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Kaye Kashanchi

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Urinary Incontinence
Women who do not have control over their bladder may be suffering from a condition called bladder incontinence. Women who have this condition often experience small amounts of urinary leaks when they move around, cough, or hear the sound of running water. Pregnant women may also experience a strong urge to urinate, and may not be able to control it. This condition may develop into something serious and cause more problems for the body when neglected.
What is Bladder Incontinence?
Bladder incontinence is a condition that makes you lose control over your bladder. Statistics show the condition is more common in women than in men. Around 10-25% of women below the age of 65 and 15-30% of women over 60 who are not in nursing homes suffer from this condition.
Less than half of the women with bladder incontinence seek medical care, as some rely on absorbent pads or lifestyle changes to deal with the condition. In most cases, patients don’t inform their doctor about the symptoms. Women suffering from this condition also feel embarrassed and tend to avoid social gatherings or other events.
A common misconception is that this condition is a normal part of aging and doesn’t have any cure. A range of available treatments is available for bladder incontinence. In fact, doctors can provide proper diagnosis and treatment options that will help alleviate the problem and ease its symptoms
How is This Different from Normal Voiding?
Normal urination, also called voiding, is the natural excretion of urinary waste. Unlike in bladder incontinence, the muscles around the urethra relax and contract normally. This allows the bladder to control the flow of urine.
What are the Different Types of Incontinence?
There are three known types of incontinence: urge, stress, and overflow. The most common among the three is urge incontinence. This condition occurs if the detrusor muscle of the bladder is overactive, leading to excessive leakage of urine.
Stress incontinence, on the other hand, occurs if there is too much pressure inside the bladder than in the urethra. Coughing, sneezing, laughing, or any other physical activity may trigger the urine leakage.
Overflow incontinence occurs if the bladder doesn’t empty during normal voiding, which results in a steady leak of small amounts of urine. This condition is less common than the two, and may only occur when the detrusor muscle is less active.
What are the Symptoms?
-Excessive urinary leaks
-Strong urge to urinate (frequency of urinating more than every two hours or more than six times a day)
-Pelvic discomfort
-Nocturia (urge to urinate during hours of sleep)
-Dysuria (pain when urinating)
What are the Causes of Incontinence?
Doctors often attribute the condition to different causes. These may include urinary tract infection, where the bladder and urethra suffers from problems leading to the infection. Damage to organs may also trigger incontinence. This may occur when the pelvic organs are stretched and damage, causing the supporting organs to sag out of place and weaken the bladder, urethra, uterus, and rectum. Abnormalities in the urinary tract and vagina may also trigger the condition. This may result from childbirth, radiation treatment, pelvic surgery, or advanced stages of pelvis cancer.
How Do Doctors Diagnose the Condition?
Diagnosis may vary depending on the patient’s condition. Doctors may require you to submit a detailed medical history and answer questions related to your voiding habits. Doctors may also record the frequency and amount of urine leaks within 24 to 72 hours. You also need to indicate the amount of water or fluids you take daily, and any activity that might have triggered the condition.
You may also need to undergo a pelvic exam to detect other conditions that might be related to incontinence. These may include physicals, stress tests, cystometry, dye test, and pad test. Any loss of urine during these tests will be recorded and evaluated.
What Treatments are Available?
Treatment may depend on the cause and severity of the condition. Doctors may recommend behavioral treatments to help patients regulate voiding. You may need to conduct pelvic muscle exercises and set the time when you can void to improve control and resist the urge to urinate.
Doctors may also recommend medication to control muscle spasms responsible for the urinary leakage. Other drugs and special devises may also help ease symptoms and strengthen the muscles of your urinary tract. If the condition becomes serious, doctors may recommend a surgery.
Delaying treatment may only cause more problems. While you can rely on pads or adult diapers to soak up the urine leaks, these do not necessarily rid the body of the problem. Consult Dr. Kaye and prevent the condition from worsening. Set an appointment to know which treatment options work best for your condition.
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Hysteroscopy – Diagnostic and Operative
Hysteroscopy is a way to look inside the uterus. A hysteroscope is a thin, telescope-like device that is inserted into the uterus through the vagina and cervix. It may help a doctor diagnose or treat a uterine problem.
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Beverly Hills Women's Center
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Outstanding in Obstetrical and Gynecological Services.
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Pap Smear.

Gynecological complications choose no age to strike. Abnormal cells on the reproductive organs may turn into cancerous cells, which may trigger complications like cervical cancer. This is where pap smear can help.
Pap smear is a simple screening test to see if the cells on the cervix are infected or at risk of developing problems. The test is an effective method for early detection of cervical cancer and similar gynecological complications.

Who Can Undergo a Pap Smear?
We recommend the procedure to women above the age of 21. Pregnant women can also undergo the test if they wish to check their cervix for any signs of abnormalities. Women who are over 65 years of age can consult Dr. Kashanchi if they still require the test, unless they’ve undergone total hysterectomy (complete removal of the cervix) in the past.

