Prolapse Specialist

Dr. Daniel Stone, MD FACOG

Urogynecologist located in Phoenix, AZ

Dr. Daniel Stone, MD is one of the leading experts in the surgical and non-surgical management of  Pelvic Organ Prolapse. Dr. Stone can diagnosis and provides management options for pelvic organ prolapse to patients in the Phoenix, Scottsdale and surrounding Arizona areas.

Pelvic Organ Prolapse Q & A

  • What is Pelvic Organ Prolapse?

    Pelvic Organ Prolapse (POP) is a very common problem in women that is due to a weakening of the pelvic floor muscles and connective tissue. Due to this weakening, the pelvic organs start to fall down into the vagina, similar to a hernia. Women often begin to feel or see this tissue as the condition worsens. 

  • What are the symptoms of Pelvic Organ Prolapse?

    Common complaints include:

    • Bulge or pressure sensation
    • Not being able to wear a tampon
    • Vaginal dryness or irritation
    • Difficulty emptying the bladder or having a bowel movement
    • Urinary incontinence or leakage with coughing, laughing, or sneezing or with urgency
    • Overactive Bladder symptoms including urinary urgency, urinary frequency and nocturia (getting up at night)

  • Are there different types of Pelvic Organ Prolapse?

    Pelvic Organ Prolapse can further be broken down into which organs are prolapsing into the vaginal space.

    • Cystocele or urethrocele (Anterior vaginal wall prolapse): This is when the front of the vagina sags downward allowing the bladder and urethra to drop from their normal positions

    • Rectocele (Posterior vaginal wall prolapse): This is where the back wall of the vagina bulges upward allowing the rectum to bulge into the vaginal space

    • Enterocele: This is where the support at the top of the vagina weakens, allowing bowel into the vagina

    • Uterine prolapse: This is where the uterus has lost support allowing the uterus to slide down into the vaginal space
    • Vaginal Vault Prolapse: This is where the upper support of the vagina weakens in someone who has had a hysterectomy, allowing the vaginal walls to drop down

  • How common is Pelvic Organ Prolapse?

    It is very common and about 1/3rd of women in their lifetime will have a procedure done for prolapse or incontinence. About half of women have higher than stage 2 prolapse.

  • What are the risk factors and causes of Pelvic Organ Prolapse?

    The most common causes of Pelvic Organ Prolapse include:

    • Pregnancy, labor, or childbirth especially vaginal births or large babies.
    • Aging and/or menopause
    • Chronic cough
    • Obesity
    • Constipation and straining
    • Smoking
    • Repetitive heavy lifting
    • Prior hysterectomy
    • Genetics
    • Connective Tissue Disorders

  • Can Pelvic Organ Prolapse be prevented?

    Overall, prevention strategies have not been well studied. However, there are several prevention strategies that provide other health benefits and may additionally help to prevent prolapse, including avoiding constipation, avoiding repetitive heavy lifting, and weight loss. 

  • How is Pelvic Organ Prolapse (POP) diagnosed?

    It is diagnosed by someone like Dr. Stone who specializes in this condition. During the exam, he will take measurements to determine someone's stage of prolapse.

  • What are the conservative treatments for Pelvic Organ Prolapse (POP)?

    Lifestyle and Behavioral changes:

    • Avoid chronic straining by avoiding constipation and repetitive heavy lifting
    • Keep your weight in a normal range and lose weight if you are overweight.
    • Quit smoking

    Pelvic floor muscle exercises (Kegels): Doing these exercises can help improve mild prolapse symptoms. Dr. Stone can also refer you to a specialized physical therapist that specializes in this area.

    Vaginal Device (Pessary): A pessary is a special device that is typically made of silicone and can be inserted into the vagina to support the pelvic organs. Dr. Stone's office carries a variety of different shapes and sizes of pessaries and a fitting can be scheduled at your convenience. 

  • What happens if I don't do anything with my Prolapse?

