The resources below are made available to provide you with the information you need as both a new and continuing patient. If there is anything else you need, please do not hesitate to contact us at 559-321-2930.
It is our pleasure to welcome you as a new patient to UroGynecology Specialty Center, Female Pelvic Medicine & Urogynecology specialty center. You should have received from us an envelope in the mail containing our new patient packet. You may fill out these forms to the best of your knowledge prior to your arrival. If you did not receive anything in the mail from us we will give you a new patient packet upon your arrival, but ask that you arrive 30 minutes before your scheduled appointment time to fill out the paperwork. Our office is fully electronic utilizing an electronic health record, so it is important that you fill out your patient history and review of systems with as much detail possible. Upon completion of your paperwork, our staff will enter this vital health information into your electronic record. Please bring your insurance card and driver’s license which will be scanned into our system. We will also take a picture of you to place in your electronic record when you check-in.
Due to the nature of our practice, it is imperative that we receive your medical records for your appointment. The following is a listing of documentation that is crucial for Dr. Steinberg:
- Previous lab work mainly urinalysis or urine cultures you have had in the past.
- If you have had previous pelvic surgery, your operative report will need to be reviewed by Dr. Steinberg. Often, we cannot decide on a treatment plan for you without this information.
- Recent radiology reports such as CT scans and pelvic ultrasounds.
- Any documentation from other doctors you have seen for your problem.
- Current medication listing with correct spelling and dosage information.
We will request a urine sample from you during all office visits. To start your visit, you will be seated in Dr. Steinberg’s office to discuss your complaints and to briefly discuss the types of treatment options available. After this brief discussion, we will move you to an examination room for your physical examination.
There has been recent controversy in the both the media and medical communities regarding the use of trans-vaginal synthetic mesh during prolapse surgery. Recently, the Federal Drug Adminstration (FDA) released a public health notification regarding complications associated with the use of trans-vaginal mesh such as erosion, infection, and pain during intercourse. However, supporters of mesh state that it offers advantages over traditional procedures, including long-term durability and reduced incidence of recurrence of pelvic organ prolapse. Most high volume surgeons who are properly trained using this material would agree that synthetic mesh, when used judiciously, is an essential tool in the treatment of pelvic organ prolapse. However, in choosing a surgery, it is essential that the course of action be individualized, and that the chosen procedure meets a particular patient’s goals, expectations and risk tolerance.
FDA Mesh Notification
Female Pelvic Floor Disorders: Improving Awareness
What is a Urogynecologist
A urogynecologist is a physician who specializes in treating women with a variety of disorders to the pelvic floor. This specialist is also sometimes called a female urologist.
Before the urogynecology specialty was created, women with pelvic-floor disorders typically had to visit multiple specialists and receive treatment for problems in the urinary, gastrointestinal and reproductive systems separately. A urogynecologist can manage all these conditions comprehensively.
In addition to completing medical school, a urogynecologist must have completed a four- or five-year residency program in urology or obstetrics and gynecology, plus an intensive three-year fellowship in female pelvic medicine and reconstructive surgery.
What is the pelvic floor?
The pelvic floor is the muscles, ligaments, connective tissues and nerves that support the bladder, uterus, vagina and rectum and help these pelvic organs function.
What causes pelvic-floor disorders?
The National Institutes of Health estimate one-third of women in the United States will experience pelvic-floor disorders in their lifetime. Childbirth, repeated heavy lifting, chronic diseases and surgery can weaken the pelvic floor. Inherited factors also can contribute.
While pelvic-floor disorders become more common as you get older, they are not inevitable. Depending on the severity of your condition, a range of treatments are available to minimize the symptoms or repair the damage.
How are the these conditions diagnosed?
Our physicians rely on several types of evaluations, including:
Urodynamics: A small catheter is placed into the patient's bladder to measure pressure in the bladder and urethra while the bladder is filled with water. The patient answers a series of questions to help determine how much her bladder can hold, after which she urinates, and the amount or urine is measured. The test is not painful and lasts approximately 20 minutes. The patient may stop the test at any time.
Cystoscopy: A small tube-shaped camera is inserted through the urethra to view the bladder for details that are difficult to see with an X-ray. The cystoscope is flexible and no larger than a catheter. The camera is attached to a monitor so that the patient can view the inside of her bladder as well. The test is not painful and lasts approximately 5 minutes. The patient may stop the test at any time.
Urinalysis: A patient's urine is checked at each visit to ensure that she does not have an infection.
Bladder ultrasound: An image of the patient's bladder is taken at each visit to ensure you she is emptying it completely. This is not invasive or painful.
Pelvic-muscle evaluation: A physical exam or an electronic monitoring device is used to measure the patient's ability to contract her pelvic muscles.
Anorectal manometry: An electronic monitoring device is used to measure the patient's ability to contract the muscles in her abdomen, pelvis and anus.
Radiology: A variety of X-rays may be used as appropriate to aid diagnosis.
How are these conditions treated?
Once our doctors determine the cause of your pelvic-floor disorder, they may provide a variety of treatment options, including:
- Physical therapy.
- Behavior modification.
- Alternative medicine.