Services & Procedures

What is incontinence?

Urinary incontinence is the loss of normal control of your bladder. It is characterized by loss of urine with urgency and/or with activity.

When you’re suffering from a leaky bladder, you may find yourself avoiding the activities you used to love. An unexpected sneeze or a hearty laugh could be embarrassing. As the only fellowship-trained specialist in Female Pelvic Medicine in the area, Dr. Agosta offers advanced treatment for all types of incontinence. Ask for more information if you:

• leak urine when you laugh, sneeze or cough
• leak urine with urgency
• are frequently awakened from sleep to urinate
• suffer bladder pain or discomfort
• are unable to urinate when you need to

More information and treatment options for Female Urinary Incontenence

What is pelvic prolapse?

Pregnancy and the natural aging process can both lead to muscle or ligament weakening that causes the uterus, cervix and/or a portion of the vaginal wall to bulge, sag or fall. Prolapse frequently goes hand in hand with incontinence.

How does pelvic support affect bladder control?

Your pelvic floor is the muscle system inside your pelvis that supports your bladder, rectum, vagina and uterus. Time, disease, injury and childbirth can cause pelvic floor muscles to weaken, resulting in poor support of these organs. When this occurs, certain organs can shift position, causing obstructed urination or otherwise interfering with normal function. In some cases, pelvic floor weakening can hide or mask a bladder problem. Correction of the prolapse can unmask the bladder condition, leading to a new symptom of urinary incontinence. Therefore, standard treatments for prolapse may be ineffective, unwarranted and inappropriate without doing preoperative bladder testing.

Dr. Agosta is well-qualified to address and resolve all your pelvic support and bladder problems.

What are the solutions?

Dr. Agosta offers state-of-the-art diagnostics, including on-site painless bladder testing to diagnose your bladder problems. And he completely examines your bladder and surrounding organs to ensure that there are no other problems.

He also offers the most advanced treatments available, including many types of minimally invasive surgery. If surgery is called for, it can often be performed with less pain and faster recovery time as an outpatient procedure. Some examples are:

• Robotic Gynecologic surgeries – da Vinci robot techniques allow for smaller incisions and therefore a faster recovery than with traditional surgery.
• da Vinci® Hysterectomy
• da Vinci® Myomectomy
• da Vinci® Sacrocolpopexy
• Transobturator tension (TOT) sling – A highly effective outpatient procedure that supports the urethra with tension-free mesh tape to treat stress incontinence.
• Interstim Therapy - An FDA-approved treatment for urinary control problems in patients who have not had success with - or could not tolerate -more conservative treatments.  A simple office procedure can determine if you would be a good candidate for interstim therapy.  For more information visit the medtronic website.
• Vaginal vault suspension – Vaginal vault (top of the vagina) prolapse may occur after a hysterectomy or alongside other pelvic floor defects. Advanced techniques, either alone or in conjunction with another procedure, are used to correct this type of prolapse.
• Graft augmentation – A synthetic graft can be used to strengthen weakened natural tissue in order to reinforce or augment the repair of a vaginal bulge.
• Pelvic Reconstructive Surgery