Nephrology & Therapeutics

Nephrology and Urology

Urogynecology is a fairly new subspecialty and a fast-growing one, with increasing rates of pelvic floor disorders fueling a high demand for its services. In 1996, there was one board-accredited fellowship program for advanced training in urogynecology. By June 2010, according to the American Journal of Obstetrics and Gynecology, the number of accredited fellowship programs offered by leading academic institutions had grown to 37, and membership in societies associated with the sub-specialty had doubled.

Nearly 25% of all females experience frustrating and embarrassing symptoms unnecessarily. Bladder and bowel control, pelvic prolapse, pelvic pain, cystitis and vaginal cosmetic issues are conditions that  Dr. Porter, a fellowship trained urogynecologist, and his staff are dedicated to improving. Many treatments provide excellent success rates and do not require surgery. When surgery is necessary, most are performed utilizing the latest minimally invasive procedures. Not all doctors have the same training and experience to address urogynecological problems. Research shows that it is important to seek an expert evaluation from the start. On April 29, 2014, the FDA issued two proposed orders for surgical mesh for transvaginal pelvic organ prolapse (POP) repair that put forth changes to address the risks associated with these devices. Once final, manufacturers will be required to provide clinical data in a premarket approval (PMA) application to support the safety and effectiveness of surgical mesh for transvaginal POP. Also, manufacturers of the tools specifically for implanting surgical mesh will be required to obtain premarket clearance (510(k))