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Female Pelvic Medicine and Reconstructive Surgery

by Peahen Gandhi, MD, FACOG, FPMRS

Peahen Gandhi, MD, FACOG, FPMRS

Our Approach to Female Pelvic Medicine and Reconstructive Surgery (FPMRS) is 3-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

Function is restored 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.

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In addition, many patients have had severe obstettic 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

Appearance is enhanced 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

We protect the 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.

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We perform the following 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
*Proctoepisiotomy revisions
*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.

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NOTE: Double board-certified 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).