Care Personalized to Every Patient

Care Personalized to Every Patient

Pelvic Floor Disorders (PFDs) refer to specific problems with the urinary bladder or reproductive organs, such as urinary incontinence, pelvic organ prolapse and female sexual dysfunction. These disorders can negatively impact quality of life, and many are highly treatable.

The Female Pelvic Medicine and Reconstructive Surgery (FPMRS) Division and Center for PFDs at Montefiore Medical Center provide state-of-the-art diagnosis and therapy for women with PFDs.

The Center for PFDs provides comprehensive clinical care including diagnostic testing, surgery and non-surgical management. Advanced diagnostic testing, such as multichannel video urodynamics and cystourethroscopy, are performed conveniently on site.


Compassionate Expert Care for a Broad Spectrum of Pelvic Floor Disorders

We provide patient-centered care to hundreds of women each year affected by disorders of the pelvic floor. The Female Pelvic Medicine and Reconstructive Surgery Division has fellowship-trained surgeons from both gynecology and urology, and offers minimally invasive (vaginal, robotic and laparoscopic) surgical options, offering care for the following conditions:

  • Bladder pain syndrome or interstitial cystitis
  • Fecal incontinence
  • Female sexual dysfunction (desire/arousal disorders, pain with intercourse)
  • Fistulas involving the vagina or urinary tract
  • Menopausal disorders
  • Neurogenic bladder (in both men and women)
  • Overactive bladder syndrome (frequent urination, urinary urgency, nocturia)
  • Pelvic organ prolapse (vaginal bulge)
  • Postpartum pelvic floor disorders (birth trauma)
  • Sensory and emptying abnormalities of the bladder
  • Urinary incontinence (urine leakage)

We Provide a Complete Range of Treatment Options

We perform complex surgeries including procedures for stress urinary incontinence, pelvic organ prolapse, reconstructive procedures (including fistula repair, urethral diverticulectomy), and management of mesh complications.

The Female Pelvic Medicine and Reconstructive Surgery Division also offers a range of management options for patients with incontinence and overactive bladder syndrome, including OnabotulinumtoxinA (Botox), sacral neuromodulation, and percutaneous tibial nerve stimulation.

When needed, we collaborate with pelvic floor physical therapists and colorectal surgeons to provide the best possible care to all patients.


Improving Care Through Continued Research

The Female Pelvic Medicine and Reconstructive Surgery (FPMRS) Division works closely with research scientists to develop innovative treatment strategies and to deepen understanding of the underlying mechanisms of pelvic floor disorders.

We participate in several nationally funded grants to better learn more about the pathophysiology of pelvic floor disorders, including bladder pain syndrome and overactive bladder syndrome.

Our clinical research projects are wide-ranging and include disparities in FPMRS care, applications of telemedicine in FPMRS, use of mobile technology in the management of fecal incontinence, association of frailty with pelvic floor dysfunction and more.

By publishing our findings in peer-reviewed journals, we are continuing to help redefine the highest standards of care.


Committed to Educating Medical Students, Residents and Fellows

Our center fosters a collaborative approach, providing the ideal environment for trainees to be exposed to all areas of diagnosis and treatment of pelvic floor disorders.

Our division supports the Female Pelvic Medicine and Reconstructive Surgery fellowship accredited by the American Board of Obstetrics and Gynecology and the American Board of Urology.

Schedule a Consultation

To inquire about a Pelvic Floor Disorders consultation, call:


Meet the Female Pelvic Medicine and Reconstructive Surgery (FPMRS) Team
Melissa Laudano, MD
Pelvic Floor (Urology)
Nitya Abraham, MD
Pelvic Floor (Urology)
Yvette Duchein, NP
Pelvic Floor
Paula Keatley, NP
Pelvic Floor


Urology at Montefiore Einstein

The Department of Urology at Montefiore provides the most current therapies and treatments available for urologic care. From addressing general urology needs to comprehensive multidisciplinary cancer care, we treat each patient as an individual within a comfortable setting.

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Awards & Grants
2022 Society of Urodynamics, Female Pelvic Medicine & Urogenital Reconstruction (SUFU) Podium Award
The Absence of Pannexin 1 Channels Attenuates Early Effects of Diabetes on the Mouse Bladder
Nicole Roselli MD MBA, Yi Wang PhD, Marcia Urban-Maldonado BS, Melissa Laudano MD, Sylvia Suadicani PhD
Department of Defense (DoD) W81XWH1910288 Lamb, LE (PI) “Deployable Interstitial Cystitis Urine Diagnostic Technology Development”
$100,000 per year for 3 years
Co-PIs: Nitya Abraham MD, Melissa Laudano MD
Society of Urodynamics, Female Pelvic Medicine & Urogenital Reconstruction (SUFU) Foundation Grant “Molecular urine analysis before and after treatment for overactive bladder”
$12,500 per year for 2 years
Co-PIs: Nitya Abraham MD, Sylvia Suadicani PhD