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The Christ Hospital Physicians - Urogynecology

A urogynecologist is a gynecologist or urologist who has received extra training in the specialized care of women with pelvic floor dysfunction. The pelvic floor is the muscles, ligaments, connective tissue and nerves that help support and control the rectum, uterus, vagina and bladder. The pelvic floor can be damaged by childbirth, repeated heavy lifting, chronic disease, previous pelvic surgeries and other causes that are not clearly understood.

Common conditions we treat

Common treatable conditions that occur with pelvic floor dysfunction include:   

  • Incontinence or loss of bladder or bowel control (leakage of urine or feces)
  • Prolapsedescent or droppin of pelvic organs, a bulge and/or pressure; dropped uterus, bladder, vagina or rectum
  • Emptying disordersdifficulty urinating or moving bowels
  • Pelvic paindiscomfort, burning or other uncomfortable pelvic symptoms including bladder or urethral pain
  • Overactive bladder – frequent need to void, bladder pressure, urgency, urgency incontinence, difficulty holding back a full bladder
  • Female sexual dysfunction – difficulty with libido, arousal, pain with intercourse, or loss of bladder control with sexual relations. 

Our providers

Mickey Karram, MD

Dr. Karram is an internationally renowned urogynecologist and pelvic surgeon. He is Board Certified in Obstetrics and Gynecology and completed his fellowship training in Urogynecology and Reconstructive Surgery at Harbor UCLA School of Medicine. He is currently the Director of Urogynecology and Reconstructive Surgery at The Christ Hospital; medical director of The Christ Hospital Pelvic Floor Center; and Clinical Professor of Obstetrics and Gynecology at the University of Cincinnati School of Medicine. He is Editor-In-Chief of the International Urogynecology Journal and the consumer publication Women’s Health Today, and is Past President of the American Urogynecology Society. He has published more than 200 scientific articles and book chapters and has co-authored numerous medical textbooks including “Urogynecology and Reconstructive Pelvic Surgery,” published by Mosby, the “Atlas of Pelvic Anatomy and Gynecologic Surgery,” published by Saunders, and “The Pelvic Surgery Video Atlas,” published by Elsevier. Dr. Karram has directed a number of postgraduate teaching courses throughout the United States and abroad. He has been invited to lecture and perform live surgeries throughout the United States, Europe, Asia, South America, and Australia. Dr. Karram has been designated by Good Housekeeping Magazine as one of the “Best Doctors in America for Women.”

 The Foundation for Female Health Awareness

Dr. Karram is also co-founder (with his wife Mona) of the national, non-for-profit 50l(c)3 “Foundation for Female Health Awareness,” which raises money to support educational endeavors on women’s health, and also funds much needed, unbiased medical research in gender-specific medicine. For more information on the Foundation, visit: www.femalehealthawareness.org.

James Whiteside, MD

Dr. Whiteside is Board Certified in Obstetrics & Gynecology with fellowship training in Urogynecology and Reconstructive Surgery from The Cleveland Clinic. He completed his residency at Brown University/Women and Infants of Rhode Island Hospital and received his medical degree from The Medical College of Georgia. He also holds a Master of Arts Degree in Bioethics and Health Policy from Loyola University Chicago and a Master of Science Degree in Botany from the University of Georgia.

Dr. Whiteside has also served as an associate professor of Obstetrics and Gynecology at the Geisel School of Medicine at Dartmouth where he remains adjunct faculty. He is a member of the American College of Obstetricians & Gynecologists Committee on Ethics and a member of the Health Policy Committee with the American Urogynecologic Society. He’s received numerous accolades, and has been published nationally for his work and research in urogynecology, pelvic floor surgery and bioethics.

Melanie Hungler, PA

Melanie Hungler received her undergraduate degree from the University of Cincinnati and her certificate of Physician Assistant Studies from the Kettering College of Medical Arts. Melanie has worked in the area of urogynecology under the auspices of Dr. Karram for the last eight years. She has developed extensive expertise in evaluating and managing non-surgical treatments for women with lower urinary tract dysfunction, pelvic organ prolapse and female sexual dysfunction. She has extensive experience dealing with chronic pain patients and patients with interstitial cystitis. She has also had extra training in utilizing neuromodulation or InterStim therapy for patients with severe overactive bladder or voiding dysfunction. Melanie has coauthored numerous publications in the area of urogynecology and reconstructive surgery.

Diagnosis and treatment

During your initial consultation, our physicians and staff will discuss with you your medical history, symptoms and any previous testing or treatment you may have had. They may order additional testing and discuss potential treatment options. Almost always, non-surgical treatment options such as medication, behavioral therapy, pelvic floor rehabilitation as well as a variety of other modalities are initially recommended. When surgery is necessary, it can often be done minimally invasively, on an outpatient basis. 

You may also be referred to The Christ Hospital Pelvic Floor Center. This is a unique center—one of only a few in the country—offering a multidisciplinary approach to the diagnosis and treatment of pelvic floor disorders. Urogynecologists, colorectal surgeons, urologists and physical therapists offer a coordinated, team approach to give patients the most comprehensive and advanced care available. You may undergo testing or treatment in the Pelvic Floor Center, or be evaluated there by one or more of our specialists—depending on your symptoms and our recommendations for treatment. Our compassionate specialists are trained to treat the physical, mental and emotional sides of pelvic floor disorders.

Schedule a consultation

Call 513-463-2500 to schedule a consultation at any of our three convenient locations:

  • University Pointe

            7759 University Drive, Suite G
            West Chester, OH  45069

  • The Christ Hospital Medical Office Building

            2123 Auburn Ave., Suite 720
            Cincinnati, OH  45219

  • Northern Kentucky

            1955 Dixie Highway, Suite E1 
            Fort Wright, KY  41011

  • Green Township

            5885 Harrison Ave, Suite 3300 
            Cincinnati, Ohio 45248

We accept most insurance plans. 

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