Procedures

Obstetrics, Gynecology and Urogynecology

Earle M. Pescatore, Jr., DO, MHA, FACOG, FPMRS

Aesthetic Vaginal Surgery

Vaginoplasty or tightening of the vaginal walls for sexual satisfaction by treating the feeling of looseness that can follow childbirth.
Labiaplasty to repair or enhance the appearance of external genitals by reducing the size of the labia minora.
Perineoplasty provides for the tightening or narrowing of the vaginal opening or introitus.
Clitoral hood reduction removes redundant skin from the area surround the clitoris. This surgery does not include the clitoris itself or the nerve supplying this structure.

We carefully assess each patient and tailor our approach to the individual to minimize discomfort and downtime. We are able to combine aesthetic vaginal surgery with prolapse repairs, continence repairs and robotic surgery.

For expert cosmetic vaginal surgery call the Wayne County Hospital Specialty Clinic in Corydon, Iowa at 641.872.5259.

Bioidentical Hormone Therapy

If you are suffering from a hormonal imbalance it may make you feel out of sorts, compounded with other unsettling symptoms of menopause or perimenopause. At the Wayne County Hospital Specialty Clinic, Dr. Pescatore specializes in diagnosing and treating hormonal imbalances brought about by age and other factors affecting both women and men.

Bioidentical Hormone Therapy (BHT) can bring your hormone levels back to normal using a treatment derived from plants rather than synthetic sources. Bioidentical hormones are exactly the same on a molecular level as the hormones (estrogen, testosterone, progesterone, cortisol, dhea, estradiol and estriol) present in the human body.

Symptoms of a hormonal imbalance may include:

Hot flashes
Night sweats
Memory loss
Mood swings
Weight gain
Low libido

Dr. Earle Pescatore will review your symptoms and history and determine the presence of a hormonal imbalance with the assistance of lab tests. Your customized treatment plan will include natural hormone balancing and ongoing monitoring.

If you have a hormonal imbalance and would like to receive a complete evaluation and personalized treatment plan with Bioidentical Hormone Therapy call the Wayne County Hospital Specialty Clinic in Corydon, Iowa at 641.872.5259.

Diagnostic Services

If you suffer from urinary incontinence or fecal incontinence, today’s advanced diagnostic tools help ensure you receive a fast, accurate diagnosis. When the cause cannot be clearly identified by symptoms alone or an outward examination, Dr. Earle Pescatore may prescribe testing to aid in his diagnosis.

Diagnostic Tests that may be performed include:

Urodynamics
Cystoscopy

Urodynamics

Urodynamics refers to normal bladder function and problems in the urinary system that may require urodynamic testing. There are a variety of tests performed to determine your bladder’s function and efficiency. This testing evaluates how well the bladder and urethra perform in the storage and elimination of urine. Your physician will measure the amount of urine eliminated and the rate at which it is expelled. A catheter is then inserted to measure the amount of urine remaining in the bladder. Water may be inserted into the bladder to measure how much liquid is present before you feel the urge to urinate or before involuntary urination occurs.

Cystoscopy

Cystoscopy is a test that allows your physician to view the interior lining of the bladder and urethra using a tiny camera (Cystoscope). This may be performed as part of corrective surgery for incontinence. The camera and light illuminate any abnormalities and tiny instruments are inserted through tubes adjacent to the camera. This minimally-invasive procedure is usually carried out with local anesthesia.

You have options to help ease your discomfort. For expert diagnosis and treatment for incontinence schedule an appointment with Dr. Earle Pescatore. Call the Wayne County Hospital Specialty Clinic in Corydon at 641.872.5259.

Fecal Incontinence

Fecal incontinence or bowel incontinence is the inability to control bowel movements. It is a common condition, affecting millions of women in America. Treatment is available and Dr. Earle Pescatore is experienced in successfully treating fecal incontinence.

Symptoms of fecal incontinence may include a sudden urge to defecate and not being able to get to the toilet in time, or the passage of stool unexpectedly with no feeling that it was coming. There are several possible underlying causes, including:

Damage to the sphincter muscle from childbirth
Chronic diarrhea or constipation due to diet or a gastrointestinal condition
Rectal prolapse, where the rectum protrudes into the anus or vagina
Hemorrhoids

After completing an exam and establishing a diagnosis, fecal incontinence can often be successfully treated with the use of medication, exercise and other conservative treatments. If, however, surgery is required, Dr. Pescatore is skilled in the latest advances of surgical treatment for incontinence. Procedures are often minimally invasive with good outcomes after a short recovery.

