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State-of-the-art care that’s easier on you.
Dr. DuPrey and Dr. Murphy are
on the leading edge of women’s medicine. They offer
state-of-the-art care to address all your gynecologic health concerns,
always in the most conservative way possible. The doctors also provide
tests, treatments and surgery that are safe, effective and
patient-friendly, including Endometrial
Ablation, The Breast Pap
Smear, Urinary Incontinence
Treatment, Aesthetic Vaginal
Surgery, and LEEP
treatment for abnormal Pap Smears.
They also offer the vaccine for HPV infection, Gardasil.
- Minimally
invasive treatment for heavy periods, called Endometrial Ablation – can also be an excellent alternative to
hysterectomy. This
treatment can be performed in the office setting to minimize your
time away from home. We are able to use local anesthesia giving
you a comfort level that is very satisfactory. An alternative is general
anesthesia performed in a hospital setting. We do not give general
anesthesia in the office setting.
We evaluate each patient to see who is appropriate for an
office procedure. The
first step in the evaluation is usually a biopsy to rule out any
evidence of cancer. After
the appropriate workup the treatment can be performed. A cure is the return of a normal
menstrual pattern however many women experience a complete loss of
menstrual periods (amenorrhea).
This is considered the most optimal result.
- Complete
evaluation and management of bladder control problems, Urinary Incontinence. We perform testing in the office
to determine the extent and type of problem that you may
have. The problems may
range from leakage of urine when coughing, sneezing, or laughing,
to the inability to hold your urine once the urge to urinate has
started. After testing, we determine if
you are an appropriate candidate for surgery or medication. Since incontinence is not a life
threatening illness, patients usually seek out treatment when the
problem is changing their lifestyle. Whether you are a candidate for
medication or surgery, you will be counseled on the risks and
benefits of treatment. The
surgery is a same-day procedure performed in a hospital
setting. You will be required
to abstain from sex for 4-6 weeks after the procedure to allow
complete healing. More information is listed below.
- In-office
follow-up care for abnormal Pap test results. We perform colposcopy
and LEEP in the office
setting to allow for a complete diagnosis of your abnormal pap
smear
The
HPV Vaccine
The HPV Vaccine is a relatively new product to come to
the market. It is designed for
women between the ages of 9 and 26 and protects against the 4 most
common types of Human Papilloma Virus. The HPV viruses have two basic types,
high risk and low risk. The low
risk types typically cause external genital warts. The high risk types typically can
lead to cervical cancer. There
are many types but the 4 major types are immunized with this vaccine. It is not yet approved for boys
however research is ongoing. It
would be rational to believe that the vaccine would work in boys as
well, since it is a sexually transmitted disease.
It is recommended to give the vaccine prior to the onset
of sexual activity but it can be given any time. The
vaccine is even recommended in cases where a woman already has an
abnormal pap smear. When
a woman has an abnormal pap smear it is unlikely that she would have
all 4 types of the virus. The
vaccine can protect against the types that she does not have. Even with the vaccine, annual pap
smears are still required.
The vaccine is given in a set of 3 doses a few months
apart.
Cost: Each insurer is different regarding
coverage for the HPV vaccine.
Each case is handled individually by our office. What has to be remembered is that a
physician’s office must cover the cost of the drug with the
reimbursement form the insurer or the patient. This is usually the case with the
insurance reimbursement however it is not absolute.
Currently, the insurers reimburse at a rate of $122 per
dose. The price that we pay to
the suppliers of the drug varies from $122 to $152 per dose. The pricing of the drug changes on a
monthly basis. As long as the
cost of the drug is covered we will be happy to provide you with the
vaccine.
The
Breast Pap Smear
1 out of 8 women will develop breast cancer at some point
in their lives. 70 percent of
those women do not have risk factors for breast cancer, such as family
history. Current diagnostic
tests are mammogram, ultrasound, MRI and clinical breast exams. A test that we offer, HALO, can determine who is at a
higher risk 6-8 years prior
to a mammogram.
