Our Focus Is on You

Blending the Advances of Modern Medicine With Classic Care

Expert, Compassionate Care For Your Genitourinary Needs

Our Focus Is on You

Blending the Advances of Modern Medicine With Classic Care

Expert, Compassionate Care For Your Genitourinary Needs

Our Focus Is on You

Blending the Advances of Modern Medicine With Classic Care

Expert, Compassionate Care For Your Genitourinary Needs

Our Focus Is on You

Blending the Advances of Modern Medicine With Classic Care

Expert, Compassionate Care For Your Genitourinary Needs

Our Focus Is on You

Blending the Advances of Modern Medicine With Classic Care

Expert, Compassionate Care For Your Genitourinary Needs

Patient Education

Pioneer Valley Urology, P.C. would like to be your partner in health care. Feel free to ask your questions and share your concerns with us. We will work with you to develop a wellness program for the care and treatment you need.

We welcome you to our practice and look forward to caring for you.

Pioneer Valley Urology, P.C. provides a full range of medical services including the following:


Benign Prostatic Hyperplasia

Benign prostatic hyperplasia, also known as BPH, is an enlarged prostate that commonly causes urinary problems in men age 50 and older. It is a common condition that occurs as men age, causing the gland to press against the urethra and cause problems with urination. BPH may also be due to an excess of certain hormones in the body. ...


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Bladder Cancer

Bladder cancer is a disease that affects the bladder, the organ that stores urine. The most common type of cancer develops in the cells on the inner lining of the bladder wall. If the cancer spreads through the lining, it is considered an invasive cancer. The majority of cases of bladder cancer are diagnosed at an early stage when they are highly treatable. ...


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Cystitis

Cystitis is an infection of the bladder that is caused by bacteria. It occurs most often in women because of the short length of the urethra and the proximity of the urethra to the vagina. Bacteria are often found in the vagina and sexual intercourse can sometimes force bacteria into the urethra. Cystitis can also be known as a urinary tract infection and can lead to kidney complications if left untreated. ...


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Erectile Dysfunction

Erectile dysfunction (ED), refers to the consistent inability to achieve or maintain an erection. For an erection to occur, a specific sequence of event needs to take place, allowing blood to enter the penis while restricting the outflow of blood. The pressure created by this "trapped" blood is what maintains an erection. If there is a consistent breakdown in any steps in the sequence, erectile dysfunction is the result. Erectile dysfunction may occur at any age, however, the occurrence of ED is increasingly common as a man ages. However, it should not be considered a natural part of aging. ...


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Spermatocele

A spermatocele, also known as a spermatic cyst, is a benign growth that develops on the epididymis, the coiled tube located on the upper side of the testicle that stores sperm. Most spermatoceles are small and contain a milky fluid that may or may not contain sperm. They are usually harmless and may stay the same in size or may grow over time. ...


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Infertility Evaluation

Couples who have been experiencing infertility issues for an extended period of time may choose to undergo an evaluation to determine the cause of their problem with fertility. An infertility evaluation may be performed to determine the source of infertility and diagnostic tests may also be used to detect any conditions or abnormalities that may inhibit one or both partner's ability to conceive a child. Candidates for infertility evaluation may include couples who have been trying to conceive a child for at least one year, couples who are over the age of 35, or couples or patients with certain physical or medical problems that may affect fertility. ...


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Kidney Stones

A kidney stone, also known as renal calculi or nephrolithiasis, is a hardened mass of mineral and acid salts that separates from the urine and travels through the urinary tract. The urine normally dilutes and dissolves these substances, but when the composition of urine is unbalanced, crystallized stones can form. Kidney stones are a common but painful urinary tract disorder that affects over three million people in the United States each year. ...


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Low Testosterone

Testosterone is a sex hormone naturally produced within the body. In men, this hormone helps to maintain sperm production, control sex drive, and regulate muscle mass and bone health. The pituitary gland and the brain control the production of testosterone which is secreted through the testicles. ...


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Nocturia

Nocturia is a urinary condition that involves waking during the night because of an urge to urinate. This condition occurs as a result of excess urine production or low bladder capacity. Nocturia causes patients to wake frequently and may interfere with the ability to get a decent night of sleep. ...


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Overactive Bladder

Overactive bladder, also known as OAB or urge incontinence, occurs when a person experiences a sudden and frequent urge to urinate that may also be accompanied by urine leakage. This happens because the bladder muscles contract at inappropriate times, regardless of how much urine has collected in the bladder. It can happen to anyone at any age, although it is most common in women and the elderly. ...


