About UGYN

A lot of controversy regarding surgical mesh exists, especially when surgical mesh is used to treat vaginal and/or uterine prolapse or urinary incontinence. The truth is, there are many different surgical mesh products used for many different pelvic floor disorders, and they are not all created equally. Some are considered to be “gold standards,” or “the best things out there” for prolapse or incontinence; whereas other mesh products tend to have higher complication rates and are not considered the gold standards. When it comes to surgical implants of any kind, there are always known complication rates that come along with these implants. A risk-free surgical implant does not exist.  Implants are used when traditional surgical methods do not provide optimal success rates or if there are no other means of correcting the dysfunction. For example, a total knee arthroplasty (knee replacement) is a surgical implant used very commonly. Its use provides an improvement in the quality of life of patients with knee pain that other treatment methods cannot provide. It has a known complication rate and sometimes the implant must be removed due to these complications. Mesh used in the pelvic floor for prolapse or urinary incontinence is no different. Some pelvic floor mesh products have higher complication rates than others.
 

History of Surgical Mesh

Prior to the use of mesh for pelvic floor disorders, the surgical options were very limited, with less than ideal long-term success rates. Mesh was incorporated into the pelvic floor surgical regime in order to provide higher long-term success rates, which it has done, to an amazing degree, in fact. Many studies have been done looking at these success rates, comparing surgical procedures with the use of mesh versus procedures without the use of mesh.  For several pelvic floor disorders, the surgical mesh procedure provides a longer lasting surgical correction, with a low complication rate. Mesh however, is not indicated for every type of pelvic floor disorder. So when discussing surgical options, ask your urogynecologist to clarify if a mesh product will be used and if so, what the associated complications are. As stated earlier, some mesh products tend to have higher complication rates; whereas other mesh products do not. Ask your surgeon to clarify what types he/she uses.

This is where we thought we would put “How to Take Care of Her When She Gets Home,” but let’s face it. The guys want to know…

 

When can we have sex?

The answer to that question can vary depending on the situation, including what surgery or surgeries are done. Usually, it is something like six weeks, but may be longer, depending on the woman’s comfort.  Another major factor affecting this answer is whether or not she had other procedures done along with lifting her pelvic organs, especially the Anterior and/or Posterior Colporrhaphy (Anterior and/or Posterior Repair). You will have to ask her doctor this question to know for sure.

Will sex be more gratifying for her and for me?

Improved sexual intercourse is not guaranteed, but is often reported by patients and partners. It only makes sense that if the vagina is held firmly back inside the pelvis instead of falling out, vaginal intercourse would be easier and more gratifying for all parties involved.

How to Care for Her When She Comes Home.

When the patient comes home, she will need some help. The most important thing is for her to not lift heavy items. The action of lifting heavy items will cause an increase in pressure in her abdomen (belly), which will then cause an increase in force downward on her vagina, thus increasing the risk of the repair failing. So, someone else should do all the household chores she usually does, for at least six weeks. Any chores that require lifting more than ten pounds should be done by someone else for at least six weeks.

When can she go back to work?

That depends on the type of work she does and what type of procedure she had. If she sits at a desk, she may be able to return to work in as little as two weeks. If she does heavy construction, it could be as long as ten weeks.  You would need to discuss this with your doctor.

UGYN Terms of Service

By using or accessing UGYN, a subdomain of the website, any mobile application for the website, or any other website operated by us on which these Terms and Conditions are posted via a link or otherwise (each referred to herein as a “Site”), you acknowledge and agree that you are subject to the following terms and conditions, as well as our Privacy Policy, which also governs your use of the Site, and is incorporated by reference (These Terms and Conditions with the Privacy Policy shall be referred to as the "Terms"). Please read these Terms carefully, as they contain important information about limitations of liability and resolution of disputes through arbitration rather than court.

Access to the Services

Subject to the terms and conditions of this Agreement, UGYN may offer to provide the Services, as described more fully on the Site, and which are selected by User, solely for User’s own use, and not for the use or benefit of any third party. Services shall include, but not be limited to, any services UGYN performs for User, as well as the offering of any Content (as defined below). UGYN may change, suspend or discontinue the Services at any time, including the availability of any feature, database, or Content. UGYN may also impose limits on certain features and services or restrict User’s access to parts or all of the Services without notice or liability. UGYN reserves the right, at its discretion, to modify these Terms of Service at any time by posting revised Terms of Service. User shall be responsible for reviewing and becoming familiar with any such modifications. Use of the Services by User following such modification constitutes User's acceptance of the terms and conditions of this Agreement as modified.

User certifies to UGYN that User is an individual (i.e., not a corporate entity) at least 18 years of age. No one under the age of 18 may provide any personal information to or on UGYN (including, for example, a name, address, telephone number or email address). User also certifies he/she is legally permitted to use the Services, and takes full responsibility for the selection and use of the Services. This Agreement is void where prohibited by law. UGYN makes no claim that the Site may be lawfully viewed or that Content may be downloaded outside of the United States. Access to the Content may not be legal by certain persons or in certain countries. If You access the Site from outside the United States, You do so at Your own risk and You are responsible for compliance with the laws of Your jurisdiction.