HALO is a noninvasive test performed in an office
setting. We remove nipple
aspirate fluid (NAF) and send it for evaluation to a lab looking for
abnormal cells. Abnormal cells identify
women at higher risk who require more surveillance,
they do not mean that you have breast cancer. A normal result means that you can
continue with routine care.
History
of the Cervical Pap Smear
In 1920 Dr. George Papanicolaou
started performing research on what came to be known in 1943 as the Pap
Smear. Prior to that time there
was no method of testing for early disease in the cervix. The early research papers suggested
that the test may prove to be invaluable in predicting early cervical
cancer.
As we now know, the pap smear is a window to early
disease in the cervix. With
early detection and treatment of pre-cancerous lesions, cancer of the
cervix can be prevented. Rates
of cancer of the cervix were close to the rates of
breast cancer in 1950. Now the
rate of cervical cancer has dramatically decreased, due in large part
to the pap smear. The rate of
breast cancer has only modestly decreased during the same time period.
The same technology of early
detection is now being used for the Breast.
Costs
This procedure is not yet covered by insurance carriers.
The cost of the procedure is $150 for the test alone. If you require an annual examination,
the office visit may be covered depending upon your insurance coverage. Your results can be mailed to you
with instructions or you can return for a regular follow-up visit.
The out of pocket cost of $150 is worth the piece of mind
of early detection.
For more information on this procedure you may visit:
www.paptestforthebreast.com
Aesthetic
Vaginal Surgery
What Can I Expect?
There are four vaginal procedures that we
perform. Three are cosmetic
procedures and they are called hymen restoration, labiaplasty,
and vaginoplasty. Each procedure is a treatment for a
specific aesthetic condition. We
also perform vaginal sling insertions for repair of urinary
incontinence. Urinary incontinence is a condition where a woman loses
urine while coughing, sneezing, laughing, running, etc.
Hymen Restoration
General
Information
This procedure is sometimes performed for cultural
or religious reasons in order to restore the natural anatomy of the
hymen. The hymen is at the
opening of the vagina and typically tears, causing bleeding, the first
time that a woman has vaginal sexual intercourse.
In many cases, the hymen can be restored, whether
the injury occurred from sexual intercourse or another trauma to the
hymen. In some cases, the hymen
cannot be restored at all. This
may happen after natural childbirth, or due to some other cause. A full evaluation by the physician is
required, to assess whether or not a patient is a candidate for this
type of surgery.
The Procedure
The edges of the torn hymen are carefully trimmed
with a combination of fine scissors, cautery
or laser devices. Using delicate
sutures the hymen is then reconstructed to its original form. In most cases, with the next act of
intercourse, there is a tear and a small amount of bleeding with the
repaired hymen. The procedure
takes approximately 1-1/2 hours to perform. Healing time is usually 4 weeks and
time to vaginal sexual intercourse, 6-8 weeks.
Possible
Complications
Although the complication rate for this procedure is
very low, still the risk of a complication exists.
Stricture and Over-correction
The most common
complications of this procedure are stricture, or over-correction of
the problem. A stricture is a
narrowing of the opening. This
will result in difficulty with the next act of intercourse; however it
seldom becomes a long-term problem.
Anesthesia
We prefer to perform the
surgery under general anesthesia; however it can also be performed
under local anesthesia. Proper
patient selection is important in deciding who will be a good candidate
for local anesthesia.
Labiaplasty
General
Information
Labiaplasty is a surgical
procedure used to reduce excessive length and bulk in a woman’s
inner vaginal lips. This sometimes happens after childbirth or may be
the way a woman’s inner vaginal lips are naturally. Sometimes it becomes a cosmetic
concern. The surgery is tailored
to the patient’s specific desires, which are expressed at her
consultation. The excessive
tissue is removed and the vaginal lips are reconstructed using very
delicate surgical techniques.
