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Female Pelvic Health

RECENT NEWS:

Dr. Khandwala featured on Fox 2 News Morning!
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Dr. Khandwala performs surgeries in France and Belgium!
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Dr. Khandwala discusses his landmark study on the use of Botox for bladder control on the radio station News/Talk WJR. 


*** Visit our News & Events page for up-to-date information from Advanced Urogynecology of Michigan PC! ***                           ***Our  publication on vaginal mesh surgery Mar 2013: Experienced surgeons have fewer complications and higher success!***
I would like to take this opportunity to introduce you to our practice, Advanced Urogynecology of Michigan P.C. (AUGM).

AUGM is the Center of Excellence for the management of several Female Pelvic Floor Disorders such as Urinary Incontinence, Fecal Incontinence, Uterovaginal Prolapse, Pelvic Pain etc.

Dr. Khandwala is the President of AUGM and the Director of Pelvic Medicine and Surgery at Oakwood Hospital and Wayne State University School of Medicine
. He is an expert in the field of Female Pelvic Reconstructive Surgery and provides state-of-the-art management options for pelvic floor dysfunction disorders.

He has pioneered several surgeries and has one of the largest series of urogynecologic surgical cases in the world. We now provide office-based surgical options for our patients entirely under local anesthesia! We have a strong team of healthcare professionals who will make your visit a complete and comprehensive one. We take pride in calling our patients back within 24 hours to answer any concerns or questions they may have; and remember, there is no "silly question."

As part of the AUGM experience you will also be involved in the AUGM University that will provide you continuing education, breakthroughs and new developments via email. (Please make sure that you provide us your email address). As the office manager, my goal is to make sure your experience at AUGM is pleasant, fulfils or exceeds your expectations, and above all is a safe and successful one.

If you have any questions about your care at any of your visits, you should contact me without hesitation. We value your input. We take not just good but great care of our patients! Again, welcome to our practice, and thank you for choosing us as your providers.

Sincerely,
Management
Advanced Urogynecology of Michigan P.C.
Phone: (313) 982-0200

Center for Excellence in the Management of Female Pelvic Floor Disorders



Pursuit of Evidence-Based Successful Outcomes

Who We Are

We essentially have two separate but intertwined corporations:
  1. Advanced Urogynecology of Michigan P.C. (AUGM) is the clinical practice that is involved with direct patient care.
  2. Michigan Institute of Women's Health P.C. (MIWH) is the research division that conducts clinical trials in the field of Pelvic Medicine. MIWH is involved in several National Institute of Health (NIH) clinical trials. We strongly believe in evidence-based practice.

Our Mission

We shall enhance the health and quality of life of our patients. We shall provide a one-stop-shop for our patients by offering them multi-modal, comprehensive and complete management protocols for pelvic floor disorders. We shall continue to do research of the highest standards in order to provide our patients with Evidence-Based therapeutic choices and not just hand-me-downs.

Our Medical Director

Salil Khandwala, MD FPMRS FACOG is President and Medical Director of Advanced Urogynecology of Michigan P.C.

He is also the Director of Urogynecology at Oakwood Healthcare System. He has received the European Diploma in Operative Endoscopy conferred on him by the University of Clermont Ferrand, France during his two year training there.

He did his fellowship in Urogynecology and Pelvic Reconstructive Surgery at the Greater Baltimore Medical Center and the University of Maryland, Baltimore. He was a Urogynecology faculty at the University of Maryland prior to moving to Michigan in 2002. He has established a strong Female Pelvic Floor Medicine and Reconstructive Surgery program in Michigan and is well recognized by his peers as an authority in the management of urinary/fecal incontinence and genital organ prolapse.
Female Pelvic Medicine and Reconstructive Surgery became an official sub-specialty of Obstetrics and Gynecology in 2013 and Dr. Khandwala is now board certified in FPMRS. 


Dr. Khandwala was the first surgeon to perform the TVT-O transobturator procedure outpatient surgery for incontinence in SE Michigan. He also was the first surgeon in the world to perform the TVT-secur, an ultra minimally invasive surgery for stress urinary incontinence.

At AUGM we have one of the largest series in Vaginal Reconstructive surgery for the management of prolapse in the country. Dr. Khandwala performs uterine preservation surgery for prolapse thereby avoiding a hysterectomy. We are one of the few certified sites in the world that perform incontinence surgery in the office entirely under local anesthesia.

What is Female Pelvic Medicine and Reconstructive Surgery (FPMRS)?

FPMRS is a unique field. It is neither urology nor is it gynecology or a hybrid for that matter. It is a separate field entirely that addresses conditions of the female pelvic floor. It is an American Board of Obstetrics and Gynecology approved sub-specialty.

What do we offer?
Customized treatment protocols that are based upon a complete understanding of the underlying disease condition. The use of the latest technologies helps us come to a precise diagnosis. The patients are channeled along specific, individually tailored pathways be it conservative management, office procedures, pelvic floor therapy or minimally invasive surgeries.


We offer a full spectrum of urogynecologic services that include:

  • Minimally invasive outpatient or in-office management of stress urinary incontinence
  • Outpatient surgeries for uterovaginal prolapse
  • Uterine conservation surgeries for prolapse (no hysterectomies for prolapse)
  • Detailed comprehensive Urodynamic studies
  • Office cystourethroscopy
  • Anorectal manometry and 360° radial anal ultrasound for fecal incontinence
  • Transurethral bulking agent for incontinence management in the office
  • Extensive and dedicated pelvic floor therapy for varied conditions such as urinary and fecal incontinence, prolapse, voiding dysfunction, pelvic pain etc.
  • Botox therapy for refractory bladder conditions
  • Interstim Sacral neuromodulation for refractory Overactive bladder, Pelvic pain and Painful Bladder syndrome and Fecal Incontinence.

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