As the rapidly-evolving response to reduce the spread of COVID-19 coronavirus continues to impact our community, our mission of Professional, Compassionate and Highly Effective Care remains unwavering in these uncertain times. Your health and wellbeing, along with the health of our staff, are of paramount importance.
At present, we are remaining open to best serve our patients and we are taking the necessary precautions to maintain a sterile and safe environment for patient visits. As the situation evolves, we will diligently monitor the progress and continually take decisive action to protect your safety here at our office.
We are taking a proactive approach with extensive precautions to keep you and our team safe during your visit to our office, which includes:
Though we will currently remain open, we encourage our patients to play it safe if they feel apprehensive about leaving the safety of their homes. During this time, we will be taking a fluid approach and may need to change hours, limit the number of patients we see in a day or close if deemed absolutely necessary. However, we would like to reassure you that we will remain open as long as allowable and will continue to provide the highest level of care in a safe and sterile environment.
Because problems with bladder control, pelvic prolapse and other female issues can be difficult to discuss with others, many women suffer in silence, believing these symptoms are a normal part of aging. Others assume they are alone in dealing with these concerns.
With symptoms such as leaking when exercising, sneezing, coughing or laughing, stress incontinence is the most common type, affecting nearly 15 million adult women, or 60% of all cases. It may be caused by weakened pelvic floor muscles or pelvic organ prolapse putting pressure on the bladder.
Stress incontinence is often treated with a multi-faceted approach, including physical therapy, exercise and minimally invasive surgery.
The strong, sudden urge to urinate is also called overactive bladder. This type may be caused by inflammation, bladder outlet obstruction, diabetes, neurological disease, or injury.
Cognitive behavior therapy, diet, medication, electrical stimulation (bladder pacemakers) are among the most effective treatments for urge incontinence.
When a woman has symptoms of both stress and urge incontinence, she is diagnosed with mixed incontinence.
A combination of techniques may be used to treat mixed cases, although sometimes urge symptoms improve once stress incontinence is treated.
Pelvic organ prolapse occurs when the muscles and connective tissues that support the pelvic floor become so weakened that pelvic organs (bladder, uterus or rectum) slip out of their usual positions and protrude into the vaginal canal.
Symptoms include:
More common than many people realize, this condition affects millions of American women. Age is the most influential risk factor, with 56 the average age of noticeable symptoms and half of all women affected by age 80. Additional factors include multiple childbirths, hysterectomy, obesity, constipation, lifting and chronic respiratory disease.
Benign tumors in the uterus, called fibroids, are relatively common among women. Though their exact cause is still unknown, women with a family history of fibroids are at higher risk themselves.
Symptoms include:
Depending on the type and severity of the condition, Dr. Robison may advise noninvasive treatments or minimally invasive surgical options. Dr. Robison specializes in the following surgical treatments:
A hysterectomy is the partial or full removal of the uterus and surrounding pelvic structures, and Dr. Robison is an expert at all forms. A recent study has demonstrated that female pelvic medicine reconstructive surgery specialists have better outcomes for hysterectomies and other gynecologic procedures than basic GYN surgeons. As a FPMRS fellow and one of the highest volume surgeons in southeastern North Carolina, his patients can trust in exceptional outcomes. His expertise in laparoscopic and robotic surgical techniques provide comforting peace of mind, as both are associated with faster recovery times and less pain.
Dr. Robison is one of the highest volume surgeons in the area, approaching 1,000 cases, and has worked for many years as a Robotic instructor. He taught many of the region’s providers how to do robotic surgery, which allows for complex surgeries through extremely small incisions. Patients can expect faster recovery, less bleeding, less pain, and overall improved outcomes. Our practice’s expertise often makes robotic surgery the right solution for fibroids, incontinence, pelvic organ prolapse, and hysterectomies.
Labiaplasty is the treatment of hypertrophy (excess tissue) of the labia minora. This hypertrophy can cause difficulty with menstrual pads, frustration with wearing bathing suits, pain with intercourse, chafing with exercise, and less overall confidence in appearance. Dr. Robison can treat both moderate (1 to 3 cm) and severe (greater than 3 cm) hypertrophy. Other solutions may include medical treatment of the symptoms, such as medicine to shrink the tissue, embolization, myomectomy (removal of fibroids), or a hysterectomy.
“Dr. Robison did surgery to correct my bladder prolapse. He has the best bedside manner and I felt very confident in his care. I recommend him to all of my family and friends!”
– JA 49yo
“Prior to seeing Dr. Robison, I was having to wear pads daily due to urinary incontinence. He did robotic surgery to repair my prolapse and my symptoms have been much better ever since! He always has excellent bedside manner and he listened to all of my concerns. I would recommend him to anyone!”
– YC 68yo
“Dr. Robison is very intelligent and stays up to date on new practices, but most importantly he treats his patients with compassion and has an excellent bedside manner coupled with a great personality. He took excellent care of me when he did my hysterectomy and I have felt great ever since!”
- JI 52yo
Very rare in the medical profession, Dr. Robison is board certified in two women’s health specialties: obstetrics and gynecology (FACOG) and Female Pelvic Medicine & Reconstructive Surgery (FPMRS), also known as urogynecology.
These exceptional credentials assure Dr. Robison’s patients of the highest level of care in addressing many common, but sensitive, issues. His warmth and professionalism provide a comfort level for patients, who can be assured that their concerns will be heard and addressed with dignity and respect.