The Procedure
There are several successful surgical techniques
used for labiaplasty. The proper method for each patient is
decided at the consultation, and usually depends on the patient’s
anatomy. The traditional method
simply involves trimming off the excess tissue in a curved or straight
line and suturing the edges together vertically. This is not the preferred method for
all women since it may give more post-operative scarring and a small
amount of sensation is lost.
What this method can do however, is eliminate the dark edges of
the labia and give better symmetry.
Our preferred method is using a Z-Plasty technique.
Specialized flaps are made in the labia and sutured together
using very delicate sutures. The
upper and lower edges are then brought together horizontally. This provides for a more natural look
that preserves the original color of the labia while drastically
reducing the extra tissue.
Absolutely perfect symmetry is usually not possible to achieve
with this procedure. The near-perfect asymmetry however, is seldom
noticed by patients and their partners.
Appearance
After the procedure, the operated area will appear
swollen. This will resolve slowly over several weeks. Bruising usually
resolves over a few weeks in the typical case. The swelling is greatest about 2-3
days after the surgery. You will
be given instructions on wound care and pain management.
Possible
Complications
In any surgical procedure, no matter how simple,
there is the possibility for complications. The complication risk for
this procedure however, is very low.
Bleeding: Blood
clots can collect beneath the skin and must be removed through a small
opening or via the use of a needle. Bleeding can be made less likely by
avoiding aspirin and aspirin-like compounds (like ibuprofen and motrin) for 7-10 days prior to surgery. This will be explained to you before
the surgery.
Infection: The infection rate in patients following labiaplasty is very low. Infection can cause poor wound
healing and increase scarring. Infections may require drainage through
a small opening. Antibiotics are given in most cases to reduce the
possibility of infection.
Skin Loss: Very rarely a portion of skin will not survive
and will be replaced by scar tissue. This is usually due to loss of the
blood supply to the flap or infection.
Asymmetry or Undesirable Shape: The labial lips are never
completely symmetrical. Patients
start out with varying degrees of asymmetry. During the procedure we make every effort
to make each side match closely, but there is usually still some
difference in the appearance and shape between the two sides after
surgery. This is almost always a
normal outcome of the procedure, but is sometimes due to improper
healing or weak labial skin. The
overall goal which is improvement in appearance and a decrease in the
lip size, however, is almost always achieved. Each patient’s surgery is
designed specifically for her needs and desires; however, the ultimate
result is mostly dependent on healing.
Your healing capability can not be predicted 100%. We make all
reasonable efforts to deliver a result which is cosmetically pleasing
to the patient, and in accordance with the patient’s wishes, however
we cannot guarantee that the outcome will exactly as expected.
Loss of Sensation:
On a rare occasion, numbness in the operated area is permanent,
but most of the time it improves over weeks to months. It is possible
that sensation in the operated area could become unusual or annoying.
The more complete removal operations may be more likely to cause this
effect. The more tissue there
is that is removed, the greater the chance of numbness or loss of
sensation in the area.
Scar Overgrowth: The scars following this surgery usually
disappear after a few months.
Sometimes it can take up to a year. Some women may continue to have scar
growth for even longer. Revision
may be helpful in improving scar tissue.
Anesthesia: General
anesthesia is required for the longer, more extensive surgeries.
Simpler cases can be performed under local anesthesia or with oral
sedation. Most patients desire
a dramatic change, which requires more extensive surgery, and general
anesthesia. General anesthesia
also allows for the use of less local anesthesia which can distort the
suture line, leaving creases in the skin.
Post-operative
Activity/Care: Following the
procedure, the wounds will be dressed with an ointment. The sutures will dissolve over a few
weeks. You should have light
activity in the early post-operative period to minimize the potential
to damage the healing wound or cause bleeding. Intercourse should be
avoided for at least six weeks.
In some cases you can receive oral sex in as little as 3 weeks. Exercise may be resumed in 2-4 weeks.
Avoiding trauma to the area allows for the best
possible would healing. Patience
during the post-operative period will pay off dramatically in the long
run.