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Pelvic Prolapse

Pelvic prolapse is a common condition in women that involves a pelvic organ moving from its normal position to push against the vaginal walls, causing pressure, stretching and pain.

Symptoms of Pelvic Prolapse

Women with pelvic prolapse may experience the following symptoms: ...


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Peyronie's Disease

Peyronie's disease is characterized by the formation of a rigid, fibrous plaque under the skin of the penis, potentially altering the shape and firmness of an erection. This condition can have physical and psychological effects and lead to complications including painful erections and impotency. Peyronie's disease may occur at any age, but most frequently in men over the age of 40. Although uncommon, it is possible for younger men to develop the disease. ...


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Bladder Stones

Bladder stones are hard, crystallized masses that form in the bladder. They can occur when the urine in the bladder becomes concentrated and causes the minerals and proteins it contains to crystalize. Bladder stones may be the result of the bladder not emptying completely during urination, which may be due to an enlarged prostate, nerve damage or recurring urinary tract infections. ...


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Prostate Cancer

Prostate cancer is one of the most common types of cancer in men. This disease affects the prostate, the gland located under the bladder and in front of the rectum. This gland helps produce semen and allows for sperm to move more effectively, along with several other functions. The cancer cells develop in the prostate and invade the healthy tissues and multiply at a rate much faster than regular cells. ...


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Premature Ejaculation

A common sexual issue among men, premature ejaculation takes place when a man reaches orgasm too quickly. The man does not have voluntary control of the timing of his ejaculation and it may occur with very little stimulation. When this happens on a regular basis, it often results in both the man and his partner feeling unfulfilled. The timing of the premature ejaculation varies from person to person as well as by circumstances. Some men experience an orgasm before intercourse even begins, while for others it may occur immediately after vaginal penetration. ...


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Testicular Cancer

Testicular cancer is the growth of malignant, or cancerous, cells in one or both of the testicles. It can occur at any age but frequently strikes young men between the ages of 15 and 35 years old. With an early diagnosis, testicular cancer is highly treatable.

Cause of Testicular Cancer

While the cause of testicular cancer is uncertain, there are several known risk factors that may include: ...


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Enlarged Prostate

The prostate is a golf ball-sized gland located under the bladder and in front of the rectum in men. While all of its functions are not known, the prostate adds fluid and nutrients to sperm to produce semen and allow the sperm to move more effectively. An enlarged prostate, known as benign prostatic hyperplasia or BPH, is a common condition that occurs as men age. BPH causes the prostate to press against the urethra which results in urinary problems. It is believed that an enlarged prostate may be due to an excess of certain hormones in the body. ...


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Biofeedback for Urinary Incontinence

Biofeedback is a treatment method that is effective in treating many common conditions, including urinary incontinence. Urinary incontinence is the inability to control the bladder, which results in urine leakage. Biofeedback trains patients to control physiological processes that are normally involuntary through focused thinking. This treatment is particularly effective in treating conditions caused or worsened by stress. ...


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Urinary Tract Infection

A urinary tract infection (UTI) is a common infection of the urinary system, which includes the kidneys, ureters, bladder and urethra. The urinary tract refers to just the bladder and the urethra, and an infection can develop in either of these areas. These infections occur much more frequently in women than in men and may cause intense pain and discomfort. ...


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Uroflowmetry

A uroflowmetry is a diagnostic test to measure the flow of urine released as well as the amount of time it takes to completely empty the bladder during urination. This test may be recommended for patients who are experiencing problems with urinary flow.

Preparing for the Uroflowmetry

This test provides the most accurate results when performed on a full bladder, so patients are advised to refrain from urinating for two hours before the test and to drink plenty of fluids in preparation. Patients are also advised to notify their doctor of all medications they are currently taking, as some of them may have to be stopped temporarily before the uroflowmetry. ...


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Uterosacral Ligament Suspension

Uterosacral ligament suspension is a procedure that is designed to restore support to the uterus and the vaginal vault, or the top of the vagina. Uterosacral ligament suspension is a minimally invasive surgical treatment for uterine or vaginal prolapse, that surgically lifts up the top of the vagina and holds it in place. ...


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Vasectomy

Vasectomy is the most effective form of permanent contraception for men. A vasectomy is a minor surgical procedure that stops the flow of sperm between the testicle and the urethra by blocking the vasa deferentia, the tube-like structure that carries sperm to the testicle and through the urethra to the ejaculatory duct. ...