UGYN will use reasonable efforts to ensure that the Site and Services are available twenty-four hours a day, seven days a week. However, there will be occasions when the Site and/or Services will be interrupted for maintenance, upgrades and repairs or due to failure of telecommunications links and equipment. Every reasonable step will be taken by UGYN to minimize such disruption where it is within UGYN’s reasonable control.

You agree that neither UGYN nor the Site will be liable in any event to You or any other party for any suspension, modification, discontinuance or lack of availability of the Site, the service, any User Content, or other Content.

UGYN retains the right to create limits on use and storage in its sole discretion at any time with or without notice.

User shall be responsible for obtaining and maintaining any equipment or ancillary services needed to connect to, access the Site or otherwise use the Services, including, without limitation, modems, hardware, software, and long distance or local telephone service. User shall be responsible for ensuring that such equipment or ancillary services are compatible with the Services.

Site Content

The Site and its contents are intended solely for the use of the Site Users and may only be used in accordance with the terms of this Agreement. All materials displayed or performed on the Site, including, but not limited to text, graphics, logos, photographs, images, illustrations, audio and video, and animations (collectively, “Content”) (other than Content posted by User (“User Content”)) are the property of UGYN and/or third parties and are protected by United States and international copyright laws.

All trademarks, service marks, and trade names are proprietary to UGYN and/or third parties. User shall abide by all copyright notices, information, and restrictions contained in any Content accessed through the Services.

The Site is protected by copyright as a collective work and/or compilation, pursuant to U.S. copyright laws, international conventions, and other copyright laws. Other than as expressly set forth in this Agreement, User may not copy, modify, publish, transmit, upload, participate in the transfer or sale of, reproduce (except as provided in this Agreement), create derivative works based on, distribute, perform, display, or in any way exploit, any of the Content, software, materials, or Services in whole or in part.

Any downloading, copying, or storing any Content for other than personal, noncommercial use is expressly prohibited without prior written permission from UGYN, or from the copyright holder identified in such Content's copyright notice. In the event

User Content

You agree that all User Content that You contribute to the Site is perpetually and irrevocably licensed to UGYN. You grant UGYN the perpetual and irrevocable right and license to use, copy, cache, publish, display, distribute, modify, create derivative works and store such User Content and, except as otherwise set forth herein, to allow others to do so in any medium now known or hereinafter developed in order to provide the Services, even if such User Content has been contributed and subsequently removed by You. User warrants, represents and agrees User has the right to grant UGYN and the Site the rights set forth above. User represents, warrants and agrees that it will not contribute any User Content that (a) infringes, violates or otherwise interferes with any copyright or trademark of another party, (b) reveals any trade secret, unless User owns the trade secret or has the owner’s permission to post it, (c) infringes any intellectual property right of another or the privacy or publicity rights of another, (d) is libelous, defamatory, abusive, threatening, harassing, hateful, offensive or otherwise violates any law or right of any third party, (e) contains a virus, trojan horse, worm, time bomb or other computer programming routine or engine that is intended to damage, detrimentally interfere with, surreptitiously intercept or expropriate any system, data or information, or (f) remains posted after User has been notified that such User Content violates any of sections (a) to (e) of this sentence. UGYN reserves the right to remove any User Content from the Site, re-post to the Site any User Content removed by any User or former User, suspend or terminate User’s right to use the Services at any time, or pursue any other remedy or relief available to UGYN and/or the Site under equity or law, for any reason (including, but not limited to, upon receipt of claims or allegations from third parties or authorities relating to such User Content or if UGYN is concerned that User may have breached the immediately preceding sentence), or for no reason at all.

In no case will you ever copy and/or repost any photographs obtained from the UGYN site.

In the event that You post or otherwise use other User Content outside of the Site or Services, with the exception of content entirely created by You, You agree that You will abide by the following rules:

Profile Content

Profile Content is information about you (a User) that is contributed by you or inferred about you by your activity. Profile Content includes, but is not limited to, display names, reputation scores, avatars, your role and company, and other user generated content found on a User's profile such as "About Me" content.

Profile Content that is available via the UGYN API ("API Profile Content") is perpetually and irrevocably licensed to UGYN and its Users under the Creative Commons Attribution Share Alike license

Profile Content that is NOT available via the UGYN ("Personal Profile Content") cannot be used for any commercial purpose, individually or in aggregate, or be republished without the explicit consent of the author of such Personal Profile Content or the explicit consent of UGYN.

UGYN reserves the right to exclude Content, including Profile Content, from the UGYN API at any time without prior notice.

Additionally, no Profile Content, may be used in any way that implies a user is affiliated with, has signed up for, or is in any way associated with a third party without explicit permission from UGYN or the user.

Restrictions

User is responsible for all of his/her activity in connection with the Services and accessing the Site. Any fraudulent, abusive, or otherwise illegal activity or any use of the Services or Content in violation of this Agreement may be grounds for termination of User’s right to Services or to access the Site. User may not post or transmit, or cause to be posted or transmitted, any communication or solicitation designed or intended to obtain password, account, or private information from any Site or Service user.

Use of the Site or Services to violate the security of any computer Site, crack passwords or security encryption codes, transfer or store illegal material including that are deemed threatening or obscene, or engage in any kind of illegal activity is expressly prohibited. Under no circumstances will User use the Site or the Service to (a) send unsolicited e-mails, bulk mail, spam or other materials to users of the Site or any other individual, (b) harass, threaten, stalk or abuse any person or party, including other users of the Site, (c) create a false identity or to impersonate another person, or (d) knowingly post any false, inaccurate or incomplete material, or (e) copy, or download any Personal Profile Content, social recruiting, sourcing, employment-related services, compiling databases of employment solicitation targets, providing content for a hiring platform without the express permission of UGYN or the User.

