Drs. Triaca, Yi and Marks

Dr. Veronica Triaca, Dr. Cathy Yi & Dr. Brian Marks

Center for Urologic Care

Pelvic Medicine, Continence & Sexual Health

If pelvic floor disorders, sexual function concerns, incontinence, bladder dysfunction or pelvic organ prolapse are impacting your quality of life, the team of pelvic medicine specialists at Concord Hospital Center for Urologic Care's Pelvic Medicine, Continence and Sexual Health Program can offer you a full spectrum of services to diagnose and treat your condition.

They diagnose your condition, form a comprehensive treatment plan and, if needed, consolidate multiple surgical procedures in a single surgery. For you, this collaborative multidisciplinary approach often means fewer appointments, shorter length of treatment and fewer surgeries for urologic and urogynecologic conditions.

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Conditions

  • Endometriosis
  • Fecal incontinence
  • Female sexual dysfunction
  • Female urinary incontinence and dysfunction
  • Fistulas
  • Genital syndrome of menopause 
  • Inflammatory vaginitis 
  • Obstructive voiding and urinary retention
  • Pelvic floor disorders in females
  • Pelvic organ prolapse
  • Post-prostatectomy incontinence
  • Refractory urgency and nocturia
  • Urethral disorders and strictures
  • Urinary tract infections
  • Vaginal/vulvar skin conditions (lichen sclerosis and lichen planus)

Treatments

  • InterStim® Therapy
  • Minimally invasive surgery
  • Robotic-assisted surgery
  • Pudendal nerve block injection
AnneMarie McCormack

AnneMarie's Story

AnneMarie McCormack of New Hampton jokes that before being cared for at Concord Hospital Center for Urologic Care, she could have written a travel guide for roadside rest areas.

Read AnneMarie's Story

You Benefit from an Integrated Approach to Care

When you're a patient of the Center for Urologic Care's Pelvic Medicine, Continence and Sexual Health Program you benefit from an integrated approach to care that involves experts from across multiple disciplines.

  • Urologists
  • Gynecologists
  • Physical therapists 
  • Behavioral therapists
  • Social workers
  • Advanced practitioners
  • Nurse specialists
  • Dietitians
  • Scheduling coordinators

For example, our physical therapists help you cope with bladder and bowel dysfunction and recovery from surgery. Specially trained pelvic floor physical therapists are an integral part of the program. Sheryl Cheney and Stacey Lillios are experts in assessing musculoskeletal disorders affecting the pelvis and collaborate with the Pelvic Medicine Program physicians. Their care pairs with medical and surgical treatment to offer a comprehensive program to successfully manage chronic and complex disorders affecting intimate functions of bladder/bowel elimination and intimacy.

If you're experiencing chronic pelvic conditions or sexual dysfunction you may need behavioral health support. A clinical mental health counselor is available to help you cope with anxiety; post-traumatic stress; or sexual, physical or emotional abuse that might be associated with your condition.

The integrated approach to care means fewer appointments and surgeries, shorter length of treatment and fewer Emergency Department visits.

Advanced Care Treatment Options Benefit You

InterStim® Therapy for Urinary & Fecal Incontinence

When other treatments for urinary and fecal urgency or incontinence fail for you, InterStim® Therapy can help. The therapy involves implanting a small device under the skin that sends mild electric current to nerves that control the bladder and bowel, helping temper false signals of urgency and enabling you to regain control.

Pudendal Nerve Block & Trigger Point Blocks

If you live with a painful condition affecting the pudendal nerve between the anus and testicles or vagina, a pudendal nerve block injection into the nerve is considered the first line treatment for managing symptoms and diagnosing the condition. Trigger point injections involve using a thin needle to break up small deformities in muscles called trigger points that can cause pain in the pelvic region and pudendal nerve.

Minimally Invasive Assisted-Robotic Surgery

If you need surgery pelvic medicine specialists employ minimally invasive robotic-assisted procedures, most often for reconstructive surgery or to repair pelvic organ prolapse, when pelvic organs drop from their original position. Most patients are women, but men also are treated for pelvic pain or for bladder control following prostate surgery.

Complex Vaginal/Vulvar Skin Conditions

Dr. Yi specializes in complex or persistent vaginal/vulvar skin conditions for which previous treatment has not been successful or by referral from primary care providers. These problems affect intimacy, bladder and bowel functions and also can be a precursor for vulvar cancer. They include rare skin conditions (lichen sclerosis and lichen planus), as well as non-infectious inflammatory vaginitis (inflammation of the vaginal lining) and genital syndrome of menopause — various symptoms associated with physical changes after menopause.

Expert Urology Care Close to Home

In addition to its office on Concord Hospital’s campus, the Center’s board-certified urologists practice in New London, Plymouth, and Wolfeboro, making it convenient for you to be seen close to home no matter where you live in Central New Hampshire.

Tracy Tsourus

Choose Your Care with Confidence. Tracy Did.

Tracy Tsouros has experienced pelvic pain for years and both of her children suffer from chronic health conditions. Concord Hospital’s network of doctors and specialists have provided her family access to experts locally who are working to care for all their conditions. Their expertise has allowed Tracy’s children to be active, go to school and play multiple sports and she can go to work to help support her family.

Upcoming Classes & Events

  • Oct
    2
    Wednesday
    5:00 PM - 7:00 PM
    A safe environment for survivors and support persons to explore the impact of cancer on their lives.
  • Oct
    9
    Wednesday
    5:00 PM - 7:00 PM
    Are you a man living with prostate cancer? This program offers you and your loved ones support and education related to your diagnosis.
  • Oct
    14
    Monday
    5:00 PM - 7:00 PM
    If you have lymphoma, leukemia or myeloma this groups is for you and your family members. Get support and education related to your cancer.
  • Nov
    6
    Wednesday
    5:00 PM - 7:00 PM
    A safe environment for survivors and support persons to explore the impact of cancer on their lives.