RWJMG | Division of Female Pelvic Medicine and Reconstructive Surgery (Urogynecology)

Department of Obstetrics, Gynecology and Reproductive Sciences

Division of Urogynecology and Pelvic Floor Disorders

Improving Women's Quality of Life with Female Pelvic Medicine and Reconstructive Surgery

As many as one in three women are affected by gynecologic and bladder conditions that impair their comfort and quality of life.

At Robert Wood Johnson University Hospital, we treat a broad range of conditions, including urinary or fecal incontinence and pelvic organ prolapse. Prolapse occurs when the uterus, bladder, rectum or bowels drop down and create a bulge into the vaginal opening. These problems are often age-related, and can be treated successfully.

Our expert physicians are dedicated to these important healthcare problems. We specialize in the care of women with pelvic floor and benign gynecologic disorders.

Comprehensive Program

Our fellowship-trained urogynecologists are female pelvic medicine and reconstructive surgeons (FPMRS). They treat urinary and fecal incontinence and pelvic organ prolapse using robotic and vaginal surgery, in addition to nonsurgical treatment. We provide a thorough evaluation, including state-of-the-art onsite testing and minimally invasive treatment options to improve quality of life and get women back to normal daily activities.

Pelvic Floor Conditions Treated

We specialize in the treatment of the following conditions:

• Pelvic organ prolapse (uterine prolapse, cystocele, rectocele, enterocele)
• Incontinence (urgency incontinence, stress urinary incontinence, fecal incontinence)
• Urogenital fistulas
• Constipation
• Interstitial cystitis/painful bladder syndrome
• Urethral diverticulum
• Vaginal cysts
• Recurrent urinary tract infection
• Gender affirmation surgery for transmen

Convenient Diagnosis and Treatment for Complex Cases

As a large number of women are affected by more than one pelvic floor disorder (rectal prolapse and complex recto-vaginal fistulas), our team of physicians also works jointly with colorectal and urological surgeons to perform thorough evaluations and design a treatment plan.

Diagnostic Urogynecologic Services

Urodynamic Testing

Urodynamic testing evaluates the function of the bladder during filling and emptying. This outpatient test is used for women with urinary symptoms and pelvic organ prolapse. Testing is done in a private, comfortable setting and is invaluable in diagnosing complex incontinence problems.

Cystoscopy

Cystoscopy is performed to inspect the bladder, urethra and uteral function. It is performed under local anesthesia in the office setting for conditions including blood in the urine, refractory incontinence and chronic urinary tract infections.

Endoanal Ultrasound and Anorectal Manometry

For women with bowel complaints, including fecal incontinence, we provide these diagnostic tests and comprehensive assessments so we can recommend the best treatment.

Treatment Options

We offer nonsurgical and surgical treatment options for pelvic organ prolapse including minimally invasive techniques such as robotic surgery. In addition, we offer a comprehensive line of treatment for urinary incontinence, which includes urethral bulking, mid-urethral slings, neuromodulation with Botox injections and with tibial and sacral nerve stimulation.

For information or to make an appointment, message us or call (732) 235-6600. To reach our Monroe office, call (609) 655-5178.

Phone: 732-235-6600

Professor and Division Chief

Juana A. Hutchinson-Colas, MD, MBA

Assistant Professor

Shirly Solouki, MD

Current programs

Minimally Invasive Gynecologic & Robotic Surgery

The section of minimally invasive gynecologic and robotic surgery is a part of the female pelvic medicine and reconstructive surgery division. Specialists at Robert Wood Johnson Medical Group offer treatment options for patients whose medical problems range from the simple to the most complex. A multi-specialty team of expert gynecologic surgeons offers comprehensive surgical care for complex surgical cases that feature a range of minimally invasive techniques, including robotic surgery. More Info

Pelvic Floor Program

The division of female pelvic medicine and reconstructive surgery’s Pelvic Floor Program provides state-of-the-art diagnostic and therapeutic options for the full spectrum of urogynecologic conditions, including urinary incontinence, pelvic organ prolapse, painful bladder syndromes and birth defects of the genital tract.

One of the most common types of urinary incontinence is stress incontinence, which can be due to a weakness of the pelvic floor muscles or a problem with the urethral sphincter, the muscle that helps hold or release urine. A simple way to describe stress incontinence is a urine leak during physical activity or when you sneeze or laugh.

Women experience urinary incontinence five times as often as men. That difference is due to the physical stresses of pregnancy and childbirth, changes in the quality of pelvic tissues, and the structure of the female urinary tract. Both men and women also can become incontinent due to neurological injury, birth defects, strokes, multiple sclerosis or previous pelvic surgeries. Read more...

Participating Providers (2)

Juana A. Hutchinson-Colas, MD, MBA	(732) 235-6600
Shirly Solouki, MD	(732) 235-6600