Surgical approaches are useful in patients who have more severe forms of stress incontinence, or who have failed or are not satisfied/compliant with more conservative measures. There are many different procedures done to correct stress incontinence, the goal of each is to re-support the bladder neck to prevent its downward rotation with stress. The selection of which operation is done is usually based on the patients symptoms, medical condition, ongoing risk factors for failure (obesity, chronic cough, heavy lifting) and the skill/training of the surgeon. It is very important that at the time of the surgery, other problems such as rectoceles, enteroceles, vaginal, and/or uterine prolapse are corrected. Otherwise, there is a great chance that the patient will no longer be incontinent, but will be just as miserable with worsening of another problem.
Recent reports in the literature show that the classic anterior vaginal repair (bladder tuck) has only about a 30% long term cure rate after 5 years. It has the highest failure rate, but is also the easiest to do and quickest to recover from and allows simultaneous repair of other vaginal defects. It is useful in patients with minimal stress incontinence.
Gynecologist Services in Roswell, Alpharetta & Johns Creek
ISIS OB/GYN offers complete and comprehensive obstetric and gynecologic care. From adolescence through adulthood, our caring physicians provide a range of services to meet the needs of women at every stage of life. You can rely on us for:
- routine and high risk obstetrics
- prenatal care
- gynecological surgery
- laparoscopic surgery
- laser surgery
- routine gynecology
- breast exams
- routine examinations
- birth control
Our training and expertise also allow us to provide treatment for:
- menopausal care
- bladder control problems
- bone density testing
We accept requests for prescriptions and refills each weekday between 8:00 am - 4:00 pm. Unfortunately, prescriptions cannot be filled in the evening or during the weekend because we must have access to your medical chart before medication can be prescribed. When you call for a refill, please have the prescription name, pharmacy name and pharmacy phone number ready. Some prescription refills may require an office visit.
In order to continue providing cost effective care, we request payment for all services at the time they are rendered. Please remember, payment of medical services is your obligation and the agreement with your insurance company to pay medical costs is a contract between you and that company. You are responsible for any deductible, co-payment or other balance not paid by your insurance company. We realize insurance and payment issues can often be confusing and welcome any questions you may have.