Services for Women


Conditions we Treat


Kidney Cancer

The lifetime risk of developing kidney cancer is 1 in 48 people in men and 1 in 83 in women. The incidence increases with age. Some kidney cancers are caused by mutations in a gene, but most

Bladder Cancer & Ureteral Cancer

The incidence of bladder cancer is 11.6/100,000 people per year. Bladder cancer is more common in men than women by 4-fold. Smoking, including past history of smoking, exposure to

Stress Urinary incontinence

Involuntary loss of urine during activity such as coughing, laughing, sneezing, lifting, and exercise. If this condition is bothersome, or preventing women from activities they enjoy, they will be offered

Urinary Urge Incontinence

Involuntary loss of urine without warning or activity, and often associated with strong urges. Causes are idiopathic (not known), aging, bladder infection, bladder cancer, or bladder inflammation.

Interstitial Cystitis/Chronic Bladder Pain Syndrome

Chronic Bladder Pain is a condition which causes pain in the bladder or urethra particularly when the bladder is full, urinary urgency and frequency.

Recurrent Urinary Tract Infections

Synonymous with bladder infections or UTI’s. These are infections of the Irene causing pain with urination and urinary frequency. Treatment is antibiotics.

Urethral Stricture

Scar can form in the urethral wall forming a concentric ring in the tubular structure, termed a urethral stricture. This condition is most common in men and usually caused by sexually transmitted

Cystocele

A condition whereby the anterior or front wall of the vagina develops a weakness or hernia, and the bladder falls into the vagina. Risk factors for developing prolapse are vaginal delivery,

Rectocele

A condition whereby the posterior or back wall of the vagina develops a weakness or hernia, and the rectum pushes into the vagina. Chronic constipation and vaginal delivery are risk

Uterine Prolapse

A condition whereby the uterus drops from the vagina causing symptoms of vaginal bulging or pressure. Chronic constipation, lifting, or coughing and vaginal delivers are risk factors for

Vaginal Vault Prolapse/Enterocoele

Occurs in women who have had a hysterectomy. The top of the vagina, termed the vaginal vault, falls through the vaginal opening. Oftentimes intestine will be prolapsing with the vaginal vault.

UPJ

Ureteral Pelvic Junction is the region of the kidney where the ureter inserts into the kidney. UPJ obstruction is a congenital condition where the region is narrow, or a blood vessel

Vesico-Ureteral Reflux

This condition occurs more often in children than adults. It is a congenital condition whereby the urine refluxes, or pushes back up, the ureter as the bladder is filling or during urination.

Kidney Stones

Kidney stones form from crystals in the urine and can be composed of calcium oxalate, Uric acid, cystine, or ammonium magnesium phosphate.

Treatments we Offer


Abdominal Sacrocolpopexy

A procedure used to support the vaginal in women with pelvic organ prolapse. A piece of soft Y-shaped mesh is placed around the vagina through the abdomen, and the base of the mesh is attach to the

Anterior Vaginal Prolapse Repair or Cystocele Repair

A procedure that uses an incision in the anterior wall of the vagina under the bladder to build support for the bladder. This repair can be done with sutures to repair the weakened tissues or by placing a biologic graft or mesh if needed.


Apical Prolapse Repair

A procedure that restores the support to the top of the vagina. This surgery can be done at the same time as a hysterectomy for uterine prolapse or the top of the vagina can be suspended if you have

Excision of Vaginal Mesh

This procedure is performed when a patient has suffered a complication of vaginal mesh which has been diagnosed by one of our physicians. Washington Urology will not remove vaginal mesh unless there is a documented complication, and not upon patient request only.


Interstim neuromodulation

A nerve stimulator implant placed for Overactive Bladder symptoms that have not improved with other treatments such as physical therapy or medications. The nerve stimulation is done through a

Labioplasty

A surgical procedure offered to patient who wish to reduce the size of their labia.

Periurethral Bulking Injections

A treatment we offer for stress urinary incontinence. This procedure is performed as an outpatient with local anesthesia. The procedure is performed by using a thin needle to inject a filling agent into the walls of the urethra to increase the strength of the urethral closure and reduce urine leaking.


Pessary Fitting

Place of a ring shaped supportive device that is used to hold up pelvic organ prolapse, or to treat stress urinary incontinence. The fitting is done in the office by either an MD, PA, or medical assistant trained in pessary placement. The patient is taught to remove the pessary once a week to once a month to clean it.


