Laser Vaginal Rejuvenation in Atlanta
Atlanta Urogynecology Associates Alpharetta, GA
Many patients, especially younger patients who have had children, may begin to experience vaginal relaxation early on. Though they may not have any prominent symptoms such as: pressure, painful intercourse, or bulging from the vagina, they do voice their concern that they no longer experience the same pleasure they once did with intercourse. These women all voice the same concerns: "my vagina is too loose", "I have less friction during intercourse" or "I just don't feel anything during sex." According to Masters and Johnson, "sexual gratification for the female is directly related to the amount of frictional forces generated." How can laser vaginal rejuvenation improve your sexual experience? Most women attribute their problems to childbirth. They can remember what sex used to be like prior to having children and often tell the doctor that "sex is just not the same" because "I feel stretched out." Women with these conditions can make these statements because they have a point of reference or something to compare it to. They can remember what their experience used to be like and how it is different now. Many of these women explain that it is often takes longer to have orgasms since they feel less friction and some of these patients can't have orgasms at all (despite experiencing them previously and still having the same partner). Traditional non-surgical methods of improcing these conditions such as Kegel or pelvic floor exercises are not a suitable solution. Many patients tell us that their primary care physicians and OB/GYN's say this is normal - or that it is a normal part of aging - or more arrogantly "there is nothing wrong with you!" If you have experienced the frustration of this response, you know exactly how maddening this can be. A small group of surgeons throughout the world do understand there is a real medical problem, because in the majority of cases the patient's anatomy has changed. The patients are experiencing the first symptoms of vaginal or pelvic floor prolapse. Vaginal Rejuvenation can be the answer to your problem. Vaginal Tightening Most patients who complain of diminished sensation or friction during intercourse and have no other symptoms such as vaginal bulging, pressure, painful intercourse can have a one hour surgical procedure designed to enhance friction during intercourse. Vaginal rejuvenation will effectively enhance the tautness and tightness of the vaginal walls by decreasing the vaginal diameter. However, the surgical technique required for each individual patient varies depending upon the amount and type of vaginal relaxation found. Vaginal rejuvenation is NOT considered a medical necessity and therefore insurance companies will not pay for sexual enhancement surgery unless there is a medical diagnosis prevalent for your condition. Most cosmetic vaginal rejuvenation specialists will not accept any insurance for the surgery, anesthesia, operating rooms or any of the ancillary services. Dr. Miklos & Dr. Moore have found that approx 90% of patients who desire vaginal tightening actually have medical indications for the surgery. This indication is known as vaginal prolapse, which comes in many forms including: vaginal vault prolapse, cystocele, rectocele, enterocele and urethroceles. Patients with symptomatic prolapse also tend to have diminished sensation with intercourse. Fixing the prolapse usually enhances the friction at the time of intercourse.
Atlanta Urogynecology Associates
Dr. John Miklos & Dr. Robert D. Moore have personally operated on patients from 46 states and 25 countries. Both Dr. Miklos & Moore have undergone an additional 4 years of training in vaginal and pelvic floor surgery, compared to most other gynecologists who perform vaginal rejuvenation. Likewise, most plastic surgeons have had little if any vaginal surgery training. Please note that Dr. Miklos & Moore do not perform facial plastic surgery, nor do they perform breast augmentation and abdominoplasty revisions, although they are happy to refer these surgeries to trusted colleagues.
Drs. Miklos & Moore have written a book of vaginal rejuvenation which was published and released in 2006. This book is the most comprehesive resource on vaginal rejuvenation in print and readily available to the public.
