When you need more than Emsella
Not every pelvic floor problem is solved with Emsella. For some women, specialized treatment is the right next step, and it’s available right here in Midland, with no need to leave town.
Options offered by Dr. Doke at Midland Women’s Clinic
Dr. Doke, OB/GYN at Midland Women’s Clinic, offers medical and surgical care for bladder leaks, urgency, prolapse and other pelvic floor problems. Which option, if any, is right for you depends on your evaluation.
Medical treatment
For many bladder and pelvic floor concerns, the first step is medical treatment. After an evaluation, Dr. Doke can talk with you about non-surgical options that may fit your symptoms, alongside or instead of Emsella.
Midurethral sling for stress urinary incontinence
For leaks with coughing, sneezing, laughing or exercise, a midurethral sling is a minimally invasive procedure that places a narrow strip of material beneath the urethra to support it during those moments of pressure.
Prolapse surgery
Pelvic organ prolapse is when the bladder, uterus, rectum or top of the vagina drops from its normal position, which can cause a bulge, pressure or heaviness. Surgery restores support, and the right approach depends on the type and degree of prolapse and your goals.
Robotic-assisted prolapse repair
For some types of prolapse, repair can be performed with the Da Vinci® robotic surgical system, which lets the surgeon operate through small incisions. Whether a robotic approach suits you is decided together at your evaluation.
Bulkamid® urethral bulking
Bulkamid is a soft hydrogel injected into the wall of the urethra to help it close more fully, with no incisions. It is used for stress urinary incontinence in women whose urethra does not close as firmly as it should (intrinsic sphincter deficiency), including stress-predominant mixed incontinence (Bulkamid safety information).
Axonics® sacral neuromodulation
A small implanted device sends mild pulses to the sacral nerves, which help control the bladder and bowel. Axonics therapy is indicated for overactive bladder symptoms (urgency, frequency and urge incontinence) and urinary retention when more conservative treatments haven’t worked or weren’t tolerated, and for chronic fecal (bowel) incontinence in patients who have failed or are not candidates for more conservative treatments. A test phase comes first, and the device is placed only if the test works for you (Axonics safety information).
Every treatment has benefits and risks, and results vary. No specific result is guaranteed. Dr. Doke will talk through the options, risks and recovery with you at your evaluation.
Pelvic floor surgery, close to home
During his residency at Vanderbilt, Dr. Doke received extensive training in complex pelvic floor surgery, including surgeries and procedures for urinary incontinence and prolapse, and was involved in research on pelvic floor surgery. Since then, he has managed prolapse and incontinence for women in Midland for more than twenty years.
Dr. Doke was the first surgeon in Midland to operate on the Da Vinci® robotic surgical system, which he helped bring to Midland specifically because of the benefits it offers in prolapse repair.
He also travels to Guatemala to perform gynecologic surgeries at Clinica Ezell, with the focus being primarily on prolapse repair. He serves on the board of directors of Health Talents International, which runs Clinica Ezell and provides surgical care to underserved women throughout Guatemala.
Where Emsella fits
Emsella is FDA-cleared for the treatment of urinary incontinence and is a non-invasive option many women try first. If your symptoms need more, or you have signs such as a bulge or pressure in the vagina, blood in your urine, pain, or trouble emptying your bladder, a medical evaluation is the right place to start.
Learn more about urinary incontinence and pelvic floor therapy options.
Da Vinci® is a trademark of Intuitive Surgical. Bulkamid® and Axonics® are trademarks of their respective owners. These are treatments offered by a physician at Midland Women’s Clinic; they are separate from Emsella and Emsculpt NEO.
Talk with Dr. Doke
Call Midland Women’s Clinic at (432) 699-2370 to schedule an evaluation with Dr. Doke.
Please note: Online booking is only for Emsella, Emsculpt NEO and the free nurse phone consultation. Evaluations with Dr. Doke and regular OB/GYN appointments are scheduled by phone at (432) 699-2370.
Results vary. Not for everyone. See contraindications.