Labiaplasty Recovery: Recovery varies from person to person, and your recovery time and
amount of pain will be different from other patients.
After your surgery, you will be sent home
with a bandage and sometimes ice on the area, which should be applied
constantly for 24 hours or more. You will have none or very minimal
pain that day. This is due to
the injections that we place at the conclusion of the surgery. You will be drowsy when you arrive
home due to the anesthesia. We recommend a method of ice therapy of 20
minutes “on” and 40 minutes “off”. Don’t put a cold
compress directly on the skin. Place a paper towel or thin, soft
cloth on the swollen area to protect it, with ice on top of the cloth.
You can use specialized cold therapy compresses, frozen peas or blueberries in a ziplock bag, or gauze pads soaked in water and ice.
For the next few days, you will take a
prescribed pain medication. We
will give you these prescriptions prior to your surgery for your
convenience. After urinating,
you must apply Bacitracin or a similar
ointment to the area. Before
using the ointment, use a spritz bottle to
spray the area with water to clean it off. You may shower on the second day and
rinse the area, but soap is not allowed until the third day. You will
be bruised, and probably swollen. This is all normal.
The stitches used are almost always
dissolvable and so will not need to be removed. It can take up to six weeks for them
to dissolve completely. You will experience mild to severe discomfort
with the sutures. You may experience itching during the healing
process.
You should not exercise for at least
four weeks, and again, no sex for
at least six weeks. You should not wear fitted clothing for several
weeks, and may not be able to wear anything on the area at first
because of discomfort.
Most people are able to go back to
sedentary jobs after just 48 hours. In some cases, women may take a
couple of weeks to sufficiently recover, so be prepared just in case
you need to spend your time resting.
This surgical procedure requires
expertise. Although the recovery
may be painful, it may help women with body image problems, or
discomfort. We will make every effort to reduce your pain after the
surgery. You should know your
expectations ahead of time. This surgery is not reversible, so it is
important for you to be confident with your surgeon.
What if I am unhappy with the results? Will I be
charged for a revision?
Though no surgeon can make a guarantee of 100% satisfaction, we will do
everything possible to give you your desired results. We have a very
low revision rate. Most patients just need a little nip/tuck on one
side or the other. Many times the revision can be performed under local
anesthesia. If a patient needs
to go back to surgery, we do not charge a new surgeon’s fee for
the surgery. The patient will be required to pay for the use of the
operating room and anesthesiologist if the procedure needs to be performed
in the hospital.
Vaginoplasty
General
Information
Aesthetic Vaginoplasty is a surgical procedure used to
reduce excessive width in a woman’s vaginal canal. This sometimes
happens after natural childbirth, and is usually a cosmetic concern.
Women who desire this type of
surgery will often complain of a vaginal sensation of being
“stretched out”.
They notice it mostly with vaginal sexual intercourse. Many of these women feel that it
often takes longer to have orgasms since they feel less friction. Some of these women can't have
orgasms at all.
Most patients who complain of
diminished sensation or friction during intercourse can have a one to
three hour surgical procedure designed to enhance friction during
intercourse. Aesthetic vaginoplasty will
effectively enhance the tautness and tightness of the vaginal walls by
decreasing the vaginal diameter. The surgical technique required for
each individual patient varies depending upon the amount and type of
vaginal relaxation found.
The Procedure
There are several surgical techniques used to obtain
the desired outcome. The proper
method for each patient is decided at the consultation and is unique to
each patient.
After childbirth patients may have one of a few
conditions:
Rectoceles happen when the rectum bulges into or out
of the vagina. Rectoceles may occur as a result of
injuries sustained during childbirth. With a weakened or bulging
rectum, bowel movements become more difficult. The rectocele
also causes the vagina to feel larger, reducing the sensation during
intercourse.