Warranty disclaimer

UGYN has no special relationship with or fiduciary duty to User. User acknowledges that UGYN has no control over, and no duty to take any action regarding: which users gains access to the Site; which Content User accesses via the Site; what effects the Content may have on User; how User may interpret or use the Content; or what actions User may take as a result of having been exposed to the Content. Much of the Content of the Site is provided by and is the responsibility of the user or User who posted the Content. UGYN does not monitor the Content of the Site and takes no responsibility for such Content. User releases UGYN from all liability for User having acquired or not acquired Content through the Site. The Site may contain, or direct User to sites containing, information that some people may find offensive or inappropriate. UGYN makes no representations concerning any content contained in or accessed through the Site, and UGYN will not be responsible or liable for the accuracy, copyright compliance, legality or decency of material contained in or accessed through the Site. Please contact us through our Contact Form to report any objectionable material or posts.

Although UGYN and the Site will make reasonable efforts to store and preserve the material residing on the Site, neither UGYN nor the Site is responsible or liable in any way for the failure to store, preserve or access User Content or other materials you transmit or archive on the Site. You are strongly urged to take measures to preserve copies of any data, material, content or information you post or upload on the Site.

The Services, Content, and Site are provided on an "as is" basis, without warranties of any kind, either express or implied, including, without limitation, implied warranties of merchantability, fitness for a particular purpose or non-infringement. UGYN makes no representations or warranties of any kind with respect to the Site, the Services, including any representation or warranty that the use of the Site or Services will (a) be timely, uninterrupted or error-free or operate in combination with any other hardware, software, system or data, (b) meet your requirements or expectations, (c) be free from errors or that defects will be corrected, (d) be free of viruses or other harmful components.

UGYN does not practice medicine. We only provide a conduit for medical information to be passed from competent experts to the public. To the fullest extent allowed by law, UGYN disclaims any liability or responsibility for the accuracy, reliability, availability, completeness, legality or operability of the material or services provided on this Site. By using this Site, you acknowledge that UGYN is not responsible or liable for any harm resulting from (1) use of the Site; (2) downloading information contained on the Site including but not limited to downloads of content posted by Users; (3) unauthorized disclosure of images, information or data that results from the upload, download or storage of content posted by Users; (4) the temporary or permanent inability to access or retrieve any User Content from the Site, including, without limitation, harm caused by viruses, worms, trojan horses, or any similar contamination or destructive program.

Third party websites

Users of the Site may gain access from the Site to third party sites on the Internet through hypertext or other computer links on the Site. Third party sites are not within the supervision or control of UGYN or the Site. Unless explicitly otherwise provided, neither UGYN nor the Site make any representation or warranty whatsoever about any third party site that is linked to the Site, or endorse the products or services offered on such site. UGYN and the Site disclaim: (a) all responsibility and liability for content on third party websites and (b) any representations or warranties as to the security of any information (including, without limitation, credit card and other personal information) You might be requested to give any third party, and You hereby irrevocably waive any claim against the Site or UGYN with respect to such sites and third party content.

Registration and security

As a condition to using Services, User may be required to register with UGYN and select a password and profile name. User shall provide UGYN with accurate, complete, and updated registration information, including User’s e-mail address. Failure to do so shall constitute a breach of this Agreement, which may result in immediate termination of User's account. User may not (a) select or use as a profile name a name of another person with the intent to impersonate that person; or (b) use as a profile name a name subject to any rights of a person other than User without appropriate authorization. UGYN reserves the right to refuse registration of, or cancel a profile name in its discretion. User shall be responsible for maintaining the confidentiality of User's password. User is solely responsible for any use of or action taken under User’s password and accepts full responsibility for all activity conducted through User’s account and agrees to and hereby releases the Site and UGYN from any and all liability concerning such activity. User agrees to notify UGYN immediately of any actual or suspected loss, theft, or unauthorized use of User’s account or password. The Site will take reasonable security precautions when using the internet, telephone or other means to transport data or other communications, but expressly disclaims any and all liability for the accessing of any such data communications by unauthorized persons or entities.

Indemnity

User will indemnify and hold UGYN, its directors, officers, employees, agents, consultants, contractors, partners, vendors and service providers (including, without limitation, hosting and telecommunications providers) harmless, including costs and attorneys' fees, from any claim or demand made by any third party due to or arising out of User’s access to the Site, use of the Services, the violation of this Agreement by User, or the infringement by User, or any third party using the User's account, of any intellectual property or other right of any person or entity.

Limitation of liability

In no event shall UGYN, its directors, officers, shareholders, employees, members, agents, consultants, contractors, partners, vendors and service providers (including, without limitation, hosting and telecommunications providers) be liable with respect to the Site or the Services for (a) any indirect, incidental, punitive, or consequential damages of any kind whatsoever; (b) damages for loss of use, profits, data, images, User Content or other intangibles; (c) damages for unauthorized use, non-performance of the Site, errors or omissions; or (d) damages related to downloading or posting Content. (e) injuries due to care from medical professionals subsequent to information obtained on this site or others.

