UroGynecology Bridgeport

Urogynecology - Female Pelvic Medicine and Reconstructive Surgery

Urological Associates of Bridgeport is pleased to announce that we have expanded our services to include urogynecology and welcome Dr. Tania Sierra, who is an emerging leader in the field of urogynecology and reconstructive pelvic surgery. From evaluation and diagnosis to minimally invasive surgery and treatment, our focus on female urology conditions is intended to provide you with alternatives to help you reach an informed decision about your healthcare.

Dr. Sierra received her undergraduate degree from the Massachusetts Institute of Technology (MIT), completed her medical degree and OB/GYN residency program at the Icahn School of Medicine at Mount Sinai in New York, and her fellowship training in Female Pelvic Medicine and Reconstructive Surgery at the University of Massachusetts.

Learn More about Dr. Tania Sierra

What is a Urogynecologist?

A urogynecologist is a surgeon who has specialized in the care of women with pelvic floor disorders. Another name for this field is Female Pelvic Medicine and Reconstructive Surgery.

The pelvic floor is a set of muscles, ligaments and connective tissue that provide support for a woman’s internal organs, including the bowel, bladder, uterus, vagina and rectum.

Prolapse is a common pelvic floor disorder that occurs when women have weakened pelvic muscles. It is often due to trauma or tears sustained during pregnancy and childbirth, repeated strenuous activity or heavy lifting, menopause, connective tissue disease, or prior pelvic surgery. Other factors that contribute include tobacco use, and genetics.

Incontinence is the involuntary loss of urine or feces. This is also a common issue that can severely impact a women’s quality of life.

Patient Education

Urogynecology Fact Sheets and Downloads to resources designed to help you better understand your diagnoses and treatment options.

Fact Sheets and Downloads

The American Urogynecologic Society (AUGS) is the premier non-profit organization representing professionals dedicated to treating female pelvic floor disorders.

American Urogynecologic Society

Conditions Treated

Condition and Procedure Highlights

Stress Urinary Incontinence: Leakage with physical activity, such as laughing, exercise, lifting, or coughing can be frustrating. Treatment depends on a woman's symptom severity and her own needs. They include weight loss, Kegel exercises, pelvic floor physical therapy, pessary use, or surgery. Surgical options include slings (not all slings are made of mesh), Burch urethropexy, and periurethral collagen injections. Dr. Sierra can discuss any of these options with you further.

Urinary Incontinence

Prolapse Surgery: Pelvic organ prolapse can affect everyday activities such as walking, exercising, emptying your bladder or bowels, or even sexual activity. Treatment depends on which part of the pelvis is prolapsed, to what extent, and a woman's individual needs. Pessaries are non-surgical devices which act as a barrier to prevent the bulge from falling beyond the opening of the vagina. There are a wide variety of surgeries that fix prolapse, and Dr. Sierra can discuss these further with you. These include vaginal, minimally invasive, and abdominal approaches. Mesh may also be used to augment (strengthen) prolapse repairs, but some surgeries do not use any mesh. 

Pelvic Organ Prolapse Surgery

Overactive Bladder (Urgency incontinence): Urinary frequency and urgency can be bothersome, and sometimes leads to frequent accidents which may necessitate using costly pads or diapers. Treatment depends on symptom severity and begins with lifestyle modifications, such as weight loss, diet changes, smoking cessation, and Kegel exercises. There are also pills that can help bladder control. Advanced treatment includes ambulatory surgery, such as bladder Botox injections or Interstim (an implantable device that connects to your pelvic nerves).

Overactive Bladder

Learn More about Interstim

Learn More about Bladder Botox Injections

The following are some problems that arise from damage to the pelvic floor:

Dr. Sierra can help treat disorders like incontinence, prolapse and bladder infections.

  • Incontinence: loss of bladder or bowel control, leakage of urine or feces.
  • Prolapse: descent of pelvic organs; a bulge and/or pressure; dropped uterus, bladder, vagina or rectum.
  • Emptying Disorders: difficulty urinating or moving bowels.
  • Pain: discomfort to the pelvis, bladder and/or urethra.
  • Overactive Bladder: frequent need to void, bladder pressure, urgency, urge incontinence (accidents when trying to hold back urine).
  • Fistulas: abnormal hole between the vagina and rectum (rectovaginal), vagina and urethra (urethrovaginal), or vagina and the bladder (vesicovagina).

If you are suffering from any of these conditions, please contact us and schedule your consultation with Dr. Tania Sierra.

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