expect
When you’re ready to schedule your surgery, you’ll work with our surgical coordinator to choose a date, verify insurance coverage and schedule pre- and post-operative visits. Your doctor will provide specific information about your procedure and how to prepare for surgery.
In most cases, you’ll see our nurse practitioner two weeks after your surgery, and have a post-operative appointment with your physician six weeks after your surgery.
View our instructions for care after surgery.