Click Here for the Uro-Gynecology Forms

The work up and treatment of women with Pelvic Organ Prolapse and problems with urinary incontinence has always been a major focus of interest and expertise at Women's Clinic. In the 1960's and 1970's, Dr. George L Sexton was the only surgeon in Berks County who was performing advanced procedures to repair Pelvic Organ Prolapse and to correct urinary incontinence. Cystoscopy and urodynamic studies have been performed at Women's Clinic, Ltd. in the office for many decades. When Dr. Sexton retired from surgery, Dr. Rogers was brought to Women's Clinic, Ltd. to continue the legacy of treatment of pelvic organ prolapse and incontinence. Robert M Rogers, Jr. M.D. continued Dr. Sexton's work when he decided to discontinue his surgical practice. Dr. Sexton still continues in our office helping with the work-up and diagnosis of these problems.

In June of 2010, Neena Agarwala, M.D. will join Women's Clinic, Ltd.  Dr. Agarwala is Fellowship Trained in Minimally Invasive Gynecological Surgery and Urogynecology.  She is also a certified daVinci Robot surgeon.

Dr. Stephen Fehnel has performed urogynecological procedures since arriving at Women's Clinic, Ltd. in 1981. He has had the distinct advantage of operating for over two decades with Dr. Sexton and Dr. Rogers.

Dr. Fehnel has been performing advanced procedures for pelvic organ prolapse and incontinence for many years.

The medical and surgical problems with pelvic organ prolapse and incontinence is very common and increasing as our population ages.

As you can see, these problems of the aging women and incontinence of the middle age women are very common and have always been a focus of our expertise and practice at Women's Clinic, Ltd.

Your initial appointment for these problems at Women's Clinic, Ltd. may come through any of our Obstetricians / Gynecologists or you may be referred to one of the Uro-gynecologic surgeons. You may schedule a preliminary appointment with Cathy Seyfert, MSN, C.R.N.P. who is a specialized certified nurse practitioner with outstanding cutting edge knowledge of the diagnosis and treatment of these problems.

When the cause of your problem has been determined, you will have a consultation with a physician to determine your best options of treatment.

The problems of pelvic floor prolapse and dysfunction include many symptoms. These symptoms can present as stress or urge incontinence. They can include prolapse or decent of the bladder, rectum, cervix, uterus and vaginal prolapse. The patient also may present with pelvic or bladder pain. We have been at the forefront of diagnosing and treating interstitial cystitis, which is a chronic painful bladder syndrome. We also treat many women with overactive bladder and excessive nighttime voiding and difficulty with voiding.

As stated above, Women's Clinic, Ltd. has for decades performed advanced urinary dynamic testing and cystoscopy in our office. We have brand new computerized state-of-the-art equipment, which gives us outstanding results to determine the cause of the problem and the best mode of management. We are very happy that Dr. Sexton has continued his office practice to lend his extensive expertise in helping with diagnosis and management.

The surgical options for these problems have been rapidly changing over the past decade. We take pride in offering you the latest treatment options and the focus of minimally invasive surgery performed with smaller incisions rather than the traditional large incision. These procedures have the advantage of a quicker recovery and less pain. When indicated, a newer technique using artificial mesh graft is utilized. This newer technique has shown a very significant improvement in long-term results.

• Welcome Letter - The Institute for Female Pelvic Medicine at the Women’s Clinic, Ltd.
  
• Bladder Diary Instructions
  
• Bladder Record Diary
  
• Bladder Instillations
  
• Catheter Removal Information
  
• Cystoscopy Information
  
• Incontinence Questionnaire
  
• KCL Challenge - Interstitial Cystitis (IC) Diagnosis
  
• Low Oxalate Diet For Pelvic Pain and Vulvodynia Patients
  
• Low Oxalate Diet Menu
  
• Female Pelvic Medicine Overview and Form
  
• Pelvic Floor Distress Inventory
  
• Pelvic Muscle Exercises
  
• Pelvic Pain Urgency / Frequency Patient Symptom Scale (PUF)
  
• Information On Pessary Use & Care
  
• Urodynamic Evaluation Exam
  

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