Termination

Either party may terminate the Services at any time by notifying the other party by any means. UGYN may also terminate, block, or suspend any and all Services and access to the Site immediately, without prior notice or liability, in its sole discretion, for any reason or no reason at all, including but not limited to any User breaches of any of the terms or conditions of this Agreement. Upon termination of User's account, User’s right to use the Services, access the Site, and any Content will immediately cease. All provisions of this Agreement which by their nature should survive termination shall survive termination, including, without limitation, ownership provisions, warranty disclaimers, and limitations of liability. Termination of Your access to and use of the Site and the Services shall not relieve User of any obligations arising or accruing prior to such termination or limit any liability which User otherwise may have to UGYN or the Site, including without limitation any indemnification obligations contained herein.

Privacy

Please review our Privacy Policy, which governs the use of personal information on the Site and to which User agrees to be bound as a user of the Site.

Miscellaneous

This Agreement (including the Privacy Policy), as modified from time to time, constitutes the entire agreement between You, the Site and UGYN with respect to the subject matter hereof. This Agreement replaces all prior or contemporaneous understandings or agreements, written or oral, regarding the subject matter hereof. The failure of either party to exercise in any respect any right provided for herein shall not be deemed a waiver of any further rights hereunder. UGYN shall not be liable for any failure to perform its obligations hereunder where such failure results from any cause beyond UGYN’s reasonable control, including, without limitation, mechanical, electronic or communications failure or degradation. If any provision of this Agreement is found to be unenforceable or invalid, that provision shall be limited or eliminated to the minimum extent necessary so that this Agreement shall otherwise remain in full force and effect and enforceable. This Agreement is not assignable, transferable or sublicensable by User except with UGYN’s prior written consent. UGYN may assign this Agreement in whole or in part at any time without User’s consent. This Agreement shall be governed by and construed in accordance with the laws of the state of Oklahoma without regard to the conflict of laws provisions thereof. No agency, partnership, joint venture, or employment is created as a result of this Agreement and User does not have any authority of any kind to bind UGYN in any respect whatsoever.

Code of Conduct

At UGYN, we’re cultivating a community where members feel safe sharing deeply personal experiences, photos, reviews, and opinions without fear of judgment. We also want you to be able to trust that the information you find here has been posted without bias or a hidden agenda.

The Code of Conduct outlines what we expect from you, and what you should expect from others. Still not sure if you’re following the rules? Check the UGYN Terms of Service or ask us. Also, we reserve the right to modify these guidelines at any time without notification.

The UGYN Community consists of consumers, Health Care Providers and UGYN staff. All community members are treated equally under these guidelines.

UGYN does not discriminate based on positive or negative views, or on the basis of race, gender, sexual orientation, gender orientation, disability or status.

Practice Mutual Respect

UGYN hosts diverse discussions. We give community members space to share their opinions, debate issues, and support each other. Even when things get heated, we expect you to show respect for all members of the community.

Avoid Personal Attacks

Negative opinions and disagreements are fine, but it’s not appropriate to use UGYN to bully, name-call or insult other community members. Follow the rules of good debating and address the issue, not the person.

Do not use UGYN to post:

  1. Medical advice
  2. Discussions of suicide, violence or self-harm, including self-administering procedures without a license to practice medicine
  3. Sexual content or unwelcome sexual attention toward others
  4. Gratuitous nudity that’s irrelevant to the topic being discussed (e.g., bare breasts or vaginas when not related to the medical problem)
  5. Anything illegal (drug use, criminal activity, extortion, blackmail, threats, harassment, etc.)
  6. Third-party content, including copyrighted material or text, photos or video copied from another source
  7. Links to non-UGYN web pages
  8. Contact information
  9. Anything for which the UGYN website is not intended (e.g, spam, donation requests, offers to purchase surgery for another user, or buying and selling any products)

Report any of the above using our Contact Form

Avoid Conflicts of Interest

Unless otherwise directed, you may only use UGYN as a consumer. (Using UGYN as a Health Care Provider requires profile approval.)

Do not use UGYN to promote your own interests or those of anyone you know, including family, friends, affiliates or employers. This includes both:

  1. Business interests - You or someone you know stands to gain additional business or money because of something you’ve posted.
  2. Personal interests - You or someone you know stands to gain an advantage in a medical or personal relationship because of something you’ve posted.
  3. In short, do not post if you or someone you know stands to gain anything from your post.

Health Care Provider Code of Conduct

In addition to the Code of Conduct above, these additional guidelines apply to Health Care Providers on UGYN:

Maintain Professionalism

Health Care Providers are expected to maintain professionalism at all times on UGYN. Do not bully or post disparaging comments about community members, other Health Care Providers, or UGYN.

Comply with HIPAA

Do not post any content that violates HIPAA or other applicable health-privacy laws. Consider the privacy and safety of all community members before posting.

Follow Our Photo & Video Guidelines

All uploaded photos and videos must adhere to these guidelines.

