It is a subspecialty of gynecology also known as “pelvic reconstructive surgery”. It deals with problems related to female pelvic organ prolapse, urinary problems, like incontinence, and also some bowel related problems.
The female pelvic floor refers to the (complex) muscles, ligaments, connective tissue and nerves that comprise the pelvic organ support. Support and function are intertwined and these supports play a very important role in the function of the bladder, vagina, uterus and bowels.
Loss of support may lead to multiple problems. Some of these are incontinence, difficulty emptying the bladder, vaginal and pelvic pressure and prolapse, as well as difficulty emptying the bowel and constipation.
The impact on women’s daily functioning and QOL (quality of life) can vary from minimal to debilitating. Some women are not able to function due to these kinds of problems.
Dr. Richter can help. He has been performing advanced laparoscopic surgery for some of these problems for almost 25 years and is a certified urogynaecology and reconstructive pelvic surgery subspecialist. He currently performs high level minimally invasive (“keyhole”) surgeries to help women with prolapse. Many of the cases he does are problem cases with failed previous repairs. He was also trained in the full spectrum of vaginal surgeries to help incontinence, prolapse and certain bowel related problems like constipation and previous delivery-related complications.