Urogynecology at Mount Sinai West

If you are a woman experiencing urinary incontinence, pain or pressure in your bladder, or other pelvic organ issues, you need the expert care of an urogynecologist. Our urogynecologists provide skilled and compassionate care for these and other noncancerous gynecologic conditions, using both surgical and nonsurgical approaches. Getting help for these conditions will improve your health and your quality of life.

At Mount Sinai West, our team of urogynecology experts offer highly skilled care for organs located in the pelvic area, including the bladder, uterus, vagina, and rectum. Urogynecology, an emerging area of subspecialty care within gynecology, is not offered at every hospital or health care practice. Here, you and your doctor will work together to develop the treatment plan that is right for you. If you do need surgery, it is important to be treated by a surgeon who performs these types of operations frequently. Our urogynecologists are highly trained and have extensive experience in meeting the specific needs of our female patients.

Conditions We Treat - FAQs

At Mount Sinai West, we can help with a range of noncancerous conditions.  We know you may have questions about your incontinence, bleeding, fistula, or other urogynecologic condition. Below, we answer some of the most commonly asked questions, organized by topic.

Treatments We Offer

At Mount Sinai West, we tailor treatments to your specific condition and symptoms. We use a wide variety of state-of-the-art treatments. These include:

  • Pessary: A device made of silicone that is placed into the vagina to improve the symptoms of prolapse and stress incontinence. It can also keep the prolapse from getting worse. Once it has been fitted, you won’t notice it is there
  • Medications: Helpful for certain types of incontinence
  • Behavioral treatment and education: We offer several approaches including:
    • Pelvic floor exercises, also known as pelvic muscle rehabilitation, can help with stress incontinence and improve quality of life for people with prolapse
    • Bladder retraining is a behavior modification technique that helps with incontinence
  • Physical therapy: We use a variety of approaches including:
    • Kegel exercises: involve tightening and loosening the muscles you use to hold your urine in
  • Gynecologic surgery: We perform a variety of procedures including:
    • Scarless gynecologic hysterectomy: A time-tested vaginal approach to gynecologic surgery that is safer, less expensive, and produces less scarring than the latest robotic and laparoscopic methods
    • Colporrhaphy: Repairing a defect in the vaginal wall
    • Dilation and curettage: Sampling uterine tissue
    • Endometrial ablation: Removing the lining of the uterus
    • Hysterectomy: Removal of the uterus. May also involve removing the cervix, ovaries, Fallopian tubes, and other surrounding structures
    • Laparoscopic hysterectomy: A camera and instruments are threaded through small incisions to remove the uterus--a minimally invasive procedure
    • Tension-free transvaginal tape procedure: This 20-minute outpatient procedure is a minimally invasive approach to bladder control
    • Minimally invasive prolapse surgery: A dropped (prolapsed) vagina or uterus is repaired using your own tissue
    • Myomectomy: Taking out fibroids from the uterus 
    • Oophorectomy: Removal of one or both ovaries
    • Pelvic floor reconstruction: A procedure to treat pelvic organ prolapse
    • Tubal ligation: Commonly known as “tube tying,” this is a contraceptive procedure 

Meet Our Team

Lisa Dabney, MD, and Anne Hardart, MD, are in practice together and have more than 40 years of combined experience treating patients. They are board certified in both general obstetrics and gynecology and in urogynecology and reconstructive pelvic floor medicine. They are among the few physicians who are board certified in urogynecology. Drs. Dabney and Hardart have extensive surgical experience treating all types of noncancerous gynecologic conditions. They place a high value on taking a holistic approach to your care, using both surgical and nonsurgical methods.

Chandhana Paka, MD, is board certified in both general obstetrics and gynecology and in urogynecology and reconstructive pelvic floor medicine. She is fellowship trained in both urogynecology and minimally invasive gynecologic surgery. Dr. Paka provides both surgical and non-surgical treatment options for a wide range of routine and complex gynecologic issues.