All uploaded photos MUST:

  1. Have proper patient consent for online use
  2. Reflect the healthcare professional's personal work administering a medical treatment or procedure
  3. Reflect the core treatments offered by the healthcare professional's specialty designation and board certification
  4. Contain photos of only one patient per upload with a maximum of two comparable before and after views (e.g. before and after side view and before and after front view)
  5. Be less than 6 MB in size and in .png or .jpg format
  6. Comply with UGYN policies, guidelines, and terms of service

Photos and captions will NOT be published if they contain:

  1. Unnecessarily exposed genitalia or breasts
  2. Graphic photos of minors (under age 18)
  3. Promotional content, such as patient testimonials, special offers, self-promotion, website URLs or conjecture regarding patient satisfaction
  4. Poor quality or resolution
  5. Borders, odd shapes, decorative backgrounds, digital enhancements, airbrushing, fully opaque watermarks, or watermarks obstructing treated body area or which include website URLs.
  6. Personally Identifiable Information (PII) including file names, names, titles or physical features unrelated to the procedure.

Videos will NOT be published if they contain:

  1. Personally Identifiable Information (PII) including file names, names, titles or physical features unrelated to the procedure.
  2. Unnecessarily exposed genitalia or breasts
  3. Graphic photos of minors (under age 18)
  4. Promotional content, such as patient testimonials, special offers, self-promotion, website URLs, phone number, address, or conjecture regarding patient satisfaction.
  5. Poor quality or resolution. (Minimum resolution is 720p)
  6. Borders, odd shapes, decorative backgrounds, digital enhancements to before and after photos, airbrushing, fully opaque watermarks or watermarks obstructing treated body area or which include website URLs.
  7. Unlicensed music
  8. More than 10 minutes in length
  9. Rebroadcast content, healthcare professional must own the rights to the content
  10. Community Guideline violations

UGYN reserves the right to:

  1. Block Personally Identifiable Information from photo or video submissions
  2. Crop or edit photos or video to remove unnecessarily exposed genitalia or breasts
  3. Remove photos and videos that we determine, at our sole discretion, to be inappropriate and/or in violation of the UGYN Photo/Video Guidelines or the UGYN Terms of Use.
  4. Conduct minor edits to submitted videos and publish the resulting work.
  5. Modify these guidelines at any time without notification.

Conflicts of Interest

Clearly explain any conflicts of interest, including products, brands and research funded by third parties. For example, if you are receiving money from a brand whose product you endorse, clearly define this relationship in all relevant posts.

Reviews

You may not solicit or receive reviews from anyone with a personal or professional bias. This includes past and present employees, colleagues and family members.

Ethics

The mission of UGYN is to help consumers make confident decisions about urogynecology and urogynecologic procedures.

Disciplinary Action

Health Care Providers who violate UGYN Terms of Service, Health Care Provider Code of Conduct, the Code of Conduct or the Photo & Video Guidelines may have their profiles suspended, limited or removed, temporarily or permanently, in UGYN’s sole discretion.

UGYN Privacy Policy

Introduction

UGYN values your privacy. This Privacy Policy details important information about the collection, use, disclosure, storage and protection of your personal information. This Privacy Policy applies to UGYN.com ("Site") as well as to any UGYN mobile application ("App") (whether accessed by a tablet, mobile phone or other similar device) or any UGYN service ("Service"). UGYN provides this notice about our practices to help you make an informed decision about whether to use or continue using the Site, UGYN App or Service.

By registering for an account with UGYN or accessing the UGYN Site, UGYN App or Service, you are accepting the terms of this Privacy Policy and you are consenting to the collection, use, disclosure and storage of your personal information in accordance with the practices described in this policy.

Please note that any content posted by you onto the Site (whether or not through any UGYN App) becomes published content and is publicly available for anyone in the world to view and, as such, is not considered personal information subject to this Privacy Policy. UGYN will display this content on the Site and may distribute it through other third party sites and services.

Information UGYN Collects

UGYN receives and stores any information you enter on the Site. This information may include information that can identify you ("personal information") including your first and last name, geographic location, email address as well as user name and password. You can choose not to provide UGYN with any information but in order to be a registered member of UGYN or view some of the content available on the Site, you must provide UGYN with your email address, user name and password. Registered community members of UGYN are able to upload comments, questions, reviews and send messages to other community members. Registered health care providers are able to upload information about their practice as well as respond to questions on the Site. You may also provide UGYN with personal information in order to participate in various activities on the Site such as responding to surveys, subscribing to newsletters, or other mailing lists.

In addition, if you provide your third-party account information to UGYN (e.g., your log-in information for Facebook or other third party social networking sites), you understand that UGYN may receive information about you (including information about friends, connections, contact information and demographic information) from those third party sites and that information may be transmitted into your UGYN account. The information collected by UGYN from the third party sites may depend on your privacy settings with those third party sites. As a result, you should consult the privacy notices or policies of those third party sites.

If you send direct messages or electronic messages through UGYN to other UGYN users or health care providers, please note that UGYN may store these messages in order to deliver them and allow you or the recipient of the message to manage them. UGYN may disclose any of your messages as part of investigations into the use and operation of the Site. UGYN may also choose not to deliver your messages if the messages are spam or are otherwise objectionable in the sole discretion of UGYN.

Cookies Information

When you visit the UGYN Site, we (and third parties with whom we partner) may send one or more cookies - a small text file containing a string of alphanumeric characters - to your computer that uniquely identifies your browser. UGYN uses both session cookies and persistent cookies. A persistent cookie remains after you close your browser. Persistent cookies may be used by your browser on subsequent visits to the Site. Persistent cookies can be removed by following your web browser help file directions. A session cookie is temporary and disappears after you close your browser. You can reset your web browser to refuse all cookies or to indicate when a cookie is being sent. However, some features of the UGYN Site may not function properly if the ability to accept cookies is disabled. The cookies may transmit information about you and your use of the Site such as your browser type, IP address, advertisement data and the date and time of your use of the Site.

