Crozer-Keystone Doctors Are among the Nation’s First Board-certified Urogynecologists
Springfield, Pa. – Crozer-Keystone Health System physicians Jose Maceda, M.D. and Laurie Kane, M.D., of Delaware Valley Urogynecology, recently passed the first-ever board exam in Female Pelvic Medicine and Reconstructive Surgery (FPMRS). This puts them among the nation’s first group of board-certified physicians in this medical subspecialty – more widely known as urogynecology – and reaffirms their commitment to providing the most thorough, up-to-date care.
What is urogynecology?
Urogynecology provides evaluation and treatment for women’s pelvic floor disorders. Most commonly, these include urinary incontinence (bladder leaks) and a condition known as vaginal prolapse, which occurs when the bladder loses support and drops lower in the pelvic region.
Although women are sometimes hesitant or embarrassed to discuss these problems, pelvic floor disorders are very common and are estimated to affect about one in three American women.
Why does board certification matter?
Dr. Maceda, who is chief of Urogynecology for Crozer-Keystone Health System, says that board certification provides an important way for physicians to distinguish themselves, and for patients to ensure that they are getting the best care.
Jose Maceda, MD
“In any medical specialty, patients want their physicians to be board certified,” says Dr. Maceda, who along with Dr. Kane also completed three years of fellowship training in urogynecology. Physicians who have passed the FPMRS board have demonstrated that they have a complete understanding of urogynecologic conditions and their evaluation and treatment.
“We have been pushing for years to get our subspecialty certified,” Dr. Kane says. It “protects patients,” she says, by verifying that physicians have very specific training for the procedures they’re performing.
How are pelvic floor problems treated?
Drs. Maceda and Kane see patients in the Healthplex Pavilion I at Springfield Hospital in Springfield and at Crozer-Chester Medical Center in Upland, Crozer Medical Plaza at Brinton Lake in Glen Mills, and Delaware
Laurie Kane, MD
County Memorial Hospital in Drexel Hill. Dr. Maceda says that nine times out of 10, he and Dr. Kane are able to present patients with a number of different options to treat their pelvic floor problems.
If patients want to be conservative and avoid medications and surgery, physical therapy may be an option, he says. Many people are aware that pelvic floor muscles can be strengthened through kegel exercises (which involve lying on your back and tightening the pelvic muscles), but there are many other exercises that can also help.
Sometimes our lifestyles don’t support this approach, or patients are not able to maintain a consistent exercise routine. In these cases, patients may consider medication or surgery, Dr. Maceda notes.
Surgery for both incontinence and prolapse are minimally invasive. Afterward, patients can walk, climb stairs, and generally return to their normal routines; but they are usually asked to avoid heavy lifting for a period of time after surgery. Most surgeries for prolapse involve an overnight stay in the hospital.
Dr. Maceda says that he and Dr. Kane each perform about 100 surgeries for both prolapse and incontinence each year using the most current medical procedures. Commonly cited statistics report that one in nine women will have surgery for incontinence or prolapse in her lifetime.
You’re not too young to have symptoms.
Dr. Maceda notes that many younger women are often reluctant to talk with their care providers about incontinence or prolapse because they think it shouldn’t be happening to them and that it is a problem for older women; but this is not the case. These disorders affect women of all ages, and effective treatment is more accessible now than ever.
Sometimes, women may experience an occasional leak of urine or pressure from a dropped bladder – for instance when they cough or sneeze – and it doesn’t bother them, Dr. Maceda says. But if these problems are interfering with patients’ lives, for instance by preventing them from exercising or doing other activities they enjoy, then it is important to seek help.
For more information or to make an appointment with a board-certified Crozer-Keystone urogynecologist, call (610) 338-1810 or visit http://ckpelvicfloormedicine.crozerkeystone.org.