Cystoceles occur
when the bladder falls or descends from its normal position. The most
common symptom associated with cystocele is
difficulty in completely emptying the bladder. This can be lead to
bladder infections. Large cystoceles can
cause the bladder to overfill and allow small amounts of urine to leak.
Cystoceles can also occur due to trauma from
childbirth
Urethroceles usually occurs in conjunction
with a cystocele. Both of these conditions
result in, among other things, involuntary loss of urine, particularly
when there is increased pressure in the abdomen, caused by walking,
jumping, coughing, and sneezing, laughing, or sudden movements.
Enteroceles are the
bulging of small intestines into the back wall of the vagina.
The goal of the surgery is primarily to repair any
defects that may be found. After
repair of the defects the cosmetic portion of the surgery is
performed. For a proper vaginal
tightening, not only is the vaginal tissue dissected and trimmed, but
the underlying supporting structures and muscles are repaired. This results in a more uniform,
sturdy repair. The degree of
tightness created in the vagina will depend on the patient’s
wishes.
At the end of the procedure the entrance of the
vagina is also surgically corrected to enhance the tightness. Defects in this area are typically
also from childbirth or poorly healed episiotomies. The skin over the area is dissected
away, the underlying tissue and muscle is gently brought together and
then both layers are repaired.
Surgical repair of the inside of the vagina, as well
as the opening, generally results in uniform tightness of the entire
vaginal canal, not simply the opening
Possible
Complications
In any surgical procedure no matter how competent
the surgeon, there is the possibility for complications. The
complication rate for this procedure is low.
Bleeding: Blood
clots can collect beneath the skin and must be removed through a small
opening or via the use of a needle. Bleeding can be made less likely by
avoiding aspirin and aspirin-like compounds (like ibuprofen and motrin) for 7-10 days prior to surgery. This will be explained to you before
the surgery.
Infection: The infection rate in patients following labioplasty is very low. Infection can cause poor wound
healing and increase scarring. Infections may require drainage through
a small opening. Antibiotics are given in most cases to reduce the
possibility of infection.
Skin Loss: Very rarely a portion of skin will not survive
and will be replaced by scar tissue. This is usually due to loss of the
blood supply to the flap or infection.
Asymmetry or Undesirable Shape: The defect in a vagina is
never completely symmetrical.
Sometimes there may be more of a defect to repair on the top of
the vagina than on the bottom of the vagina. Patients start out with varying
degrees of asymmetry to start with.
Some are greater than others.
During the procedure we
make every effort to make them match closely, but sometimes we do not
completely succeed. This is sometimes due to healing or the
pre-operative condition of the vagina.
The overall goal is improvement in appearance and a decrease in
the vaginal size and diameter.
Your operation is designed after discussing your desires but the
ultimate results is dependent upon healing. Healing can never be predicted 100%.
We make all reasonable efforts to deliver a result with which you will
be pleased but we cannot and do not offer any form of guarantee or
warranty.
Pain Sensation: Very
rarely there is pain in the operated area that is permanent. This
usually improves over weeks to months. It is possible that sensation in
the operated area could become unusual or annoying. The problem is directly related to
the amount of tissue removed. In other words, the more tissue that we
remove (tighter repair) to repair your vagina, the greater likelihood
of having more post-operative pain.
Anesthesia
General anesthesia is
required for these cases. Patients who desire this surgery typically
desire a dramatic change in their appearance. Local anesthesia does not provide
sufficient comfort for the surgery to be performed well. A simple repair of the opening of the
vagina is possible under local anesthesia.
Post-operative Activity/Care
Following the procedure, the wounds will be dressed with
petroleum jelly gauze. You will
return to the office the morning after the surgery to have the gauze
removed. You should have light
activity in the early post-operative period to minimize the potential
to damage the healing wound or cause bleeding. Vaginal sexual intercourse should be
avoided for at least six weeks.