John Miklos, MD, FACOG, FACS, FICS is an internationally recognized expert in Laparoscopic, Urogynecologic, and Aesthetics Reconstructive Vaginal Surgery. Dr. Miklos is the only physician in the USA who specializes in Vaginal Rejuvenation Surgery who has earned the prestigious "American Top Doctor Award" by Castle Connelly. Dr. Miklos is the first fellowship-trained Urogynecologist/Laparoscopic surgeon to receive subspecialty training in Aesthetic Vaginal Reconstructive Surgery. This unique melding of multiple fellowships and training has made Dr. Miklos one of the most sought after surgeons in the world for reconstructive vaginal surgery. Dr. Miklos is a graduate of Medical University of South Carolina where he received his Master of Science degree in 1985, followed by his Medical degree 1989. He then completed his traditional four year residency in Obstetrics and Gynecology at Hahnemann University Hospital in Philadelphia Pa in 1993. He then completed a two year fellowship in Urogynecology and Reconstructive Vaginal Surgery in Cincinnati Ohio. In 1995 after the completion of his fellowship, he was named the Director of Urogynecology and Reconstructive Vaginal Surgery at Atlanta Medical Center. Despite being named an authority in his field that year Dr. Miklos chose to pursue further interests and further develop his understanding of minimally invasive surgery and female pelvic anatomy. In 1996, Dr. Miklos left Atlanta Medical Center to study under internationally renowned laparoscopic surgeon William B. Saye, MD (now retired) and world renowned pelvic anatomist/surgeon A. Cullen Richardson, MD (now deceased). Dr. Miklos spent 2 years with this all-star team taking his training to an unprecedented new level among his peers. Dr. Miklos is the first gynecologist to train in both of these two fellowships: Urogynecology and Reconstructive Pelvic Surgery (2 years) and (academically unrecognized) Laparoscopic Reconstructive Surgery (2 years). In 1997, Dr. Miklos founded the Atlanta Center for Laparoscopic Urogynecology. Dr. Miklos remains the Director of Urogynecology and Reconstructive Pelvic Surgery at Atlanta Center for Laparoscopic, Reconstructive and Aesthetic Vaginal Surgery. He is also the Director of Atlanta Medical Research Institute. He continues to pursue excellence in his field by searching world wide for new, innovative and/or unique surgical and non surgical techniques. This commitment to research and development makes Atlanta Center for Urogynecology one of the busiest centers for teaching and research and surgery in the country. He was one of the first in the country to perform many of the laparoscopic vaginal surgery procedures including: sacral colpopexy, paravaginal, Burch, enterocele, vesicovaginal fistula, sciatic hernia repairs as well as one of the first surgeons to do the TVT sling (1998), TOT sling (2002), laser vaginal rejuvenation (2003) and the new mini incision sling Secure (2006). The pursuit of a better quality of life for his patients has also lead him to investigate, research, study and then employ surgical techniques for a much desired and requested line of therapy known as Aesthetic Vaginal Surgery, also known as Vaginal Rejuvenation. Dr. Miklos was the first Urogynecologist in the country to train with Dr. David Matlock (2002) in the discipline of Laser Vaginal Rejuvenation. This surgical training has allowed Dr. Miklos and Moore to round out their discipline of vaginal reconstructive surgery and offer all modalities of therapy for patients with various expectations and requests. Dr. Miklos has more training in various types of reconstructive vaginal surgery than just about anybody in the world. He has written more than 150 scientific papers, abstracts and book chapters. He and Dr Moore are co-authors of the new book Vaginal Rejuvenation . He has operated all over the world, including the Americas, Europe, Asia, and Australia. He has lectured in Argentina, Chile, Russia, France, Germany, Sweden, Italy, Greece, Croatia, Monaco, and Australia. He has taught surgeons from world renowned institutions such as the Cleveland Clinic, Mayo Clinic, Harvard, and Oxford Universities. More than 200 surgeons each year come from all over the world to watch and and learn from Drs Miklos and Moore. Dr. Miklos is board certified by the American Board of Obstetrics and Gynecology and is a fellow in good standing of: American College of Obstetrics and Gynecology (FACOG)
American College of Surgeons (FACS)
International College of Surgeons (FICS) Dr. Miklos is a member of:
American Association of Gynecologic Laparoscopists (AAGL)