Don’t be embarrassed or suffer in silence. If you experience fecal or bowel incontinence, call the Wayne County Hospital Specialty Clinic in Corydon today at 641.872.5259.

Hemorrhoid Therapy

Are you bothered by hemorrhoids and afraid of having surgery? While hemorrhoid creams may provide temporary relief, they are not a permanent solution. Dr. Earle Pescatore offers hemorrhoid therapy using the CRH O’Regan Disposable Hemorrhoid Banding System, a safe, gentle, and non-surgical alternative to hemorrhoid surgery.

Rubber band ligation is a common treatment for hemorrhoids, but traditional banding systems use painful metal clamps. The patented CRH O’Regan System uses suction to reduce the risk of pain and bleeding. As a result, the system removes hemorrhoids without surgery or significant discomfort.

Treats all grades of hemorrhoids
Very low complication rate
Helps patients avoid surgery in more than 98% of cases
Patients can return to work the same day
Effective for men and women

Dr. Pescatore also treats anal fissures, thrombosis, and anal tags with specialized compounded ointments or office-based removal. Call today to schedule your consultation at the Wayne County Hospital Specialty Clinic in Corydon 641.872.5259.

Labiaplasty

Some women experience physical discomfort due to enlarged or asymmetrical labia which can hinder activities or exercise, present difficulty with clothing, result in painful intercourse or aesthetic issues. Treatment is available and labiaplasty is a procedure that can be used to correct this condition. This procedure can be performed on either the labia minora or labia majora. Labiaplasty does more than just address the appearance of the labia. It is important to consider the overall function of the vagina when performing this procedure. Depending on individual circumstances, the procedure can be performed in the office without general anesthesia.

Dr. Pescatore is sub-specialty certified in Female Pelvic Medicine and Reconstructive Surgery. He is an expert in this area, with years of experience reconstructing complex pelvic floor issues.
He takes pride in restoring form and function for you.

Based on your individual desires and needs, this procedure can be combined with a number of additional procedures to complete a “Mommy Makeover” and provide you with an improved sexual experience. Also, labiaplasty can be added to hospital-based surgery such as hysterectomy, incontinence procedures, and pelvic prolapse repair, so you only have one recovery period.

Call today to schedule your consultation with Dr. Earle Pescatore at the Wayne County Hospital Specialty Clinic in Corydon 641.872.5259.

Laparoscopic Hysterectomy

Hysterectomy is a very common procedure in the United States. There are many reasons someone may be a candidate for this surgery. The reasons can be cancerous or non-cancerous (benign). The majority of hysterectomies are done for benign reasons. Dr. Earle Pescatore is dedicated to providing minimally invasive hysterectomy solutions. In more than 90% of cases, Dr. Pescatore is able to provide either a Total Laparoscopic Hysterectomy (TLH) or other minimally invasive solutions.

Minimally invasive surgery often provides several advantages to conventional surgeries. The incisions are smaller, resulting in reduced pain, fewer complications, less scarring and quicker recovery. This allows you to return to your normal activities more quickly. The blood loss during surgery is often less, meaning decreased risk for needing blood transfusions due to post-operative anemia. This approach also provides Dr. Pescatore with improved visualization during the surgery.

For more information and to get answers for your specific condition, please call today to schedule your consultation with Dr. Earle Pescatore at the Wayne County Hospital Specialty Clinic in Corydon 641.872.5259.

Sacral Colpopexy

Sacral Colpopexy is a surgical technique that has been used to repair pelvic organ prolapse for decades. It is often referred to as the “Gold Standard” for pelvic prolapse repair. Mesh is usually used in this procedure because may research studies have demonstrated it is superior to other products such as fascia and cadaveric fascia.

Please call today to schedule your consultation with Dr. Earle Pescatore at the Wayne County Hospital Specialty Clinic in Corydon 641-872-5259.