How Is It Done?
The procedure is quick and relatively painless — it only takes a few minutes to complete. Patients need to lie down on the examination table while our gynecologist inserts a lubricated speculum into the vagina. Using the spatula, our gynecologist will brush the cervix to collect the cells. The cells will be placed on a microscope slide and checked for any signs of abnormalities. If the gynecologist finds traces of an infection or doesn’t have enough cell samples for the test, we recommend repeating the procedure to get accurate results.
Every center follows certain guidelines, but we’ll be more than glad to discuss the procedure and answer any question for your convenience. Set an appointment with Dr. Kashanchi to avoid complications and ensure reproductive health.
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Vaginal Renovation.
The vagina, which had been impaired by the dropped bladder and therefore may have dropped itself, is now free to be lifted back to its own normal position and tightened. Improved sexual satisfaction is often the result of this correction.
Vaginal Rejuvenation for the enhancement of Sexual Gratification
Vaginal Rejuvenation (Vaginal Renovation) is a one hour or less outpatient surgical procedure. The procedure is designed to enhance the feelings of sexual gratification. This is accomplished through a reconstruction process of vital vaginal areas that are essential to sexual gratification; namely the outer third of the vagina, the orgasmic platform, internal and external vaginal diameter (introitus), and perineal body. Vaginal Rejuvenation for the enhancement of sexual gratification is the modification of a standard accepted gynecologic vaginal surgery used throughout the world for the treatment of vaginal relaxation and its associated symptoms, primarily that of stress urinary incontinence (involuntary loss of urine with stress such as exercise, etc.).
Vaginal relaxation is the loss of the optimum structural architecture of the vagina
In the vaginal relaxation process, the vaginal muscles become flaccid with poor tone, strength, and support. The internal and external diameters increase. The muscles of the perineum thin and separate producing a weakened, poorly supported perennial body. Under these circumstances the vagina is no longer at its physiologically optimum sexual functioning state. In short, the sensual side of female sexual gratification is diminished. Thus, vaginal relaxation has a detrimental effect on sexual gratification because of the reduction of sexual feelings or pleasure.
Women are multi-orgasmic. The female sexual response cycle is unimpeded by a refractory period which prevents successive orgasms in the male. Vaginal Rejuvenation was designed to enhance sexual gratification for women who for whatever reason lack an overall optimum architectural integrity of the vagina.
Vaginal Rejuvenation (VAGINOPLASTY)
Vaginoplasty is the aesthetic surgical enhancement of the labia majora, labia minora, mons pubis, introitus and perineum. The emphasis here must be placed on the fact that these procedures are for cosmetic reasons only. They are performed electively only at the request of each individual woman.
The following are actual examples of Vaginoplasty performed at the request of our patients:
-Women with exceptionally long or unequal lengths of the labia minora can have them aesthetically re-sculptured to their specifications.
-Some patients desire to have a more youthful appearing external vagina by having the ends of the labia majora meet in the midline. This can be accomplished with a procedure called a perineorraphy. The perineorraphy can also be used to decrease the opening of the introitus.
-In some circumstances the fatty mounds of the labia majora are thinned out due to age or other factors. These can be enhanced with autologous fat transfer. This is a process by which minimally invasive microsurgical liposculpturing is employed to remove fat from the inner thighs and transplanted to the labia majora to enhance the area for a more natural and youthful appearance.
-Minimally invasive microsurgical liposculpturings can also be used to remove unwanted fatty deposits of the mons pubis and the inner thighs just beneath the vulva to produce an aesthetically pleasing contour.
-The Vaginal Rejuvenation Center, being sensitive to the needs of various ethnic and cultural customs in this area of intimacy and social concern, provides Laser Hymenalplasty for the reconstruction of the hymen.
Urinary Stress Incontinence and functional Gynecological problems Thirty million American women suffer from symptoms of vaginal relaxation. Many women suffer unnecessarily from conditions involving pelvic relaxation. Advanced techniques in laser surgery are a positive option in repair of the supportive tissues of the pelvis and in vaginal reconstruction. Performed on an outpatient basis, vaginal reconstruction is effective in alleviating the uncontrolled leakage of urine, as well as restoring the more youthful resilience of the vagina.
Empowering women with in-depth knowledge and providing effective treatments for overall well-being are the focus of the Beverly Hills Women’s Center. Our certified obstetrician and gynecologist, Dr. Kashanchi provides the latest treatments to all patients. He serves as a clinical professor in the OB/GYN department of the University of Southern California, School of Medicine (USC), and has pioneered advanced techniques for Vaginal Rejuvenation and Laser Labial Reduction (labiaplasty) in Los Angeles.
Many women experience vaginal looseness as a result of childbearing, trauma or simply aging. This loss of muscle tone and stretching of the vaginal opening oftentimes interferes with normal sexual relations. Vaginal Rejuvenation is an effective surgical procedure designed to enhance vaginal muscle tone, strength and control. The minor procedure involves tightening the vagina, resulting in a smaller, more normal sized opening.
Surveys show that many women achieve their sexual best after Vaginal Rejuvenation. While this procedure was designed to heighten a woman’s sexual experience, Vaginal Rejuvenation is actually a modification of a clinically proven gynecological surgical procedure used to correct involuntary urinary incontinence. The outpatient procedure is performed in a dean, comfortable surgical facility. Local, regional or general anesthesia is used, depending on the patient. The minor procedure takes about one hour.
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