- Arthritis
- Primary CareCTAP will solicit donations and grants from like-minded individuals and organizations that have no ulterior motives other than those of CTAP. CTAP will also write research proposals for unrestricted funding opportunities to increase awareness of how to provide this particular group of patients with better, more compassionate, cost-effective care. CTAP's focus is to end the stigma/embarrassment of these very personal healthcare issues while advocating for primary care providers to ask patients pertinent questions for early interventions. Education is crucial to good decision making both for patients and healthcare professionals.
- Urinary IncontinenceThese are a combination of tests that evaluate the lower urinary tract and provide a specific and accurate diagnosis that increases the chances of successful treatment for urinary incontinence and voiding dysfunctions. For detailed information on urodynamic testing, click here. To see who should have urodynamic testing, click here.
- Diarrhea"I have had what has been diagnosed as bowel incontinence. It is something you would not wish on your worst enemy. It took me two weeks to find the words to describe it to my primary care person. She told me she could not help me with my situation, but she could get me to good people who could help.
- GynecologyKate received her Master’s of Science in Nursing with a midwifery concentration from Columbia University in 1999. She has worked in women’s healthcare in a variety of settings, from obstetrics & gynecology to HIV research, for over 20 years. She recently completed a post-graduate degree in Psychiatric Mental Health from Frontier University School of Nursing. Kate joined CCA in June of 2021 and enjoys offering non-surgical options for prolapse and incontinence.
- Obstetrics
- Endometriosis
- Pelvic Pain
- Labor and DeliveryThe many potential causes and risk factors for fecal incontinence are often difficult to diagnose. Some causes for fecal incontinence are thought to be injured during childbirth, anal operations or injury to surrounding tissue, infections around the anal area, aging, diarrhea, a tumor of the rectum, rectal prolapse, or disease.
- UrologyJoel was raised in Queens, New York, and studied at Saranac Lake, New York. He earned his degree as an Emergency Medical Technician at the American College of Paramedical Arts & Sciences in Anaheim, California, in 1977. He worked as an EMT in Southern California for five years before taking a position at a division of Bristol Meyers specializing in urodynamics and implants in 1982, where he became the Urology Product Manager. In 1986 he founded Advan Medical Products, highly specialized urodynamics equipment and supplies company.
- Interstitial Cystitis
- Multiple SclerosisAnal operations or injury to surrounding tissue can damage the anal muscles and decrease control of bowels. Infections around the anal area may destroy muscle tissue and lead to incontinence. Aging often causes a loss of strength of the anal muscles resulting in a minor problem becoming more significant. Diseases such as multiple sclerosis and diabetes can affect the nerves that go to the anal sphincter and cause incontinence.
- Depression
- Mental Health
- Anxiety
- Diabetes Care
- UltrasoundFurther testing may be done, such as manometry, pudendal nerve terminal motor latency studies, anal ultrasound, and defecography. Manometry is a test where a small catheter is placed into the anus to record pressure as the anal muscles are relaxed and tightened. This demonstrates anal muscle strength and weaknesses. Pudendal nerve terminal motor latency studies help determine if nerves going to the anal muscles are functioning. Ultrasound can provide a picture of the muscles and show areas where the anal muscle has been injured. Defecography evaluates the function of the anal rectal unit during defecation. After diagnosis, your healthcare provider will develop a treatment plan.
- X-Rays
- Chemotherapy
- Radiation Therapy
- HysterectomyPelvic Organ Prolapse (POP) occurs when the female pelvic organs fall from their normal position, into the vagina. Occurring in women of all ages, it is more common as women age, particularly in those who have delivered large babies or had exceedingly long pushing phases of labor. Smoking, obesity, connective tissue disorders and repetitive strain injuries can all increase prolapse risk. Minor prolapse can be treated with exercises to strengthen the pelvic floor muscles; more serious prolapse, requires pessary use or reconstructive surgical treatment. Reconstructive pelvic prolapse surgery may be done without resorting to complete hysterectomy by hysteropexy,[2] the resuspension of the prolapsed uterus.
- BotoxDetrusor Overactivity (Unstable Detrusor): Can be treated with anticholinergic (bladder)medications, behavioral modification, electrical stimulation, pelvic floor muscle rehabilitation using biofeedback and Urgent PC. In severe cases, Interstim may be appropriate or Botox injections.