Spring 2014
Urogynecology Services Now Offered in Las Vegas

synapse: University of Nevada, Reno School of Medicine

By Anne McMillin, APR

Christian Quintero, M.D., and Vani Dandolu, M.D.

Christian Quintero, M.D., and Vani Dandolu, M.D., are among the few Las Vegas physicians offering advanced urogynecology services to patients. Photo by Edgar Antonio Nunez

The field of urogynecology has advanced from a sub-specialty of gynecology and urology to an official board-certified profession recognized by the American Board of Obstetrics and Gynecology and American Board of Urology.

Now called female pelvic medicine and reconstructive surgery, the field has become an advanced specialty in the care of women with complex pelvic floor disorders and pelvic organ prolapse. Board-certified gynecologists who practice and specialize in female pelvic medicine and reconstructive surgery, gathered last summer to take the first certification exam to advance from an accreditation sub-specialty to an official board-certified sub-specialty of obstetrics and gynecology.

The School of Medicine’s Vani Dandolu, M.D., and Christian Quintero, M.D., were among the group last summer that became board-certified in urogynecology and are now providing these services in southern Nevada.

Prompted by demands of an aging population of educated and open-minded women with better access to medical information, Dandolu and Quintero, from the School of Medicine’s urogynecology group, offer a variety of out-patient and minimally-invasive options to address these pelvic issues affecting women.

They are among the few physicians in Las Vegas providing such advanced services.

According to Quintero, these services and procedures now being performed include the new techniques in 3-D pelvic and trans-vaginal ultrasound for the diagnosis of pelvic organ prolapse and incontinence; urodynamics, pelvic rehabilitation therapy, biofeedback techniques and nerve latency studies; ano-rectal manometry, endoanal ultrasound, fecal incontinence biofeedback techniques; pretibial nerve stimulation, office cystoscopy and hysteroscopy and vaginal and perineal techniques.

Operative services now being offered include minimally-invasive approaches for pelvic floor disorders such as prolapse and/or urinary and fecal incontinence; laparoscopic and robotic-assisted benign hysterectomies, myomectomies, adnexal surgery, endometriosis and sacro-colpopexies; and the use of biological grafts and sacral neuromodulation.

To support these new services, the department purchased new diagnostic and therapeutic equipment for the clinical office.

“Investment by the School of Medicine aims to grow the spectrum of treatment and technologies for the diagnosis and treatment of pelvic disorders in our Las Vegas population,” Quintero said.

The new equipment falls into three general categories:

  • Multichannel urodynamics—in which a cable is inserted in the bladder to measure bladder pressure during filling and emptying to determine appropriate treatment
  • Ano-rectal—for the diagnosis and non-surgical treatment of patients with rectal incontinence
  • Ultrasonography—compliments other treatments and is used to confirm other diagnoses.

In addition to seeing patients, the faculty at the obstetrics and gynecology department is conducting educational outreach by giving talks to senior citizen groups and letting primary care physicians, nurses and specialists know of their expertise.

“Better outcomes, faster recovery time, less time in the hospital and fewer complications are our goals,” Quintero stated.

Dandolu, who is also chair of the department, is pleased with the growth in the clinical volume and variety of services offered in the urogynecology division.

“There was also an increase in the number of national and international presentations by division faculty in the past year, including numerous presentations at sub-specialty meetings,” Dandolu said, adding that several more presentations are scheduled in 2014.

Contact the Women’s Health Center at (702) 944-2805 or Patient Care Center at (702) 671-5140 for more information or to make an appointment for these services.