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Kidney Cancer

Kidney cancer is characterized by a tumor that begins in the kidneys. The kidneys are bean-shaped organs that help remove excess water and waste from the body through urine. Tumors that originate in the kidneys are common, with more than 60,000 people in the United States diagnosed with kidney cancer each year. ...


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Benign Prostatic Hyperplasia Treatment

Benign Prostatic Hyperplasia, also known as BPH, is an enlarged prostate that commonly causes urinary problems in men over the age of 50. It is a common condition that occurs as men age, causing the gland to press against the urethra and cause problems with urination. ...


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Cystoscopy

Cystoscopy is a minimally invasive diagnostic procedure that is performed to examine and treat conditions within the bladder that may not show up clearly on an X-ray or other common imaging procedure. With this procedure, doctors can clearly visualize targeted areas within the bladder. Doctors may perform a cystoscopy for a variety of reasons that may include: ...


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Hematuria

Hematuria is the presence of red blood cells in the urine. When blood is visible in the urine, it is called gross hematuria. Microscopic hematuria is visible only under a microscope and is most often discovered as part of a routine medical exam.

Causes of Hematuria

Bleeding can occur at any location along the urinary tract. This includes the kidneys, ureter, bladder, urethra and the prostate in men. While blood in the urine is not always the sign of a serious disease or condition, it may be an indication of any of the following conditions: ...


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Robotic Urologic Surgery

Surgery is often used to treat a variety of conditions affecting the organs of the male reproductive system and urinary tract. Given the sensitive nature of this area, many men are apprehensive about undergoing major surgery to treat their condition. Traditional urologic surgery requires large incisions to access the pelvic organs and may cause severe pain and long recovery times. There may also be long-term effects on continence and sexual function. Robotic urologic surgery can help ease common concerns by providing a safer, less invasive alternative to traditional surgery. ...


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InterStim® Therapy

InterStim® therapy involves the implantation of device to treat problems with urination. Urge incontinence, commonly known as overactive bladder, is a common condition that occurs when an individual experiences sudden, compelling urges to urinate, frequent urination, or urinary incontinence. These symptoms occur because the bladder muscles that control the release of urine contract at inappropriate times. The same neurological problem may also lead to urine retention. InterStim therapy stimulates the affected nerves with electrical impulses (neurostimulation) in order to overcome bladder issues. It is used when other methods of bladder control have been ineffective. ...


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BOTOX® Treatment for Overactive Bladder

Overactive bladder causes a sudden and frequent urge to urinate, which may be accompanied by urine leakage. It is caused by the bladder muscles' contracting at inappropriate times, regardless of how much urine the bladder contains. Overactive bladder is a common condition; it is estimated to affect more than 30 million adults in the United States. It can develop in anyone, at any age, although it is most frequently affects women and the elderly. ...


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Neurogenic Bladder

Neurogenic bladder is a condition characterized by the loss of bladder function, preventing patients from effectively emptying the bladder. Normal bladder function involves a complex communication system between nerves and muscles that work together to tighten or release the bladder muscles and allow urine to be released. ...


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Cystectomy

Cystectomy is a surgical procedure that removes all or part of the bladder. It is performed to treat cases of bladder cancer that have not responded to more conservative forms of treatment and have spread to the bladder wall.

The Cystectomy Procedure

Invasive bladder cancer may require all or part of the bladder to be removed. The different types of cystectomy include: ...


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Stress Incontinence

Stress incontinence is a common condition involving an involuntary loss of urine that occurs when a physical movement places pressure or stress on the bladder. Patients with this condition may experience a leakage of urine while coughing, sneezing, laughing, jogging or lifting something heavy. This condition usually occurs as a result of weakened sphincter and pelvic muscles that cannot adequately support the bladder or urethra. ...


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Urodynamic Testing

Urodynamic testing is a series of urological tests that may be performed to diagnose urinary problems. A physician may recommend urodynamic testing to investigate the cause of any urinary difficulties and assess the function of the bladder and its ability to store and empty urine. Urinary problems such as incontinence or an overactive bladder may be the result of several different conditions, including bladder infections, urethra or sphincter problems, enlarged prostate, nervous system malfunctions, or the side effects of medication. ...


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Interstitial Cystitis

Interstitial cystitis is a chronic inflammation or irritation of the bladder and the surrounding pelvic area. People who are diagnosed with interstitial cystitis may experience mild discomfort, pressure, tenderness, or intense pain in the bladder and pelvic area. Also known as painful bladder syndrome, interstitial cystitis most commonly affects women. ...


