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Trip to The Netherlands for prolapse surgery technique- TGR

November 22, 2016

I just returned from the Netherlands where I was able to work with Dr. Nieuwoudt on TGR prolapse surgery. I’m looking forward to incorporating the techniques into my practice, and offering what I believe is a significant improvement in native tissue surgical repairs of prolapse. For more information on TGR surgery, see      …

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Pelvic organ prolapse and sexuality

July 5, 2016

I see many women with newly discovered vaginal prolapse who report they are afraid to have sex because they fear it will cause damage or worsen their prolapse.  Alternatively, they may feel that the bulge makes them unattractive and for that reason become reluctant to have sex.  Certainly a vaginal bulge may be an unpleasant…

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Vaginal revitalization versus “rejuvenation”

April 7, 2016

I have seen many women who, after either childbirth or menopause were concerned about whether their vaginas were “too loose” and needed something done.  There are many ads on the internet touting “vaginal rejuvenation” procedures purporting to restore tone and improve sexual enjoyment, among other things.  One of the things I try to help my…

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Breaking the barriers to seeking help for pelvic health problems

March 15, 2016

Here is a broadcast from News Channel 12 regarding a recent event for women I was asked to attend and provide the Keynote lecture at lunch.  Hope you enjoy. http://cbs12.com/sports/breaking-the-stigma-of-pelvic-health-issues-among-women

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Treatment Alternatives For Vaginal Dryness, Atrophy, Painful Sex, and Vaginal Irritation: Hormones, Medications, and Laser Therapy (MonaLisaTouch)

January 19, 2016

Discomfort from vaginal dryness is common.  It is most likely to show up a few years after menopause, but may develop earlier in some women due to medications, other medical conditions that may cause dryness in multiple locations of the body (for example, dry eye), or following surgery, radiation treatment, or trauma.  Symptoms can range…

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When Sex Is Painful

January 19, 2016

When sex is painful Many women come into the office seeking help due to painful intercourse.  The complaint may be part of a number of issues involving problems with the bladder, bowel, or vaginal discomfort.  Many times they will have been treated for infections or other conditions without success.  Pain during sex may have a…

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Recurrent Urinary Tract Infection

November 8, 2015

Copyright 2015 L. Kiley, MD One of the common problems we see in our practice is recurrent urinary tract infections.  At least a third of women will have a urinary tract infection diagnosed by age 24.  Recurrent urinary tract infections are defined as 2 or more in 6 months or 3 or more in one…

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Myofascial Pain in the Pelvis

May 25, 2015

Myofascial Pain in the Pelvis       copyright L. Kiley, MD 2015 What is myofascial pain? The term “myofascial” refers to the tissue made up of muscle and its surrounding connective tissue.  The fascia is a strong, ribbon-like tissue (such as the “gristle” in meat) that runs along muscle and connects it to bone. …

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Ads for Pads

January 2, 2015

It is astounding to me how many ads are coming up for incontinence pads and undergarments.  Accidental bowel leakage and urine leakage are certainly significant problems faced by many women.  While it is certainly appropriate to increase public awareness of these common problems, the implication with pads and undergarments designed for incontinence is that it…

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Accidental Bowel Leakage is Treatable!

October 11, 2014

Accidental bowel leakage (fecal incontinence) is treatable.  Talking about it is the first step.  First, it’s important to understand that this is not a rare problem.  At least 15 per cent of individuals report accidental bowel leakage.  There are probably many more who are too embarrassed to report this problem to their doctors.  It leads…

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It’s time to take the shame out of prolapse and incontinence

July 19, 2014

Linda A. Kiley, MD   Copyright 2014 Many years ago the subject of breast cancer was embarrassing to most people.  Few people remember now how mortified women were at the thought of discussing cancer of the (gulp!) BREAST!  It took the bravery of Betty Ford, the First Lady of the United States, to stand up…

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Just Had A Baby, Now I Need Diapers?????

December 17, 2013

Following childbirth, it is common to experience accidental leakage of urine or even bowel contents. Sometimes leakage is related to a lack of sensation when there is a full bladder or need to have a bowel movement, and sometimes it is purely due to weakened, stretched muscles and/or damaged nerves following childbirth.  This may seem…

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Bladder Pain Syndrome and Interstitial Cystitis

October 11, 2013

Many women come into my office with complaints of “a bladder infection that won’t go away”.  Other times a description of burning, aching, stinging with urination, or even at times just intractable urinary frequency may cause them to seek consultation.  It is not unusual to see someone with a bladder pain syndrome who has been…

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Robotic Surgery in Pelvic Floor Disorders

September 8, 2013

The evolution of pelvic organ prolapse repair and incontinence surgeries has been as notable for its failures as its successes.  Because of the complexity and variability of pelvic organ prolapse problems a universal best surgical solution has never been found.  Traditionally, repairs have been designed either for a vaginal approach or an abdominal approach.  Before…

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Fecal Incontinence in Women (Accidental Bowel Leakage)

August 5, 2013

Fecal incontinence is a problem that is often not addressed, probably in no small part due to embarrassment on the part of the sufferer.  Fecal incontinence is not rare.  One study in 1996 from Illinois revealed that nearly 20% of individuals over 18 experience fecal incontinence.  What are risk factors for fecal incontinence?  In women,…

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