Surgery Specific for Women

If you need surgery, you can rest assured that Dr. Earle Pescatore provides the most advanced, minimally-invasive procedures available today. With over 28 years of experience, Dr. Pescatore brings expertise and skill, and is committed to staying on the leading edge of women’s health for the well-being of our patients. Dr. Pescatore is a compassionate, caring surgeon who will carefully explain your diagnosis and treatment options and take the time answer any questions you may have about a procedure.

We provide the following state-of-the-art surgical procedures:

Laparoscopy
Colposcopy
Hysteroscopy
Tubal ligation – Essure ®
Endometrial ablation – Novasure ®
LEEP – Loop Electrosurgical Excision Procedure
Vaginal surgery – prolapse repairs
Tubal anastomosis (reversal of tubal ligation)
Hemorrhoidectomy

For the latest advance in gynecologic surgery, call today for a comprehensive evaluation with Dr. Earle Pescatore at the Wayne County Hospital Specialty Clinic, Corydon, 641.872.5259.

Urinary Incontinence

A common problem for women, urinary incontinence, affects more than 33 million Americans. The good news is that treatment is available. There are many causes – and despite what you may think, incontinence is not a normal part of growing older. Dr. Earle Pescatore provides treatment for the cause of urinary incontinence so you can get on with your life without an inconvenient bladder call.

Two common causes of incontinence are pelvic prolapse or support issues, and interstitial cystitis, a condition where the lining of the bladder is inflamed. Dr. Pescatore can determine the cause with our advanced diagnostic services right in our office.

Three common types of urinary incontinence that are regularly treated include:

Stress Urinary Incontinence – caused by weakened or damaged pelvic floor muscles. Unexpected accidents occur when your bladder is stressed, such as when you sneeze, cough or laugh.
Urge Incontinence (overactive bladder) – the result of overactive muscles that contract frequently around the bladder. Symptoms include sudden, overwhelming urges to use the restroom, even if you just went, and inability to hold urine in are indicative of overactive bladder.
Mixed Incontinence – If you experience both of these situations, you may have mixed incontinence, a combination of stress and urge incontinence.

There are several treatment options available, both non-surgical as well as minimally-invasive surgery for patients who need it. If you have an overactive bladder or other type of urinary incontinence, call today for an appointment with Dr. Earle Pescatore at the Wayne County Hospital Specialty Clinic, Corydon, 641.872.5259.

Vaginal Sling

Treating female urinary incontinence requires a thorough evaluation including appropriate diagnostic tests. Determining the appropriate treatment requires an in depth conversation with you, so your treatment goals and expectations can understood. Dr. Earle Pescatore is a skilled surgeon who will provide this detailed approach to determine the best treatment option for you. Dr. Pescatore is sub-specialty certified in Female Pelvic Medicine and Reconstructive Surgery.

For some patients, Vaginal Sling is a potential treatment. There are a number of different Vaginal Sling procedures, and many patients have had excellent results with this surgery. Unfortunately, no procedure is without risks or potential complications.

If a complication occurs with a Vaginal Sling or Pelvic Floor Mesh, it is critical to find an experienced surgeon to help resolve the situation. Dr. Pescatore has treated hundreds of patients with mesh complications, performing hundreds of mesh revision surgeries for patients around the country. Call today for an appointment with Dr. Earle Pescatore at the Wayne County Hospital Specialty Clinic, Corydon, 641.872.5259.

Vaginoplasty

Childbirth, aging, and other activities can adversely affect the function of your vagina. A vaginoplasty or vaginal rejuvenation is a surgical procedure designed to rejuvenate and tighten a woman’s vagina removing excess lining and repairing surrounding soft tissues. Multiple procedures may be utilized to repair individual areas of the vaginal canal. In vaginal rejuvenation, more so than other aesthetic vaginal procedures, function is often the primary goal over pure aesthetics. Dr. Pescatore is sub-specialty certified in Female Pelvic Medicine and Reconstructive Surgery and has been performing complex pelvic floor reconstructions for more than 20 years. Dr. Pescatore takes time to listen to your concerns and apply specific surgical repairs to achieve your desired goals.

Call today for a comprehensive evaluation with Dr. Earle Pescatore at the Wayne County Hospital Specialty Clinic, Corydon, 641.872.5259.