80. Pelvic organ prolapse: pessaries, physiotherapy and surgical management with urogynecologist, Dr. Alexandra Dubinskaya

In this episode, I sit down with Beverly Hills based urogynecologist, Dr. Alexandra Dubinskaya  to discuss:  

• What is prolapse?
• Typical sequence of events that happens when patients experience symptoms of prolapse and how they may end up in the office of a surgeon. 
• Conservative management options
• How the decision is made to proceed with surgery
• Types of repair and how this is individual to the patient
• Differences between countries, centres and surgeons
• Discussion around mesh
• Recovery after prolapse repair
• Physiotherapy considerations before and after surgery

Alexandra Dubinskaya is a board-certified gynecologist, specializing in urogynecology with an emphasis on female pelvic medicine and reconstructive surgery, female sexual health, and menopause. Her mission is to help women suffering from pelvic floor disorders, sexual and menopausal concerns.  She is currently practicing as a clinician, researcher, and passionate advocate for her patients.  Her credentials further include being a Fellow of the American College of Obstetricians and Gynecologists (FACOG) and a Certified Menopause Practitioner through the North American Menopause Society (NCMP).
Her involvement in the field extends past the office as she is also an active member, speaker, and presenter at national and international conferences. Dr. Dubinskaya serves as a chair of the communication committee for the International Society of Sexual Medicine and is overseeing the promotion of sexual literacy through the society’s website, newsletters, and social media.  Her goal is to inspire and encourage women to embrace their bodies, and sexuality, and regain control and confidence in their lives.  She wants women to understand that problems are solvable and there are options available to make the changes for a better life.
Her practice specializes in the treatment of urinary incontinence “urinary leakage”, pelvic organ prolapse “vaginal bulge”, urinary tract infections “UTIs”, interstitial cystitis, pelvic floor dysfunction, vaginismus, vulvodynia, vulvar skin conditions, menopausal symptoms, and female sexual dysfunction including painful sex, low libido, and orgasmic disorders.
Dr. Dubinskaya believes in advancing medical care for women through research. She has been published in multiple peer-reviewed journals and is a reviewer for several journals. She has contributed to several textbooks including Ostergard’s Urogynecology and Steele’s Colorectal Textbooks.
Coming from a diverse background, Dr. Alexandra Dubinskaya is fluent in both English and Russian languages. 
For more information or to schedule a visit and/or consultation with Dr. Dubinskaya, visit  her website:  www.drurogyn.com
Links Mentioned
https://www.voicesforpfd.org/assets/2/6/POP.pdf
https://pop-q.netlify.app/

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