Posterior Tibial Neuromodulation

This office treatment is used to treat patient with overactive bladder. A small acupuncture needle is placed near the ankle to stimulate a nerve that runs from the lower spine to the foot. Stimulations over the course of several weekly sessions produces relaxation of the bladder.


Posterior Vaginal Prolapse Repair or Rectocele Repair

A procedure that uses an incision along the back wall of the vagina to repair the damaged fascial tissues and muscles. This repair is usually done with sutures but can be done with a graft if needed. This repair includes a repair of the perineal muscles and the vaginal opening if these have been damaged by vaginal birth.

Botox Chemodenervation of the Bladder

This procedure if offered to women and men with overactive bladder (urgency, frequency, and/or urge incontinence) who have failed alternative therapies such as medication, behavioral therapy, or

Bladder Instillations

This treatment is used for interstitial cystitis patient, or chronic bladder pain patients, to control their symptoms of urgency, frequency and bladder discomfort. The instillation is a cocktail of different medications, including DMSO or Heparin, that soothes the bladder.


Colpocleisis

Is an Obliterative vaginal procedures can be done for uterine or vaginal prolapse if intravaginal intercourse is no longer desired. The procedure involves sewing the vaginal walls together with sutures to support prolapse of the vagina or uterus. This is a lower risk prolapse repair and offers excellent long-term support.


Cystoscopy and hydrodistension

This procedure is used to treat and diagnose patients who have, or are thought to have, Interstitial Cystitis, or Chronic Bladder Pain. The bladder is stretched with fluid under general anesthesia. Sometimes sores, known at Hunner’s Ulcers, are injected with steroid and the surface of the ulcers is fulgurated.


Mona Lisa

This is an outpatient office laser treatment of the vagina offered to patients with vaginal atrophy, or thin vaginal skin resulting of menopause. The treatment involves applying laser energy to the vaginal tissues to “resurface” the vaginal lining to improve vaginal dryness and vaginal tone.

Robotic Hysterectomy

The removal of the uterus using laparoscopic incisions with the addition of the robotic surgical platform to add precision and control. We offer this for women with known or suspected endometriosis, adhesions, enlarged uterus with fibroids or other reasons to have a laparoscopic surgery.


Sling Surgery

is done for stress urinary incontinence such as leaking with a cough, sneeze or laughing. The sling is a small strip of surgical mesh that is gently placed under the bladder opening or urethra through a small vaginal incision. This is an outpatient surgery with minimal recovery and high success rates – greater than 90% of women are happy with the outcome of reduced or resolved urinary leaking.


Urethral Diverticulectomy

Removal of an outpouching or sac from the urethral in women. We offer diverticulectomy in women who have symptoms from their diverticulum, including recurrent urinary tract infection, pain with

Vaginal Hysterectomy

is the removal of the uterus through a vaginal incision. We offer vaginal hysterectomy for women with uterine prolapse, menstrual bleeding abnormalities, fibroids or other gynecologic concerns requiring a hysterectomy. This is the safest method for hysterectomy and we have a vast experience and expertise with this procedure.

Services we Offer


Cystoscopy

A telescope or cystoscope is placed into the bladder by way of the urethra and the bladder is inspected for pathology such as cancer. This test is used to evaluate patient with blood in the urine, or

Post Void Residual

This test is a simple ultrasound of the bladder to assess volume in the bladder after voiding. This number should be close to 0cc if a patient is emptying the bladder well.

Ultrasonography

Ultrasound is an imaging modality whereby sound waves are used to take pictures of internal organs. Washington Urology uses ultrasound

Urinalysis

The urine is tested for blood, infection, protein. The urine is usually obtained from a voided sample, but can be obtained from a catheter.

Urethrogram/cystogram

Contrast dye is instilled through a catheter into the urethra or bladder or both. Patient who may have bladder or urethral abnormalities

Ultrasonography

This is a radiologic study that uses sounds waves to take detailed pictures of internal organs. At Washington Urology we image the kidneys looking for stones, tumors,

Video Urodynamics

This test is used to evaluate bladder function in patients with urinary incontinence or who are unable to urine well. A catheter is inserted into the bladder, and the bladder filled to capacity.

Resources



WUA is pleased to expand our services in Issaquah, with the establishment of our clinic, open Monday through Friday. Now, with better access and availability, Dr. Kripa Kavasseri is accepting new patients in our Issaquah office, conveniently located on the Swedish Issaquah campus. Call today for an appointment close to home!
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