In some cases you can receive oral sex in as little as 3
weeks. Avoiding trauma to the
area allows for the best possible would healing. A small amount of patience during the
post-operative period will pay off dramatically in the long run
Recovery
Recovery varies from person to
person, and your recovery time, and amount of pain, will be different
from other patients. After your surgery, you will be sent home with
petroleum jelly gauze in your vagina.
You will be instructed to return to our office for removal of
the gauze. The purpose of the
gauze is to absorb excess oozing of blood.
You
will have none or very minimal pain that day. This
is due to the injections that we place at the conclusion of the
surgery. You will be drowsy when
you arrive home due to the anesthesia
For the next few days, you will take
a prescribed pain medication (Vicodin or
similar). We give you these
prescriptions prior to your surgery for your convenience. You may shower on the second day and
rinse the area, but no soap is allowed until the third day. You will be
bruised, probably very asymmetrical and swollen a bit on the inside.
This is all normal.
The stitches used are almost always
dissolvable and so will not need to be removed but it can take up to
six weeks for them to dissolve completely. You will experience mild to
severe discomfort with the sutures. You may experience itching during
the healing process.
Do not exercise for at least two -
four weeks, and again, no sex
for at least six weeks.
Most people are able to go back to
sedentary jobs after just 48 hours. In some cases, women may take a
couple of weeks to sufficiently recover, so be prepared just in case
you need to spend your time resting.
This procedure requires a high degree
of expertise, and can have a painful recovery. For women plagued with loss of sexual
pleasure, the return of sexual pleasure after the surgery may make the
cost and possible pain after the surgery less important. A woman
considering the surgery, and her surgeon, should know her expectations
ahead of time. This surgery is in no way reversible, so it's important
to be confident in your surgeon.
Vaginal Sling Insertion for Urinary
Incontinence
General
Information
Urinary incontinence is a condition where
women leak urine when coughing, sneezing, running or laughing. Any physically stressful event, even
sexual intercourse, can cause the leakage. There is considerable stigma attached
to the condition and it is seldom spoken about. Women sometimes feel embarrassed to
mention it at a doctor’s visit and many doctors do not ask about
it during routine examinations.
The problem can be caused by childbirth or
simply genetics. It is more
commonly seen in certain ethnic groups.
We have seen incontinence in women after having one child or
after having several children.
There are also many cases of incontinence in women after having
cesarean sections.
The problem stems from a loss of the support
surrounding the urethra, the organ that controls urination. The urethra is unstable, or the
sphincter, which is the muscle that controls the opening, may be weak. This leads to loss of urine. When women lose the support they can
no longer control the involuntary leakage of urine.
Procedure
Tension-free slings (mesh material) are used to treat stress
urinary incontinence caused by urethral hypermobility
and intrinsic sphincter deficiency. With this approach, a synthetic transvaginal suburethral
sling is placed through the retropubic space.
The vaginal sling is held in place by the friction between the mesh and
the tissue canals created during the surgery. Scar tissue later fixes
the mesh in place, preventing movement. Because the sling is not
anchored to the pubic bone, ligaments, or rectus fascia, it is
considered to be free of tension.
The result is urethral support that limits its mobility,
improves the stabilization mechanism generated by other ligaments, and
reinforces support of the backboard vaginal hammock. The procedure can
be completed in under an hour via 3 small incisions, one in the vagina
and one on each inner thigh.
Possible
Complications
Passage of the
sling is through an anatomic space called the obturator
canal in the inner thigh. The
space that the needle passes through has been extensively studied via cadaveric dissections. It has been found to be a very safe
space to work for the vaginal sling. There is almost no risk of major
bleeding (no major blood vessels), bowel, and bladder or nerve injury
from the procedure. If done correctly, the obturator
nerve is not near the area of the surgical needle, and will not be
injured.
Sling Device
The dotted arrows show the final position of
the transobturator sling placement. It acts
as a hammock. The blue circles
in the groin are where the small stab incisions are made to place the
polypropylene mesh tape sling. Those are the only incisions external to
the vagina.
