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Urogynecology & Pelvic Floor Disorders

Dr. Paraiso in surgery

Marie Paraiso, MD

In the Section of Urogynecology and Reconstructive Pelvic Surgery, our physicians have been performing a number of innovative techniques for the diagnosis and treatment of urinary and fecal incontinence, pelvic organ prolapse and other pelvic floor disorders. Our department was one of the first in the country to establish a fellowship in the board approved specialty of Female Pelvic Medicine and Reconstructive surgery. This rigorous fellowship has trained many leaders in the field.

Our division provides both basic and advanced urodynamic testing to evaluate women with urinary disorders. Our physicians are further specialized in evaluating and treating pelvic floor disorders. There are many different treatments available for urinary and fecal incontinence, pelvic floor dysfunction and pelvic organ prolapse. Our physicians perform numerous procedures for the treatment of incontinence and prolapse. For urinary incontinence, different types of outpatient procedures performed include the tension free vaginal tape (TVT) procedure, transobturator vaginal tapes and sacral neuromodulation. To treat pelvic organ prolapse, common short stay procedures performed include laparoscopic and robotic-assisted sacral colpopexy, vaginal reconstruction with native tissue repair or mesh implantation, and explantation of vaginal mesh.

Our physicians also provide innovative office procedures including peripheral nerve electrode placement and Botox intramuscular (bladder) injections for severe urge incontinence, trigger point injections for pelvic pain, and transurethral bulking agent injections for stress incontinence. As of July 2015, we will offer vaginal laser therapy for vaginal atrophy.


What is incontinence?

Incontinence is the inability to control the passage of urine or stool. Current figures indicate that 25 to 45 percent of American women suffer with involuntary loss of bladder control (urinary incontinence) and that 10 percent of these people also have problems with bowel control (fecal incontinence).

Often, embarrassment and the stigma associated with incontinence prevent the person from seeking treatment, even when incontinence threatens his or her quality-of-life and that of his or her family.

Urinary and fecal incontinence can be cured or significantly improved once the underlying cause has been detected. However, it's important to recognize that incontinence is a symptom and not a disease. Its cause may be quite complex and involve many factors. Your physician should complete an in-depth evaluation before beginning treatment.

What can I do to address this problem?

Getting help means taking the first step. See your doctor. Diagnostic tests for incontinence can be completed in the outpatient setting and are not painful. Once these tests have confirmed the cause of your incontinence, your physician can make specific recommendations for treatment, many of which do not require surgery. No matter how serious the problem seems, incontinence is a condition that can be significantly helped and, in most cases, cured.

Pelvic Organ Prolapse

Pelvic organ prolapse is a downward descent of female pelvic organs, including the bladder, uterus and the small or large bowel, resulting in protrusion of the vagina, uterus, or both. Prolapse development can be attributed to several factors, including vaginal child birth, advancing age and obesity. Vaginal delivery, hysterectomy, chronic straining, normal aging and abnormalities of connective tissue or connective-tissue repair predispose some women to disruption, stretching or dysfunction of the connective-tissue attachments of the vagina, resulting in prolapse.

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Results: 9 Doctors


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Abigail Anderson, CNP

Abigail Anderson, CNP

No Patient Satisfaction Reviews
Anderson, Abigail, CNP

Location(s): Cleveland Clinic Main Campus

Department: Obstetrics and Gynecology

Specialties: Gynecology, Section of General Gynecology, Section of Urogynecology, Menstrual Disorders, Fibroids and Hysteroscopic Services

Type of Doctor: Adults Only

Surgeon: No

Education: Kent State University


Matthew Barber, MD

Barber, Matthew, MD

Location(s): Cleveland Clinic Main Campus, Fairview Medical Center

Department: Obstetrics and Gynecology

Specialties: Bladder And Bowel Fistulas, Chronic Vaginal Conditions, Chronic Vulvar Conditions, Constipation, Cystocele, Female Incontinence, Neurogenic Bladder more

Type of Doctor: Adults Only

Surgeon: Yes

Education: Jefferson Medical College of Thomas Jefferson University

Guillermo Davila, MD

Guillermo Davila, MD

Davila, Guillermo, MD

Location(s): Florida, Weston

Department: Gynecology Florida

Specialties: Cystocele, Enterocele, Female Incontinence, Pelvic Organ Prolapse, Rectocele, Urinary Incontinence, Uterine Prolapse more

Type of Doctor: Adults Only

Surgeon: Yes

Education: University of Texas Medical School at Houston

Eric Hurtado, MD

Eric Hurtado, MD

No Patient Satisfaction Reviews
Hurtado, Eric, MD

Location(s): Florida, Weston

Department: Obstetrics and Gynecology

Specialties: Cystocele, Interstitial Cystitis | Pelvic Pain, Pelvic Floor Dysfunction, Pelvic Organ Prolapse, Rectocele, Rectovaginal Fistulas, Urethral Diverticulum more

Type of Doctor: Adults Only

Surgeon: Yes

Education: The George Washington University School of Medicine and Health Sciences


John Jelovsek, MD

No Patient Satisfaction Reviews
Jelovsek, John, MD

Location(s): Cleveland Clinic Main Campus, Hillcrest Hospital

Department: Obstetrics and Gynecology

Specialties: Bowel Incontinence, Constipation, Cystocele, Defecatory Dysfunction, Eosinophilic Gastroenteritis, Female Incontinence, Fistulas more

Type of Doctor: Adults Only

Surgeon: Yes

Education: East Tennessee State University-James H. Quillen College of Medicine



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Urogynecology and Female Pelvic Reconstruction is available at the following locations:

Cleveland Clinic Main Campus
Department of Obstetrics & Gynecology, Desk A81
2049 East 100th St.
Cleveland, Ohio 44195
Phone: 216.444.6601
Toll-free: 800.CCF.CARE, extension 46601

Fairview Medical Office Building
18099 Lorain Ave.
Cleveland, Ohio 44111
Phone: 216.671.0380

Hillcrest Medical Building Atrium
6770 Mayfield Rd.
Mayfield Heights, Ohio 44124
Phone: 440.312.4500

Lakewood Medical Building
1450 Belle Ave.
Lakewood, Ohio 44107
Phone: 216.529.2913

Have a women's health question of your own?

Have a confidential conversation with a trusted Cleveland Clinic Registered Nurse. Call Cleveland Clinic 4HER® Women's Health Line at 216.444.4HER and meet Mary McDonnell, RN. She's the voice at the other end of the line when you call the 4HER Line. A nurse specializing in women's health, Mary personally answers every call.

For more information about women's pelvic health issues, please visit the American Urogynecologic Society's website.