Since this is a new urogynecology practice, there is currently no waitlist for appointments & surgery
Dr. Maria Giroux is a Female Pelvic Medicine and Reconstructive Surgeon (FPMRS) who provides diagnosis and management of pelvic floor disorders and obstetrical trauma for females at St. Paulâ??s Hospital and the Centre for Obstetric Pelvic Health & Reconstructive Surgery (also known as the Centre for OASIS), located at Suite 250, 2184 West Broadway, Vancouver. Dr. Giroux provides only urogynecological care. Referrals are accepted across the province of British Columbia.
Pelvic Floor Disorders:
Dr. Giroux provides a range of surgical and nonsurgical treatment options for pelvic floor disorders which include pelvic organ prolapse, bladder and bowel dysfunction, menopausal symptoms, pain related to the pelvic floor and urinary tract, and mesh complications. Dr. Giroux provides consultations, investigations (including urodynamics and cystoscopy), treatment (including pessary fitting and care), counselling, and patient education.
Obstetrical trauma:
The Centre for OASIS is a comprehensive clinic with a dedicated pathway for patients with obstetric anal sphincter injuries (OASIS) (3rd and 4th degree perineal lacerations) that provides care for female patients with obstetrical trauma, postpartum pelvic floor disorders, and postpartum pain. Dr. Giroux performs and interprets endoanal ultrasounds (EAUS) in-clinic and provides consistent patient counselling regarding management of complications related to obstetrical trauma and mode of subsequent delivery post-OASIS.
Patients are preferably referred immediately postpartum to enter the pathway, but may be referred at any point in time. This pathway consists of history, physical examination, endoanal ultrasound, anorectal manometry, and patient counselling. Assessments are virtual and inperson. Patients continue to be under the care of their current healthcare provider for the 6-8 week postpartum appointment (for postpartum patients) or antenatal appointments (for antepartum patients). This pathway is in addition to the usual care.
The Role of This Dedicated Clinic for Patients with OASIS Postpartum
- Debrief and discuss the delivery complicated by OASI
- Assess postpartum physical and emotional recovery
- Provide consistent multidisciplinary patient education about obstetrical trauma and postpartum recovery
- Provide early identification and management of complications related to obstetrical trauma such as anorectal symptoms, postpartum pain, postpartum pelvic floor disorders, levator avulsions, and rectovaginal fistula
- Identify and provide counselling regarding prevention of pelvic floor disorders in the future
- Counsel and empower women to make an informed decision regarding mode of subsequent delivery
- Provide management strategies to decrease the risk of recurrence of OASIS with subsequent delivery
- Provide multidisciplinary community referrals
- Provide consistent multidisciplinary patient education about obstetrical trauma and postpartum recovery
- Provide management of complications related to obstetrical trauma
- Identify and provide counselling regarding prevention of pelvic floor disorders in the future
- Counsel and empower women to make an informed decision regarding mode of subsequent delivery
- Provide management strategies to decrease the risk of recurrence of OASIS with subsequent delivery
- Provide multidisciplinary community referrals
- 2 weeks Postpartum Virtual Appointment
- 6-8 weeks postpartum appointment is with the provider who performed antenatal care
- 12 weeks Postpartum In-person appointment
- 6 months Postpartum Virtual appointment
- 12 months Postpartum Virtual or in-person appointment
- Subsequent Pregnancy 28-32 weeks In-person appointment