American Urogynecology Society (AUGS)
American Urologic Association (AUA)
Society of Gynecologic Surgeons (SGS)
Robert D. Moore, DO, FACOG, FICS is an internationally recognized Laparoscopic and Vaginal Reconstructive Surgeon. He was considered one of the top laparoscopic surgeons in New England prior to coming to Atlanta in 2001 to join Dr. Miklos in practice to form a Tour de Force in the field of minimally invasive Urogynecology by joining the best of New England with the best in the Southeast. By combining their talents at one center, they felt they could offer patients and physicians from the Southeast and all over the country even better care and services.Dr. Moore received his medical degree from the University of New England in 1994, where he graduated top in his class. While at the University he was involved with neurologic and neuroscience pain research, receiving multiple grants and publishing in this complex field. He completed a four year residency in Ob/Gyn at the Maine Medical Center in Portland, ME and then completed a two year fellowship in Urogynecology and Radical Pelvic Surgery at Northside Hospital in Atlanta, GA. Following this, he completed another year of advanced training in Laparoscopic Reconstructive Pelvic Surgery. Following fellowship, he returned to Maine for approximately 2 years where he was the only fellowship trained urogynecologist in the state and was considered one of the regions top laparoscopic surgeons, even at this early stage of his career. Dr. Moore is currently the Director of Advanced Pelvic Surgery and the Co-Director of Urogynecology at the Atlanta Center for Laparoscopic Urogynecology. He has held and continues to maintain teaching appointments with the University of VT, Piedmont Hospital (teaching institution for Emory University) and is faculty/lecturer/consultant for many prominent companies within the field of Urogynecology including: CR Bard Urology, American Medical Systems, U.S. Surgical, Ethicon Endosurgery, Watson Urology, and Innovation in Medical Education and Technology. Dr. Moore continues to be very active in clinical research and was recently named the Principal Investigator in the U.S. in the Multicenter Trial evaluating the Monarc TOT sling for urinary leakage. He was picked to lead a team of investigators from 10 centers in the United States, including Harvard and the Cleveland Clinic. He was also recently chosen by Professor Bernard Jacquetin in France to present the joint results of the combined European/US Monarc Trial at the International Urogyn Meeting in Paris, France. He has published more than 50 scientific journal articles, book chapters and research abstracts. Dr Moore has traveled throughout the US and in the last year has taught over 300 surgeons new techniques in Incontinence and Prolapse surgery at such centers as the University of Miami, Univ of Washington, Tulane Univ, LSU, U Cal at San Diego as well as many others. Over 100 surgeons a year travel to Atlanta to observe and learn from him and Dr Miklos in their operating room. He has traveled to and been invited to lecture/operate/teach in Hungary, India, France, Italy, Sweden, Argentina and Chile. In 2003, Dr Moore was one of only 6 US surgeons chosen to travel to France to learn the new Monarc TOT sling and bring that technology to the US. He continues to be a pioneer in Laparoscopic Pelvic Reconstructive surgery with Dr. Miklos here in the US mastering such techniques as Laparoscopic Sacralcolpopexy. In 2004, he was the first surgeon in the US to perform the minimally invasive Perigee system to treat cystocele with a mesh graft and is considered the thought leader in the US in this new technology. Dr. Moore also has extensive training and experience in Aesthetic/cosmetic vaginal surgery and is Laser trained and certified for use in this field. He offers a full range of these services for his patients. Dr. Moore is board certified and a Fellow of the American College of Ob/Gyn and the International College of Surgeons. He is member of the American Association of Gyn Laparoscopists, American Urogynecology Society, International Urogynecology Association, and the American Urologic Association. Drs. Moore and Miklos have combined the field of Urogynecology and Laparoscopic surgery like no place else in the country and continue to be one of the only centers in the country to offer complete laparoscopic and minimally invasive reconstructive vaginal and pelvic surgery and are considered to be the top in their field. Atlanta Urogynecology Associates 3400-C Old Milton Parkway Alpharetta, GA
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