UGYN uses cookies to: (a) remember information so that you will not have to re-enter it during your visit or the next time you visit the Site or App (e.g., if you are a registered member of the Site, then UGYN may use cookies to recognize your registration information so that you do not need to log into the Site during your next visit to the Site); (b) provide custom, personalized content and information (including customized advertising); monitor the effectiveness of our marketing campaigns; (d) monitor aggregate metrics such as total number of visitors, pages viewed, etc.; and (e) track your entries, submissions, and status in promotions, sweepstakes, and contests.

Log File Information. When you use the Site, our servers automatically record certain information that your web browser sends whenever you visit any website. These server logs may include information such as your web request, Internet Protocol ("IP") address, browser type, browser language, referring/exit pages and URLs, platform type, number of clicks, domain names, landing pages, pages viewed and the order of those pages, the amount of time spent on particular pages, the date and time of your request, and one or more cookies that may uniquely identify your browser. UGYN collects this information in order to improve the Site.

Web Beacons. When you use the Site, we may employ Web Beacons or "clear gifs" which are used to track the online usage patterns of our users anonymously (i.e., in a non-personally-identifiable manner). In addition, we may also use Web Beacons in HTML-based emails sent to our users to track which emails are opened by recipients. UGYN uses Web Beacons in order to measure the effectiveness of its offerings and content.

Location Information and Device Information. If you are accessing the Site or App from a mobile device or tablet, UGYN may be able to collect your location information if this feature is enabled on your mobile device or tablet. In addition, if you are accessing the Site from your computer, then UGYN may be able to collect your general location information from your IP address. UGYN may use this information to provide you with a personalized user experience by showing you content relevant for your geographic location. If you are accessing the App through a mobile device and you do not want to share your location information with UGYN, then you may be able to turn off this feature on your mobile device. UGYN currently does not respond to "Do Not Track" signals.

How UGYN Uses Information

Use of Voluntary Disclosure of Information. Any personal information or content that you voluntarily disclose on the UGYN Site (e.g., on the UGYN Site discussion boards, in messages and comment areas, within your public profile page, etc.) becomes publicly available and can be collected and used by others.

Your username (not your email address) is displayed to other UGYN community members and health care providers when you submit any content or send direct messages through the Site. You understand that other UGYN community members may contact you through messages and comments.

Any content that you submit to the UGYN Site may be redistributed through the internet and other media channels, and may be viewed by the general public.

Contact its Users. We do not use your email address or other personal information to send commercial or marketing messages without your consent or except as part of a specific program, feature or service for which you will have the ability to opt-in or opt-out. We may, however, use your email address without further consent for non-marketing or administrative purposes (such as notifying you of major Site changes, updates to this Privacy Policy, the Terms of Service, Code of Conduct or for other customer service purposes).

Improve the UGYN Site and Service. We use both your personal information and certain non-personally-identifiable information (such as anonymized aggregated usage data, cookies, IP addresses, browser type, clickstream data, etc.) to improve the quality and design of the Site, the App and to create new features, promotions, functionality, and services by storing, tracking, and analyzing UGYN users’ preferences and trends.

Information Disclosure

Third-party Vendors. We provide personal information and non-personally-identifiable information to our subsidiaries, affiliated companies, or other businesses or persons for the purpose of processing such information on our behalf, including, but not limited to, providing analytics, A/B testing, marketing, or distribution of surveys. We require that these parties agree to process such information in compliance with this Privacy Policy and for the sole purpose of providing the specific service to UGYN. The third-party vendors are not permitted to share the information or use it for any other purpose.

We do not share your personal information (such as name or email address) with other third-party companies for their commercial or marketing use without your consent or except as part of a specific program or feature for which you will have the ability to opt-in or opt-out.

We do share non-personally-identifiable information (such as anonymous aggregated usage data, referring/exit pages and URLs, platform types, number of clicks, etc.) with interested third-parties to assist them in understanding the usage patterns for certain content, services, advertisements, promotions, and/or functionality on the Site or App.

If you submit your name, email address, telephone number, treatment desired and questions or comments through a form on a specific health care provider’s profile page, then UGYN will disclose this information to the health care provider identified on the form. In addition, if you submit your mobile phone number through this form, then you understand and consent to UGYN sending you text messages. You understand that standard text messaging fees and data rates may apply. The information you provide through this form is not used by UGYN for any other purpose.

Third-party Advertisers, Links to Other Sites. UGYN may allow other companies, called third-party ad servers or ad networks, to serve advertisements within the Site or App. These third-party ad servers or ad networks use technology to send, directly to your browser, the advertisements and links that appear on the Site. They automatically receive your IP address when this happens.

These companies may use information (not including your name, address, email address, or telephone number) about your visits to this and other websites in order to provide advertisements about goods and services of interest to you. UGYN does not provide any personal information to these third-party ad servers or ad networks without your consent or except as part of a specific program or feature for which you will have the ability to opt-in or opt-out.

