Pacific Northwest Urology Specialists, PLLC

07/15/2024

My book made the list in a New York Times article today!!

06/22/2024

Amazing!!

Official 2024 Community Voting Awards Platform for Bellingham, WA. Where the community votes for their favorites every year.

11/05/2023

Hot off the press.
Link in comments or wherever you listen to podcasts.
An episode all about pelvic organ prolapse.
In this episode, we talk a lot about prolapse and touch on-
· What is pelvic organ prolapse?
· Why prolapse needs a rebranding – so much shame
· Risk factors for prolapse
·
What are the signs and symptoms?
·
Our tips for treating constipation
·
Prolapse risk goes up after menopause – we discuss
the likely role of hormones and decreased muscle strength.
·
The impact of prolapse on those suffering
·
Why we hate calling it “bladder prolapse”
·
How the bladder can be affected by vaginal
prolapse and what may and may not improve
·
How do we know if we have prolapse
·
How do we know if we should treat prolapse
·
Risk of de novo stress urinary incontinence
when prolapse is fixed, either with pessary or surgery
·
What is a pessary and what are the risks of a
pessary.
·
Can you be sexually active with prolapse?
·
The role of pelvic floor physical therapy and prolapse.
·
Surgical treatment options:
o
One size does not fit all.
o
Obliterative surgery – colpocliesis
o
Hysteropexy vs. hysterectomy
o
Minimally invasive options – suture or mesh based (sacrocolpopexy) procedures
o
New treatment options (EnPlace) benefits and data
o
The cervix as a sexual organ for some people and the consideration of cervix/uterine preservation in prolapse surgery.
·
Modern prolapse repair is safe, effective and recovery is not too stressful for most women.
·
Post surgery instructions and rehab – vaginal estrogen and pelvic floor physical therapy
·
The risk of recurrent prolapse
·
When to consider adding a sling to your prolapse procedure
·
Just because someone or something said you have prolapse, doesn’t mean you need surgery

09/28/2023

We are now in Skagit 2-3 days a week!

08/22/2023

Mesh free options for leaking.
No downtime.
No incisions.
Covered by insurance.

07/31/2023

Dr. Casperson’s tedx talk dropped this weekend! Link in comments! Go Bellingham! On the map!

07/23/2023

We have a one stop shop podcast episode for genitourinary syndrome of menopause.

And it is pretty entertaining to boot. (you would think it was a dry topic….ha!!)

06/15/2023

How to get cheap vag estrogen with good Rx app

05/31/2023

New video on our YouTube describing this non mesh no downtime option for stress incontinence (bladder leaks with cough, sneeze 🤧 and laugh).
Link in comments.

05/22/2023

We now offer ECoin.

A drug free implantable no fuss (no controllers, no chargers) FDA approved device for urge incontinence.

Using stimulation of the tibial nerve, in clinical trials it decreases urge bladder leaks between 50-100 percent.
No anesthesia! Device lasts about five years.

Urge incontinence — This is sometimes called “overactive bladder.” Leakage usually happens after a strong, sudden urge to urinate. This may occur when you don’t expect it, such as during sleep, after drinking water, or when you hear or touch running water, or leak from sitting to standing.

Urology has always been at the forefront of Innovation and technology (we love robots and lasers) and I am so excited to add this to my toolbox of options for third line therapies for overactive bladders (third line means you fail meds and behavioral therapy physical therapy).

05/15/2023

Happy Mother’s Day!

05/06/2023

We can help this. So can pelvic floor physical therapy.
Non mesh options available!