Incontinence Help

Are you suffering from urinary, stress, overflow, urgency or fecal incontinence do to pelvic floor failure or damage?

If you are having trouble with incontinence or pelvic organ prolapse, you may be interested in finding out what options are available to you.

The most important aspect of my practice is that I work in a multidisciplinary division, of which I am head, to offer women the best in terms of education, assessment and treatment, conservative (non-surgical) as well as surgical.

Our pelvic floor clinic consists of nurse clinicians, physiotherapists, family physicians, urogynecologists, urologists and colorectal surgeons. We have state of the art diagnostic equipment and the training as well as resources to offer the best treatment available.

Through the years my colleagues and I have become skilled at performing most of the surgical procedures required to enable me to offer treatment for most patients. I've personally received training and performed large numbers of minimally invasive procedures for incontinence as well as pelvic organ prolapse. These procedures are usually not performed by general gynecologic surgeons for a variety of reasons: These include the difficulty of some of them, the lack of patient volume making the investment in learning the procedures problematic, and also the general disincentive inherent in the Canadian Healthcare system to learning innovative but difficult new procedures.

As a result of focusing my practice on incontinence and pelvic organ prolapse, I have a large volume of patients with these problems, making it possible for me to introduce new procedures relatively quickly into practice. As a result, I was the first physician in Western Canada to perform the TVT procedure, having done my first one in July 1999. Since then I have done more than 1000 TVT procedures and also a large number of TOT (transobturator tape) procedures and IVS slingplasty procedures for vaginal vault prolapse. I regularly correct cystoceles and vault prolapse laparoscopically through paravaginal repair, and colposacropexy, and often incorporate laparoscopic Burch correction of stress urinary incontinence. I'm currently involved in a large scientific trial comparing TVT to the trans-obturator procedure (TOT), to assess outcomes.

Women are rightfully less willing to accept urinary or fecal incontinence, or pelvic organ prolapse than in years past. They rightfully demand attention from the healthcare system. Fortunately we now have a much better understanding of the pelvic floor and better technologies to improve these problems.