However, please note that if an advertiser asks UGYN to show an advertisement to a certain audience (for example, women ages 35-49) or audience segment (for example, women ages 35-49 who have viewed certain content) and you respond to that advertisement, the advertiser or ad-server may conclude that you fit the description of the audience they are trying to reach.

You should consult the respective privacy policies of these third-party ad servers or ad networks. This privacy policy does not apply to, and we cannot control the activities of, such other advertisers or web sites.

We may release personal information and/or non-personally-identifiable information if required to do so by law, or in the good-faith belief that such action is necessary to comply with state and federal laws or to respond to a court order, subpoena, or search warrant.

UGYN also reserves the right to disclose personal information and/or non-personally-identifiable information that UGYN believes, in good faith, is appropriate or necessary to enforce our Terms of Service, take precautions against liability, to investigate and defend itself against any third-party claims or allegations, to assist government enforcement agencies, to protect the security or integrity of the Site or App, and to protect the rights, property, or personal safety of UGYN, our users or others.

In the Event of Merger, Sale, or Bankruptcy. In the event that UGYN or the Site are acquired by or merged with a third party entity, we reserve the right, in any of these circumstances, to transfer or assign the information we have collected from our users as part of such merger, acquisition, sale, or other change of control. In the unlikely event of our bankruptcy, insolvency, reorganization, receivership, or assignment for the benefit of creditors, or the application of laws or equitable principles affecting creditors rights generally, we may not be able to control how your personal or non-personal information is treated, transferred, or used.

You may, of course, decline to submit personal information through the Site or App, in which case UGYN may not be able to provide certain services to you.

You may update or correct your personal profile information and email preferences at any time by visiting your account profile page. You may also close your account by emailing Community Support here. UGYN will disassociate your content from your account but please note that content submitted by UGYN users to the Site (including, but not limited to, reviews, comments, questions and responses to questions) may not be removed and the content remains subject to our Terms of Service. In addition, UGYN will continue to retain certain information about you in accordance with the privacy practices in this policy.

To protect your privacy and security, we take reasonable steps (such as requesting a unique password) to verify your identity before granting you profile access or making corrections. You are responsible for maintaining the secrecy of your unique password and account information at all times.

Please be aware that if you include personal information as your username or in a review, comment, question or any other content publicly available for anyone to view on the Site, then other users (including health care providers) may be able to identify you from this information. Also, any messages that you send to other users through the Service may not be private or confidential if either you or the recipient of the message discloses it to another person.

Please contact UGYN with any questions or comments about this Privacy Policy, your personal information, your consent, or your opt-in or opt-out choices using our Contact Us form.

Data Security

UGYN uses commercially reasonable physical, managerial, and technical safeguards to preserve the integrity and security of your personal information. We cannot, however, ensure or warrant the security of any information you transmit to UGYN, the Site or the App and you do so at your own risk. Once we receive your information, UGYN makes commercially reasonable efforts to ensure the security of our systems. However, please note that this is not a guarantee that such information may not be accessed, disclosed, altered, or destroyed by breach of any of our physical, technical, or managerial safeguards.

If UGYN learns of a security systems breach, then we may attempt to notify you electronically so that you can take appropriate protective steps. UGYN may post a notice on the Site if a security breach occurs. Depending on where you live, you may have a legal right to receive notice of a security breach in writing. To receive a free written notice of a security breach (or to withdraw your consent from receiving electronic notice) you should notify us using our Contact US form.

Childrens’ Privacy

Protecting the privacy of children is especially important to UGYN. For that reason, UGYN does not knowingly collect or maintain personal information or non-personally-identifiable information from persons under 18 years of age, and no part of the Site, App or Service is directed to persons under 18. If you are under 18 years of age, then please do not use or access the Site, App or Service at any time or in any manner.

If UGYN learns that personal information of persons under 18 years of age has been collected without verified parental consent, then UGYN will take the appropriate steps to delete this information.

For users outside the United states, the Site, App and Service are hosted in the United States. If you are accessing the Site, App or Service from outside the United States, please be advised that the information you provide UGYN may be transferred to, processed and stored in the United States where the UGYN servers are located and our central database is operated. You acknowledge and understand that the data protection and other laws of the United States might not be as comprehensive as those in your country. Through your continued use of the Site, App or Service (which are governed by U.S. law, this Privacy Policy, and our Terms of Service), you consent to the transfer of your personal information to the United States.

Changes to this Privacy Policy

This Privacy Policy may be revised periodically and this will be reflected by the "effective date" below. Any changes to this Privacy Policy will take effect 30 days after they are posted. If we make any material changes in the way in which your personal information is collected, used or disclosed, then we will notify you through the Site or by email before the changes take effect. If you object to any of the changes, then you can close your account. Please revisit this page to stay aware of any changes.

Please contact UGYN with any questions or comments about this Privacy Policy using our Contact Form. In addition, you may also contact UGYN by writing to us at the following address: 

UGYN, Inc. Attn: Legal, P.O. Box 18268, Oklahoma City, OK - 73154

 

Date Last Modified: This Privacy Policy was last modified on August 12, 2017.

Urogynecology is a relatively new subspecialty of obstetrics and gynecology. It has grown out of need. Urogynecologists focus on the care of women with bladder issues and symptomatic pelvic floor relaxation.