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Polycystic Kidney Disease

Polycystic kidney disease, also known as PKD, is a genetic disorder that involves the development of cysts within and around the kidneys. A cyst is a non cancerous, fluid-filled sac that can vary in size and sometimes grow extremely large. When these cysts form, the kidneys fill with fluid and may become enlarged, resulting in decreased kidney function and in extreme cases, kidney failure. ...


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Percutaneous Nephrostomy

Percutaneous nephrostomy, is a procedure that is performed to drain urine from a kidney. It is often performed when a ureter is blocked and urine cannot leave the kidneys as it normally does. A percutaneous nephrostomy allows the kidney to function properly and protects it from further damage. It also helps to clear any infection. ...


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Ureteropelvic Junction Obstruction

Ureteropelvic junction obstruction (UPJ), is a blockage in the area that joins the renal pelvis to the ureters, which are responsible for sending urine into the bladder. A UPJ obstruction causes the kidneys to produce urine at a rate that exceeds the amount that is able to drain effectively causing urine to accumulate in the kidney. Left untreated, the build-up of urine in the kidneys may lead to infection, kidney stones, damage to the kidneys or kidney failure. ...


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Urinalysis

A urinalysis is a test used to analyze urine and diagnose possible conditions. This test can be performed in the doctor's office simply by collecting a urine sample from the patient. It can help detect the presence of infection or diseases that may not present with any symptoms.

A urinalysis may be performed as part of a routine medical exam to screen for early signs of illness. A urinalysis may be used to check for the following characteristics: ...


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Nephrectomy

A nephrectomy is a surgical procedure to remove part or all of the kidney. Depending on the reason for this surgery, the procedure may involve removing thedamaged or diseased part of one kidney, all of one kidney, or the removal of the entire kidney and the surrounding adrenal gland and lymph nodes. All nephrectomies are performed under general anesthesia. ...


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Ectopic Kidney

An ectopic kidney, also known as renal ectopia, is a congenital condition in which a kidney is not located in its normal position and is situated in an unusual position within the body. This condition is not common, only occurring in approximately one out of every 1,000 births. The function of the kidney is usually normal but because of its location and its proximity to other organs, it may have difficulty draining. While most individuals with an ectopic kidney have no problems, others may experience kidney failure, urinary stones, urinary tract infections, or other potentially serious complications. ...


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Hydronephrosis

Hydronephrosis is a swelling in the kidney usually due to a blockage that prevents urine from flowing into the bladder. The blockage typically occurs in the upper section of the urinary tract as a result of an abnormal narrowing of the ureter. Complications from hydronephrosis may include decreased kidney function. Hydronephrosis is much more common in males than in females. ...


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Pediatric Urology

Pediatric urology is the diagnosis and treatment of a wide range of urological conditions that affect children, both males and females. Some of these conditions have been present since birth, while others may arise throughout childhood. In some cases, patients may be referred to a pediatric urologist by their regular pediatrician. ...


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Urethral Stricture

A urethral stricture is a narrowing of the urethra, usually due to injury, infection or inflammation. The urethra is the tube responsible for carrying urine out of the bladder. The narrowing of the urethra can severely restrict the flow of urine from the bladder, blocking it completely in some cases. Urethral stricture occurs more commonly in men, as they have a longer urethra than women. ...


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Radical Prostatectomy

Prostate cancer is one of the most common types of cancer in men. This disease affects the prostate, the gland located under the bladder and in front of the rectum. This gland helps produce semen and allows for sperm to move more effectively, along with several other functions. The cancer cells develop in the prostate and invade the healthy tissues and multiply at a rate much faster than regular cells. When confined to the prostate gland, this disease can usually be treated effectively, making early detection crucial for handling prostate cancer. ...


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Epididymitis

Epididymitis is a bacterial infection or swelling of the epididymis, a tube behind the testicle that is responsible for storing and carrying sperm. Epididymitis is generally characterized by pain, swelling and tenderness in the scrotum. Epididymitis most commonly affects men in their 20s or 30s, although it can occur at any age. ...


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Hydrocele

A hydrocele is a distinct, usually painless swelling in the scrotum caused by a pooling of fluid within the tubes that surround the testicles. It is usually found in newborns and males under the age of five, commonly due to an opening between the abdomen and the scrotum that never properly closed during development. It may also occur in men 40 years of age or older in response to scrotal trauma, as a side effect of surgery for varicocele repair, or for no known reason. ...


