Female Pelvic Medicine and Reconstructive Surgery
by Peahen Gandhi, MD, FACOG, FPMRS
Our approach to Female Pelvic Medicine and Reconstructive Surgery (FPMRS) is three-fold:
1) Restore Function
2) Enhance Appearance
3) Protect Anatomy
This is the treatment approach which guides our clinical procedural offerings. Gynecologists are experts in vulvovaginal surgery and CWHS is at the forefront of the latest techniques used to help patients achieve their pelvic health goals.
Thus, the procedures address these three facets:
1) We Restore Function by addressing anterior and posterior compartment defects, like cystoceles and rectoceles, by offering anterior and posterior colporrhaphy, as well as full-length vaginoplasty, allowing improved sexual function as well. In addition, many patients have had severe obstetric lacerations, like third or fourth degree tears, and we perform revisions of proctoepisiotomies. Stress urinary incontinence is treated using a single-incision sling procedure.
2) We Enhance Appearance by removing excess skin of the labia minora and labia majora through labiaplasty procedures, including a number of different techniques, so that we can achieve each patient’s individual cosmetic goals. In addition, we are experts at perineoplasty also called, perineorrhaphy, which aims to make the perineum appear normal by excising excess skin, loose skin tags, and suturing the underlying muscles of the perineal body closer, to give a more snug feeling in the introitus or vaginal opening. Some women are interested in fully restoring pre-coital appearance and we achieve this with an additional procedure called a hymenoplasty.
3) We Protect Anatomy by offering our patients individualized non-surgical treatments like incision-less office based procedures for vaginal laxity and bioidentical hormone replacement therapy via vaginal and transdermal routes. Following surgery, patients are given nutritional support services through micronutrient testing (Spectrocell) and undergo pelvic physical therapy via our women’s allied health professionals.
Thus, a summary list of procedures:
*Full-length Vaginoplasty to provide a higher level of tightening
*Incision-less office treatment for improving vaginal tone and lubrication
*Labia Majora reduction
*Anterior and posterior colporrhaphy to treat cystocele and rectoceles (site-specific and augmented repair techniques)
*Single-incision midurethral slings
*Bioidentical hormone replacement/nutritional support/pelvic physical therapy
NOTE: Dr. Peahen Gandhi and her colleagues Dr. Michael Litrel and Dr. James Haley are sub-specialty board certified in Female Pelvic Medicine and Reconstructive Surgery (FPMRS).