    The good news is prolapse is not life-threatening and most women can live without any life-threatening consequences. However, prolapse will likely slowly worsen as time passes and when it reaches its maximal stage it can often lead to chronic urinary tract infections and kidney infections which can be life-threatening. 

  • Are there surgeries that can be done to fix my prolapse?

    There are several different types of surgeries that can address prolapse, all of which Dr. Stone specializes in.

    Reconstructive

    • Apical Suspensions address the lack of support at the top of the vagina. There are two main types with several variations with each type.
      • Sacrocolpopexy is a procedure where a strip of mesh is attached from the vagina to a strong ligament near the tail bone. Dr. Stone specializes in performing this procedure through small incisions in the abdomen (Laparoscopically). This is typically done after a hysterectomy but can also be done with leaving the uterus in place.
      • Uterosacral Ligament or Sacrospinous Ligament suspension procedures are typically performed through a vaginal incision and no mesh is used. Dr. Stone would then attach the top of the vagina to your own ligaments with suture material. This can be done with or without removing the uterus.
    • Cystocele Repair (anterior repair): This is a vaginal procedure where Dr. Stone strengthens the tissue supporting the bladder by bringing in tissue on the side and suturing it in place. No mesh is used in this procedure. It is often down with an apical suspension.
    • Rectocele Repair (posterior repair): A vaginal procedure where Dr. Stone strengthens the tissue between the rectum and vagina by bringing in tissue from the side using suture. No mesh is used in this procedure. This is often down with an apical suspension.

    Obliterative (Vaginal Closure)

    • Colpocleisis: These procedures are used to close the vaginal space by sewing the walls together. This can be done with or without a hysterectomy. This procedure has one of the highest success rates but also means that the patient cannot have intercourse in the future.

Testimonials

Debra
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"He actually took the time and listened to me. After the exam he told me that he wanted to try another pessary before committing to surgery. He fit one in and it worked! I haven't felt this good in years. I'm so so grateful to him!"
Madeline
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"He is one of the most caring docs I've ever been to. I've been struggling with this problem for years and have been to 3 docs before I saw him."
Sandy
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"Dr. Stone is a really good doctor. After I had the urethra sling surgery Dr Stone called me at home to see how I was doing. The office staff is good. Dr Stone's nurse Iris is really good she returns calls. I will refer my family and friends to this office."
Debra
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"Dr. Stone has been wonderful. I was very hesitant at first to see a man but he put me completely at ease. I was able to speak to him about my problem with leakage. He discussed several options and gave me choices which I loved. Eventually I decided on surgery. The surgery went well and I finally have my life back again."
Tina
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"I highly recommend him. I will be referring all my loved ones if ever they develop problems."
Betsy
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"He put us at ease about the surgery by really explaining the procedure in detail to me, my husband and my daughter. He made me feel like I was his only patient."
Joyce
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"Awesome!! Would give him 10 stars!!!!! Dr. Stone took the time to fully explain medical procedures. He patiently answered all my questions."
Alice
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"His bed-side manner put me at ease discussing a very embarrassing topic. I'd recommend him to anyone."
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Major Insurance Providers Accepted

We accept most insurance policies for your convenience. Please contact your insurance carrier to verify your individual benefits and any copays or coinsurance that are part of your plan. Patients are responsible for notifying our office if a specific plan requires precertification, preauthorization, or a referral (especially HMOs). Please call the phone number on the back of your insurance card to verify your provider network participation as insurance carriers change policies often.

Schedule your appointment with Dr. Stone today

One of our staff members will contact you directly. If you have any concerns requiring immediate attention, please don’t hesitate to call us at 602-788-1521.

Dr. Stone is also offering Telemedicine visits. Call to schedule today.

Office location

Valley Urogynecology Associates

1616 East Maryland Avenue

Phoenix, Arizona 85016-1302

Office Hours: Monday-Friday from 8 AM – 5 PM

Main: (602) 788-1521

Fax: (602) 688-5420

Conveniently located just off Highway 51 on Maryland Avenue just East of 16TH Street between East Bethany Home Road and East Glendale Avenue.