Anesthesia
General
anesthesia is required for these cases. We have found that a proper
amount of relaxation cannot be achieved using local anesthesia.
Post-operative
Activity/Care
Following the procedure, the wounds will be dressed with
petroleum jelly gauze. The
sutures will dissolve over a few weeks.
You will return to the office in the morning to have the gauze
removed. You should have light
activity in the early post-operative period to minimize the potential
to damage the healing wound or cause bleeding. Intercourse should be
avoided for at least six weeks.
In some cases you can receive oral sex in as little as 3
weeks. Avoiding trauma to the
area allows for the best possible would healing. A small amount of patience during the
post-operative period will pay off dramatically in the long run. There may initially be a small amount
of leakage.
The repair tightens over time achieving maximal
results in about 3 months. An
effort is made to not “over” tighten the urethra in the
operating room. This could
result in urinary retention, the opposite of the original problem. This too, can be repaired if it
occurs.
Vaginal Sling Recovery
Recovery varies from person to
person, and your recovery time and amount of pain will be different
from other patients. After your surgery, you will be sent home with
petroleum jelly gauze in your vagina.
You will be instructed to return to our office for removal of
the gauze. The purpose of the
gauze is to absorb excess oozing of blood.
You will have none or very minimal
pain that day. This is due to
the injections that we place at the conclusion of the surgery. You will be drowsy when you arrive
home due to the anesthesia
For the next few days, you will take
a prescribed pain medication (Vicodin or
similar). We give you these
prescriptions prior to your surgery for your convenience. You may shower on the second day and
rinse the area, but no soap is allowed until the third day. You may be
bruised, and swollen a bit on the inside. This is all normal.
The stitches used are almost always
dissolvable and so will not need to be removed but it can take up to
six weeks for them to dissolve completely. You will experience mild to
severe discomfort with the sutures. You may experience itching during
the healing process.
No
exercise for at least two - four weeks, and again, no sex for at least six weeks.
Most people are able to go back to
sedentary jobs after just 48 hours. In some cases, women may take a
couple of days to sufficiently recover, so be prepared just in case you
need to spend your time resting.
For women plagued with loss of urine
and the inability to enjoy routine activities or sex, because of the
involuntary loss of urine, this procedure may correct the problem. The correction can be life changing
for women who suffer from urinary incontinence. Again you and your surgeon should
know your expectations ahead of time. It is also important for you to
find a surgeon whom you are confident in, and who is experienced in
performing this procedure.
What if I am unhappy with the results? Will I be
charged for a revision?
Though no surgeon can make a guarantee of 100% satisfaction, we will do
everything possible to give you your desired results. We have a very
low revision rate. Most patients just need a little adjustment of the
sling by loosening. This is done
in the office under local anesthesia.
If another sling must be placed due to continuous leakage, this
will require a return to the operating room. For incontinence surgery, there is a
charge for a return to the operating room however incontinence surgery
is almost always covered by insurance
Costs
With the exception of incontinence surgery, these
surgeries are usually considered cosmetic by the insurance companies
and not covered.
Individual surgical requirements vary by
patient. Your surgery may be
dramatically different from someone else that had the same
procedure. Only a consultation
and full evaluation by a physician who is skilled in these procedures
can tell you what type of surgery would be best for you.
Vaginal Sling
Insertion
$2,500
Usually
completely covered by Insurance Plans
Labiaplasty
$3,500 - $5,000
Aesthetic Vaginoplasty $3,500
- $7,000
Labiaplasty/Vaginoplasty $6,000 -
$10,000
Hymen
Restoration
$2,000
Your surgical fee will be quoted after
consultation with your doctor.
Depending on your circumstances, any insurance
reimbursement can be refunded to you directly, or applied to your
estimate after confirmation of the approved amount.
All fees are payable prior to surgery.
Hospital and anesthesia fees will be handled through
your insurance company.
For general questions regarding procedures:
Inquiry@dupreymurphyobgyn.com
We cannot answer specific questions related to your
healthcare by email.
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