For time immortal, there has been a need for therapies to treat the problems women face that are related to childbirth, aging, and the forces of gravity. When women go through pregnancy and vaginal delivery, the organs of the pelvis are stretched and rarely return to their pre-baby state. These effects are amplified by age, a genetic predisposition, and other medical conditions such as diabetes. When the uterus and vagina lose their normal support, they begin to fall.  They can even fall outside of the vaginal opening. This phenomenon is called pelvic floor relaxation or prolapse. There are several different types of prolapse.  [link to types of prolapse]  For years, the best treatments doctors had to offer for these issues were exercises, open abdominal surgeries with large incisions and difficult recoveries, or the use of pessaries. Pessaries are devices that must be worn constantly to physically push the organs back up into the vagina and hold them in place.


Enter the DaVinci Surgical Robot.

Surgical robots were originally developed by the military with the idea that a surgeon could operate on a wounded soldier from a remote location, sort of like flying a drone. What has evolved is totally different. The robots are now used by surgeons sitting at a console in the same operating room where the patient is. The advantage the robots offer is that surgeons can do very delicate surgeries inside the abdomen through very small poke holes rather than through large incisions. The result of all that is that the patients can have less blood loss, less post-operative pain, and require fewer days in the hospital. In fact, the surgical robot actually makes some surgeries much more practical than their open counterparts have always been. Specifically speaking, the gold-standard surgery for uterine prolapse is the sacrocolpopexy, which has traditionally been performed through a large incision in the abdomen.  

 

Robotic Sacrocolpopexy

The Robotic Sacrocolpopexy is performed mostly by urogynecologists. It is done in conjunction with a robotic hysterectomy in women with utero-vaginal prolapse. It is also done alone in women who have previously had a hysterectomy and now have vaginal vault prolapse. [link to types of prolapse]  In a Robotic Sacrocolpopexy, from inside the abdomen, a Y-shaped piece of flat surgical mesh is used. The arms of the “Y” are sewn to the front and back of the vagina respectively and the stem of the “Y” is sewn to a ligament on the inside of the sacrum (lower part of the spine attached to the pelvic bones.) This procedure lifts the vagina back into the pelvis and securely holds it there. This surgery has a high success rate, higher than most other prolapse surgeries, making it the gold standard surgery for the treatment of uterovaginal or vaginal vault prolapse. When indicated, a procedure for urinary incontinence can be done at the time of a sacrocolpopexy. [link to types of urinary incontinence]


 

Benefits:

The primary benefit of this surgery is obvious. It is that the patient’s pelvic organs are no longer falling out of the vaginal opening.

Improved Comfort:

The women who have had these procedures report that they are more comfortable both mentally and physically when not having to deal with the constant vaginal pressure and discomfort.

Peace of Mind:

This obviously goes with the above topic, but women are happier after these surgeries, because they no longer have the anguish that goes along with constant worry about feeling less feminine, poor sexual performance, and embarrassment.

Improved Urination: 

Another less obvious benefit is improvement in urination. By pulling the vagina back into the pelvis, the urethra (the tube from the bladder to the outside) is pulled back into a more normal alignment allowing more normal urine flow, without obstruction. This can improve the bladder’s ability to empty and reduce the risk of urinary tract infection.

Improved sexual intercourse is not guaranteed, but is often reported by patients. It only makes sense that if the vagina is held firmly back inside the pelvis instead of falling out, vaginal intercourse would be easier and more gratifying for all parties involved. Many patients report this sort of result. However, in a small percentage of cases, the implanted mesh can erode through the vaginal wall making intercourse uncomfortable for male sex partners. Also, any prolapse repair procedure, not just sacrocolpopexies, can lead to discomfort with intercourse, but fortunately, these problems are the exception rather than the rule.

 

Robotic Uterosacral Ligament Suspension. 

Another surgical option for uterovaginal prolapse that can be done robotically is a uterosacral ligament suspension.  In this surgery, the surgeon ties the upper part of the vagina to a pair of ligaments in the pelvis called the uterosacral ligaments.  These ligaments lie on either side of the lower part of the sacrum and are in part responsible for suspension of the top of the vagina.  This is done with suture. No surgical mesh is used. It has the same goals and benefits as the Sacrocolpopexy. The main difference is that many studies have found the Uterosacral Ligament Suspension has a slightly lower long-term success rate when compared to the sacrocolpopexy. One of the benefits of this procedure is that since there is no mesh used, mesh erosion is never an issue.

 

Surgeries Often Performed in Conjunction with Robotic Lift Surgeries:

  • Anterior Colporrhaphy
  • Posterior Colporrhaphy
  • Urethral Sling

Other surgeries are often performed together with one of the above procedures. If the patient has a weak front vaginal wall and her bladder is bulging into her vagina, this is called a Cystocele. The surgery for this is called an Anterior Colporrhaphy (commonly known as an Anterior Repair). If her back/posterior vaginal wall is weak and the rectum is bulging into her vagina, this is called a rectocele. For this, the patient might need a Posterior Colporrhaphy (Posterior Repair). If the woman leaks urine when she coughs or laughs, it is called Stress Urinary  Incontinence. The most common surgery for that is a Urethral Sling procedure to help prevent urine leakage.

The sub-specialty of Urogynecology has grown rapidly since the introduction of the surgical robot, but not all Urogynecologists are firm believers in robotic surgery. Some of these doctors still prefer open procedures because that is what they have experience doing.