(973) 322-9998
About the Center
The Center for Urogynecology of Saint Barnabas Medical Center
specializes in the treatment of pelvic organ prolapse, urinary
stress and/or urge incontinence, overactive bladder, voiding
dysfunction, fecal incontinence, chronic pelvic pain, including
interstitial cystitis and other urogynecologic problems. An experienced
medical team offers patients both conservative and surgical approaches.
Physician Biography
 Jeffrey
L. Segal, M.D.
Director, The Center for Urogynecology of Saint
Barnabas Medical Center
Dr. Segal graduated from Jefferson
Medical College, Thomas Jefferson University
and completed his residency training at Saint Barnabas Medical
Center. He completed his fellowship training in urogynecology
and reconstructive pelvic surgery at Good Samaritan Hospital
in Cincinnati, OH. He is a highly trained clinical instructor
and researcher. As an undergraduate, Dr. Segal received a B.S.
in Economics with a major in Health Care Management from The
Wharton School, University of Pennsylvania.
Areas of Treatment
The Center offers comprehensive evaluation and treatment with
a variety of therapies, including behavioral modification, pelvic
floor rehabilitation, biofeedback, bladder re-training, medications,
transurethral injections, vaginal inserts and minimally invasive
surgery.
Pelvic organ prolapse is a relaxation of pelvic structures,
which may lead to extreme discomfort and a protrusion of
tissue from the vaginal opening. Problems with sexual activity,
as well as bowel and bladder dysfunction, may occur. The
Center can help women achieve long-term success by re-supporting
tissues and restoring normal function, many times through
a vaginal approach.
The Center offers comprehensive evaluation and treatment with
a variety of therapies for women who experience urinary incontinence,
which is a lack of bladder control.
Therapies may include:
• behavioral modification
• pelvic floor rehabilitation through exercises, biofeedback
and bladder re-training
• medications
• injections of urethral bulking agents
• vaginal inserts
• minimally invasive surgery
Patients considering surgery have access to minimally invasive,
same day procedures, including tension-free vaginal tape (TVT)
and newer transobturator approaches. In some cases, a specialized
pacemaker (Interstim) can be implanted in the back and used
to treat urge incontinence that does not respond to medication
and nonobstructive voiding dysfunction.
Bladder function is regulated by a group of nerves at the base
of the spine. By stimulating these nerves with gentle
electrical impulses, a person’s bladder activity can
be changed. Percutaneous Tibial Nerve Stimulation (PTNS)
is an emerging office-based, minimally invasive treatment designed
to indirectly stimulate the nerves responsible for bladder
control using the tibial nerve found in the lower leg.
This FDA-approved procedure is carried out in the office over
the course of several sessions. Using the Urgent® PC Neuromodulation
System to deliver the PTNS treatment, a very thin needle is
inserted near the tibial nerve which is then connected to a
battery powered stimulator for a period of 30 minutes. The
stimulation causes impulses to travel from the tibial nerve
to the base of the spine.
Chronic pelvic pain is a common problem among women. It may
arise from the bladder, such as interstitial cystitis; from
a gynecologic problem, such as endometriosis; or from the bowel,
as in irritable bowel syndrome. A variety of diagnostic tests
are performed and therapies with the greatest chance for success
are selected.
Contact Us
The Center for Urogynecology of Saint Barnabas Medical Center
Contact Information:
- Located at Saint Barnabas Medical Center, Suite 401, East
Wing, Old Short Hills Road, Livingston, New Jersey 07039
- Please call (973) 322-9998 for information or an appointment
Directions
Click here for directions
to the Center for Urogynecology of Saint Barnabas Medical Center.
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