RESULTS A PICTURE IS WORTH A THOUSAND WORDS. Please see the internet and go to as many websites as possible and review their skills, expertise, experience and there before & after pictures. Then come to our website and look as our before and after pictures. A picture truly is worth a thousand words. COMMUNICATION: Do you feel comfortable being open with your surgeon? Have your questions been answered? Has your doctor made you an informed consumer? Has he discussed with you the risks, benefits, complication, and alternatives to surgery? Patients routinely are impressed with the attentive staff and surgeons of Atlanta Urogynecology Associates. Drs Miklos & Moore believe in making their patients ‘informed consumers”. An average office visit for a new patient who needs complete vaginal reconstructive surgery can routinely expect a 60-80 minutes face-to-face consultation with their surgeon. Patients’ needing a single surgical procedure such as a sling or labia reduction requires less time but routinely have a 30 minutes face-to-face consultation. Patients really do leave as informed consumers. They understand the diagnosis, recommendations, and alternatives to surgery, cure rates, failures, as well as the type and incidence of general and specific risks of surgery. CORRECT DIAGNOSIS: Because they are advanced pelvic surgeons and have been trained as urogynecologists, their practice is dedicated to vaginal prolapse (relaxation) and its associated symptoms. Most rejuvenation surgeons make the same one or two diagnosis on most patients. They are not specialists in prolapse surgery and thus often neglect complete vaginal and uterine prolapse evaluation. If one does not make the correct diagnosis then one can certainly not make the appropriate recommendations. A failure in diagnosis i.e. missed diagnosis will often result in a failed surgery. (click on Botched Surgeries ) CORRECT REJUVENATION PROCEDURES: Most rejuvenation specialists will do the same surgical procedure on all of their patients despite the degree and totality of prolapse for the vagina and uterus. Patients seen by other rejuvenation specialists from across the USA have come to Atlanta for a second opinion and many of these patients were found also to have advanced uterine prolapse problems (i.e. the uterus is falling down). A patient with uterine prolapse is not a patient that should have a LVR procedure without also addressing the uterine prolapse. To treat a patient with LVR and not addressing the prolapse of the uterus would be in appropriate and incomplete and show a lack of competence by that surgeon. In fact performing LVR on a patient with uterine prolapse can lead to an inappropriate shortening of the vagina which can lead to painful intercourse. That incompetence could cost you the patient another surgery in the very near future. However Dr. Miklos & Moore only recommend surgeries which are necessary and if the patient only needs LVR that is all they will recommend. CORRECT URINE LEAKAGE PROCEDURE: Many specialists offer a simple anterior repair or a Kelly placation for the treatment of Stress Urine Incontinence or cough leakage. Or they simply state that LVR will cure cough leakage 90% of the time... This is ABSOLUTELY FALSE!!! LVR is not the best operation for urine leakage!!!! There has never been a paper or study that shows that LVR, anterior repair or a Kelly placation will cure cough leakage that successfully. The best operation for cough leakage remains one of the following three: Burch, MMK (Marshall Marchetti Krantz procedure and the SLING (TVT, TOT, mini sling). A simple procedure for cough leakage at the time of your vaginal rejuvenation is most commonly a SLING. TVT and TOT slings are 85-90% successful. Kelly placation procedures and anterior repair procedures utilized by most during LVR are shown to be only 20 – 35% successful. Why would they offer you an inferior procedure? Because they are not comfortable doing more advanced surgical procedure. This is the benefit of seeing urogynecologists Dr Miklos & Moore. BACK TO LAST PAGE