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Urogynecology and Pelvic Reconstructive Surgery

(646) 898-4800 Patient Information and Appointments

The new Division of Urogynecology & Pelvic Reconstructive Surgery is headed by Allan Klapper, M.D., Chief of Obstetrics and Gynecology (OB/GYN). Dr. Klapper is a recognized leader in the field of OB/GYN, female urinary incontinence, interstitial cystitis, pelvic support disorders, as well as laparoscopic and minimally invasive treatment of gynecological disorders. He is also the founder and current Medical Director of the Center for Female Continence and Pelvic Health at New York Downtown Hospital. Dr. Klapper received his medical degree from the Mount Sinai School of Medicine in New York and completed his residency at New York University Medical Center. 

Urogynecology focuses on the care of women with disorders such as urinary incontinence, pelvic or bladder pain, prolapse, emptying disorders, and overactive bladder. Symptoms of these disorders can be painful and are often quite uncomfortable or embarrassing:

1. Incontinence:
Loss of bladder or bowel control; leakage of urine or feces.

2. Prolapse:
Descent of pelvic organs resulting in a bulge or pressure; “dropped” uterus, bladder, vagina or rectum.

3. Emptying Disorders:
Difficulty urinating or moving bowels.

4. Pelvic (or Bladder) Pain:
Discomfort, burning or other uncomfortable pelvic symptoms, including bladder or urethral pain.

5. Overactive Bladder:
Frequent need to void; bladder pressure; urgency to urinate; incontinence or difficulty holding a full bladder.

Most of these disorders occur when the pelvic floor is weakened or damaged. Causes may include childbirth, repeated heavy lifting, chronic disease or surgery.

The Center for Female Continence and Pelvic Health at New York Downtown Hospital
specializes in the comprehensive treatment of these and other female health disorders including:
• Urinary incontinence
• Bladder prolapse (“dropped bladder”)
• Uterine prolapse (“dropped uterus”)
• Vaginal prolapse (“dropped vagina”)
• Recurrent urinary tract infections
• Pelvic pain
• Bladder pain
• Interstitial cystitis (urinary frequency-urgency-pain syndrome)
• Uterine fibroids
• Endometriosis
• Ovarian cysts
• Abnormal uterine bleeding

The Center for Female Continence and Pelvic Health
focuses on helping women who suffer from these conditions to live more comfortably and on enhancing their overall health and quality of life. Patients are evaluated using the most advanced, minimally invasive techniques. After a comprehensive evaluation, patients are offered the latest and most advanced treatment options. Each treatment plan is personalized to the individual patient to help achieve the greatest success. Both non-surgical and surgical procedures are utilized to achieve the highest success rates. If surgery is selected, many women can be treated with minimally invasive techniques that offer faster recovery and lasting results.

Diagnostic options offered in the office include:

• Complex cystometric evaluation
• Diagnostic cystoscopy
• Office flexible hysteroscopy
• Ultrasound

Treatment options include:

• Pelvic floor muscle exercises
• Behavioral therapy
• Transurethral collagen injections
• Laparoscopic & Hysteroscopic surgery
• Bladder instillations 
• Medical therapies
• Vaginal surgery
• Laparoscopic surgery
• Abdominal surgery

For more information or to make an appointment, please call (646) 898-4800.

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