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Urogynecology

Dr. Jeffrey Hantes has always taken an interest in urinary bladder dysfunction and pelvic orgimg-urogynecology-21an prolapse. His continued research of the disorders and developments in treatment make him an expert in the field. After years of extensive training, he is considered an authority on the disorders and can perform both classic and cutting-edge treatment procedures.

Choosing an experienced, compassionate physician for the treatment of bladder dysfunction or pelvic organ prolapse is imperative. The field is highly specialized and doctors must undergo extensive training before treating patients for these disorders.

Dr. Hantes’ office is uniquely situated to deliver complete care for women presenting with Pelvic Organ Prolapse and Urinary Bladder Dysfunction. His scope of practice includes the treatment of Uterine Prolapse, Vaginal Wall Prolapse (cystocele, rectocele, enterocele), Urinary Incontinence (stress, urge, mixed), Fecal Incontinence, and Interstitial Cystitis (painful bladder syndromes). In addition, Dr. Hantes provides advanced laparoscopic and vaginal techniques offering patients less invasive surgical approaches.

In-office Sonography, multi-channel cystometrics/urodynamics, cystoscopy, and bio-feedback are available to provide a complete evaluation without the need for additional referrals. Extensive patient education is provided in a comfortable environment dedicated to health care for women.

Having the ability to treat both gynecological and urological problems without the need for additional referrals provides convenience for you and your family.

A sample of procedures preformed by Dr. Hantes:

  • Treatment of Urinary Incontinence (leaking with coughing, laughing, or exercise) using the Transobturator Mid-Urethral Sling procedure. This procedure does not require hospitalization and the patient may return to work in 3 days. Using the Transobturator approach results in less pain when compared to the older Transvaginal approach.
  • Treatment of Uterine Bleeding using in office ablation. Uterine ablations can be done in the office or outpatient facility under light sedation. The procedure takes less than 10 minutes to perform and no incisions are required. Patient must not desire future fertility.
  • Treatment of Uterine / Vaginal Prolapse using advanced vaginal mesh techniques to achieve superior results as compared to older surgical techniques. These procedures are highly evolved representing the latest techniques available.
  • Laparoscopic Hysterectomy to remove the uterus on an outpatient basis.
  • Advanced Vaginal Hysterectomy. Removing the uterus vaginally in patients with fibroids, or prior cesarean section.

In addition to the above procedures, the following conditions and treatments are offered:

  • Treatment of Urinary Bladder Dysfunction including urgency incontinence and Interstitial Cystitis
  • Urinary Bladder evaluation using multichannel Cystometrics
  • Advanced Uroflow Diagnostics & Pelvic Rehabilitation
  • Urinary Bladder Biofeedback training

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Please refer to bellow for a more complete list of procedures and treatments of pelvic organ prolapse:

  • Anterior Repair or Anterior colporrhaphy 
    A vaginal procedure to reestablish the supports between the bladder and vagina to fix a cystocele (bulging of the urinary bladder into the vagina) . The old procedure used suture to pull the tissue together to repair the hernia. Today a synthetic mesh or organic graft material is placed to reinforce this repair
  • Paravaginal repair (vaginal or abdominal approach) 
    Similar to the Anterior Repair but the support of the vaginal wall is achieved by attaching it to the pelvic sidewall. A synthetic mesh or organic graft material is placed to reinforce this repair
  • Posterior Repair or Posterior colporrhaphy 
    A vaginal procedure to reestablish the supports between the vagina and rectum to fix a rectocele (bulging of the rectum into the vagina). The old procedure used suter to pull the tissue and muscles together resulting in an anatomically incorrect repair that can cause pain during intercourse. Today a synthetic mesh or organic graft material is placed to reinforce this repair
  • Supracervical Laparoscopic hysterectomy (with or without removal of Fallopian Tubes and Ovaries ) or LASH Procedure Remove the uterus, leaving the cervix by laparoscopic technique.
  • Total Laparoscopic Hysterectomy 
    removal of the uterus (including the cervix) and possibly the tubes and ovaries through a laparoscopic approach
  • Total vaginal hysterectomy (with or without removal of Fallopian Tubes and Ovaries) Remove the uterus (including the cervix), tubes and ovaries through a vaginal incision.
  • Bilateral salpingo/oophorectomy or BSO
    Removal of tubes and ovaries
  • Uterosacral ligament suspension 
    Suspend the top of the vagina to the uterosacral ligaments, one of the original supports of the uterus and vagina.
  • Sacrospinous vaginal vault suspension 
    A vaginal procedure that attaches the top of the prolapsed vagina to a ligament in the pelvis. An anatomically incorrect repair resulting in the vagina being pulled to one side of the pelvis.
  • Sacral colpopexy 
    A procedure (performed abdominally or laparoscopically) that attaches the top of the prolapsed vagina to the sacrum using either synthetic mesh or cadaveric material.

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Please refer to bellow for a more complete list of procedures and treatments of Stress Urinary Incontinence:

  • Suburethral sling 
    Placing a “strap” of material under the urethra to support it and prevent stress incontinence. The sling material can be synthetic or natural. The natural material can be taken from your own body or from cadavers.
  • Periurethral injections
    Injection of material next to the opening of the bladder in an effort to prevent stress incontinence. This procedure is performed in the office.
  • Tension-free vaginal tape sling TVT 
    A special type of suburethral sling that requires a less invasive procedure, which allows it to be performed under light sedation on an outpatient basis. This procedure brings the sling material through the vagina and exiting the abdominal wall. It results in more patient discomfort in my opinion than the Transobturator Mid-Urethral Sling procedure
  • Transobturator Mid-Urethral Sling procedure TOT 
    A special type of suburethral sling that requires a less invasive procedure, which allows it to be performed under light sedation on an outpatient basis. This procedure requires 3 small incisions and has been tolerated by patients very well.
  • Neuromodulation/Interstim
    This is a new approach in the treatment of the overactive bladder, urinary retention and urinary frequency. Electrodes are surgically inserted into the nerves that control the bladder.

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Meet Dr. Hantes

dr-jeffrey1Dr. Hantes has years of experience working in the fields of gynecology and urogynecology. He attended medical school and completed his residency at the University of North Texas Health Science Center at Fort Worth, where he also served as a professor for five years. Residents were able to work with underprivileged and high-risk patients, treating difficult and complex cases.

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