A Growing Commitment to Pelvic Health Patients

Hoag has expanded its unique Pelvic Health Program, treating pelvic floor issues in both women and men with a growing team of care providers. Bringing together surgeons, physical therapists and other pelvic health specialists provides an integrated, comprehensive approach to the treatment of sexual dysfunction, urinary incontinence, bowel disorders, pelvic pain and pelvic organ prolapse.

Leah Nakamura, M.D., and Elizabeth Arcila, M.D., have joined the program, bringing specific surgical expertise to Hoag’s renowned non-invasive treatment options. Dr. Nakamura is double board-certified in urology, and female pelvic medicine and reconstructive surgery. She specializes in urinary incontinence, pelvic organ prolapse and surgical mesh complications. Colorectal surgeon Dr. Arcila brings fellowship training to fecal incontinence and other bowel issues.

“A lot of patients have had to live with these issues for many, many years and the negative impact on their life tends to worsen over time. They’ve been evaluated by their primary care doctor, and have been given medication which has not solved the problem,” said Dr. Arcila. “By the time they come to a colorectal specialist, they have given up on fecal incontinence ever being fixed.”

By “fixing,” or at least mitigating, these often debilitating disorders, Hoag’s Pelvic Health Program is able to improve a patient’s quality of life.

“Some of these patients have been staying home and not socializing,” Dr. Arcila said. “After they receive treatment, they are able to go outside and not be embarrassed.”

Though the program has expanded to include a more formal collaboration with surgeons, the first-line of care remains Hoag’s exceptional pelvic floor physical therapists.

“Our physical therapists are not only highly specialized and trained in treating pelvic floor disorders, this is what they do 100 percent of the time,” said Salpi Salibian, M.S., PA-C, clinical director of Hoag Pelvic Health Program. “For a patient who might be feeling a sense of stigma over their bowel, bladder or sexual dysfunction issues, being accepted and cared for with that level of expertise and compassion is important.”

These world-class services Hoag offers in Newport Beach and Irvine have global reach. Recently, gynecologic oncologist Lisa Abaid, M.D., and her surgical team traveled to Bolivia on a medical mission offering their time and expertise to help women with similar complex gynecological conditions.

That level of outreach and commitment to patient care is what attracted Dr. Arcila to join Hoag following her fellowship. She has been particularly impressed with Hoag’s commitment to purchasing the most state-of-the-art equipment available to properly diagnose and treat pelvic floor disorders. Surgical treatments range from minimally invasive procedures such as bulking material injections, which help to increase the closure in the urethra or anus, and sacral nerve stimulators that help to stimulate pelvic nerves in order to improve bladder or bowel function – to more advanced surgeries such as anal sphincter repair.

“Hoag’s focus on improving an individual’s quality of life is really working,” Dr. Arcila said. “I saw how the goals of the Pelvic Health Program fit with my training and with the needs of the community.”

For more information, call 888-838-8920.