Advanced Urogynecology & Pelvic Surgery - Dr. Mickey Karram
About Advanced Urogynecology & Pelvic Surgery
The Christ Hospital physician practice of Advanced Urogynecology and Pelvic Surgery is lead by Mickey Karram, M.D. an internationally renowned urogynecologist and pelvic surgeon. 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 secondary to pelvic floor dysfunction include:
- Incontinence or loss of bladder or bowel control (leakage of urine or feces)
- Prolapse – descent of pelvic organs, a bulge and/or pressure; dropped uterus, bladder, vagina or rectum
- Emptying disorders – difficulty urinating or moving bowels
- Pelvic pain – discomfort, 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.
Diagnosis and treatment
During your initial consultation, Dr. Karram or his physician assistant, Melanie Hungler, 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 Center for Pelvic Floor Disorders, where Dr. Karram is one of the medical directors. 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 Center for Pelvic Floor Disorders, 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:
7759 University Drive, Suite G
West Chester, OH 45069
Directions
- The Christ Hospital Medical Office Building
2123 Auburn Ave., Suite 720
Cincinnati, OH 45219
Directions
6900 Houston Road, Bldg. 600, Unit 15
Florence, KY 41042
Directions
We accept most insurance plans.
More about Dr. Karram
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 Center for Pelvic Floor Disorders; 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.
More about Melanie Hungler
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.