This medical specialty addresses pelvic floor and bladder disorders including urinary incontinence, pelvic organ prolapse, fecal incontinence and trauma to the perineum during childbirth. It focuses on the management of these distressing clinical problems that affect the bladder, reproductive organs, and bowels.
Pelvic Organ Prolapse (POP) occurs when the muscles and tissues of the pelvic floor become weak and no longer provide support to the pelvic organs. This results in their downward fall into the vagina. You may feel or see the tissue coming out of the vagina.
Stress urinary incontinence (SUI) is the loss of urine that occurs during a physical exertion, pushing urine out of the bladder. Activities such as coughing, sneezing, laughing or exercise cause increased pressure in the bladder resulting in incontinence.
Voiding disorders can cause several problems associated with urinating, such as emptying one’s bladder, a slow or weak stream, urinary hesitancy, and more.
Painful bladder syndrome (or Interstitial Cystitis) is characterized by pain in the bladder or pelvic area and frequent urges to urinate.
If you are struggling with other bladder-related concerns, Dr. Guerette can help diagnose your condition and find a solution.
Bowel disorders can cause abdominal pain, spasms, gas, constipation, and more. If you are struggling with bowel problems, Dr. Guerette can help treat bowel disorders through a personalized treatment plan.
A fistula is a hole that may develop between the vagina and the bladder or rectum. A fistula may be caused during childbirth, cancer, or surgical complications.
Congenital abnormalities of the vaginal area can cause a woman to struggle with physical and/or emotional discomfort. Dr. Guerette can address various congenital abnormalities with a personalized treatment plan.
A transvaginal mesh may be used for treating concerns such as pelvic organ prolapse or stress urinary incontinence. Complications with the mesh may occur, but are easily treatable by a professional such as Dr. Guerette.
Dr. Guerette can treat prolapse through a variety of surgical procedures, including apical suspensions and anterior or posterior vaginal prolapse repair. The right surgery for you will depend on your individual circumstances and will be discussed during a private consultation.
There are a variety of non-surgical treatments for pelvic organ prolapse. Dr. Guerette will speak with you to understand your concerns and condition, then will recommend the best treatment for you. Prolapse treatment options include behavior and lifestyle changes, pelvic floor exercises, and more.
Dr. Guerette will recommend a treatment based on your unique case of stress urinary incontinence. Surgical options are highly effective and low risk and include urethral suspensions and midurethral slings.
Stress urinary incontinence is a very treatable condition. Dr. Guerette will recommend a treatment based on your unique case. Non-surgical options include lifestyle changes, pelvic floor physical therapy, and more.
Dr. Guerette can help treat overactive bladder through a personalized treatment plan. During a private consultation, he will listen to your concerns and analyze your condition to determine the best approach for your unique case.
Dr. Guerette can help treat voiding disorders through a personalized treatment plan. During a private consultation, he will listen to your concerns and analyze your condition to determine the best approach for your unique case.
Dr. Guerette can help treat painful bladder syndrome (Interstital Cystitis) through a personalized treatment plan. During a private consultation, he will listen to your concerns and analyze your condition to determine the best approach for your unique case.
If you are struggling with a bowel disorder such as fecal incontinence, Dr. Guerette can help alleviate pain and discomfort through a personalized treatment plan. He will listen to your concerns and analyze your condition during a private consultation to determine the best approach for your unique case.
Dr. Guerette can perform fistula repair surgery for women experiencing odorous vaginal discharge, stool leakage, or discomfort caused by a fistula.
Contact our office to schedule your own private consultation with Dr. Guerette to discuss neovagina surgery.
A uteroplasty is a surgical procedure performed to repair the uterus.
Dr. Guerette can correct complications that may occur with a transvaginal mesh device. Your treatment will be personalized based on your specific case and will be discussed in detail during a private consultation.
Advanced massage therapy is available at The Female Pelvic Medicine Institute to help with a variety of urogynecological concerns.
Dr. Guerette is the former Director of Urogynecology and Pelvic Reconstructive Surgery at Pennsylvania Hospital and Assistant Professor for the University of Pennsylvania School of Medicine. Dr. Guerette also served as Associate Program Director of Urogynecology and Pelvic Reconstructive Surgery at Drexel / Hahnemann University College of Medicine in Philadelphia. He received his medical degree from the State University of New York before completing a dual residency in Obstetrics and Gynecology and Family Medicine. Dr. Guerette subsequently continued his training at the Cleveland Clinic, completing a three-year fellowship in Urogynecology and Pelvic Reconstructive Surgery.