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Varicocele

A varicocele is an enlargement of the veins within the scrotum. Varicoceles are similar to varicose veins in the legs and form for similar reasons. The valves inside the veins become weak and ineffective, enabling a backflow of blood. Varicoceles are common, occurring in about 15 to 20 percent of all males. Almost all varicoceles affect the left testicle. Many varicoceles cause no symptoms, but they may result in discomfort and are a major, though reparable, cause of infertility. When and if varicoceles become troublesome, they can be corrected surgically. ...


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Benign Urethral Lesions

The urethra is the tube that carries urine from the bladder to outside the body. Benign urethral lesions can develop in or around the urethra, causing bleeding or painful urination, or blocking the urinary tract. When lesions do block the flow of urine, they can cause infection. Some urethral lesions respond to conservative treatments, whereas others must be treated surgically. Men and women of all ages can be affected. ...


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Surgical Mesh

Surgical mesh is a synthetic, permanent material made from polypropylene. It is stronger than the body's natural tissue and is frequently used to repair weakened tissue. The insertion of surgical mesh is a minimally invasive treatment for pelvic prolapse that effectively relieves pain and pressure in the pelvic area by placing a piece of soft synthetic mesh in the affected area to restore organ support. As a result of this procedure, patients can engage in their everyday activities without the discomfort and inconvenience of prolapse symptoms. Surgical mesh has been used in the past to strengthen abdominal hernia repairs. More recently, doctors are using mesh products to repair pelvic organ prolapse (POP) and as a surgical treatment of stress urinary incontinence. ...


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Colporrhaphy

Colporrhaphy, also known as vaginal wall repair, is a surgical procedure performed to correct defects in the vaginal wall, or pelvic-organ prolapse, including cystoceles and rectoceles. The colporrhaphy procedure aims to effectively restore prolapsed organs back to their normal position and relieve symptoms such as urinary incontinence and pelvic pain. ...


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Pubovaginal Sling

A pubovaginal sling is a synthetic hammock-like device that is wrapped underneath the urethra to stop urine leakage. Women who suffer from urinary incontinence and cannot be effectively treated through exercise and medications may consider a pubovaginal sling. This procedure is used to support a weak pelvic floor and urethral sphincter muscles. ...


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Bladder Prolapse

Bladder prolapse, also known as cystocele, is a common condition in women that involves a stretching or weakening of the pelvic floor muscles that support the bladder. Once this occurs, the bladder gradually sags into the vagina and may even protrude through its opening, causing urinary problems. Normally, in women, the bladder is held in position by supportive pelvic floor muscles and ligaments. When the muscles and tissues are stretched and weakened, the bladder can sag through the ligaments and into the vagina, resulting in bladder prolapse. ...


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Vaginal Fistulas

A fistula is an abnormal passageway or opening between two organs or areas within the body. Fistulas can develop in various parts of the body and are usually cased by tissue damage that has worn over time, ultimately creating an opening, or a fistula.

Types of Vaginal Fistulas

A fistula that has formed in the wall of the vagina is called a vaginal fistula. Vaginal fistulas may be caused by tissue damage that has occurred as a result of previous surgery, radiation treatment, inflammation due to inflammatory bowel disease, or childbirth. Types of vaginal fistulas may include: ...


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LeFort Colpocleisis

LeFort colpocleisis is a procedure to treat pelvic organ prolapse by narrowing and shortening the vagina. While the LeFort colpocleisis procedure is minimally invasive and low risk, it results in a surgically closed vagina, which prevents sexual intercourse.

Pelvic organ prolapse is a common condition in women that involves a pelvic organ such as the bladder, uterus or rectum, moving from its normal position to push against the vaginal walls, causing pressure, stretching and pain. Treatment for this condition may vary depending on the location and severity of the prolapsed organ. Patients with mild symptoms can often treat their condition conservatively by losing weight and through kegel exercises that strengthen the pelvic muscles. Cases of pelvic prolapse that do not respond to home treatments may require the insertion of a pessary, a small device inserted into the vagina to relieve pain and pressure and hold the organs in place. More severe cases may benefit from surgery to repair damaged tissue, close the vagina or remove the uterus. ...


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Vasectomy Reversal

A vasectomy is a minor surgical procedure that stops the flow of sperm between the testicle and the urethra by blocking the vasa deferentia, the tube-like structure that carries sperm to the testicle and through the urethra to the ejaculatory duct. A vasectomy is performed as a permanent means of birth control. However, in some cases, due to personal reasons or changes in circumstances in a man's life, he may wish to have the vasectomy reversed. In rare cases, a vasectomy reversal may be performed to treat testicular pain that has developed as a result of the initial vasectomy procedure. ...


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