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the f ull ra nge of options ava i lable for women's pelvic hea lth. "A huge component of how I ma nage m a ny of my pat ient s i s pelv ic f loor physica l t herapy, which ca n address incontinence, pelvic organ prolapse and pa in — ma ny t y pes of issues for which women see me." Dr. Na r i ns is work i n g w it h pelv ic f loor physica l therapists at Crouse to ma ke sure t hat , toget her, t he hea lt h system ca n of fer the most up-to-date a nd adva nced treatments. SURGERY AND SAFET Y W hile a ll options for treatment a re on the table, robotic sacrocolpopex y, a sur- ger y to address pelvic organ prolapse, is an important tool that Dr. Narins brings to Crouse Hea lt h . T he lapa roscopic procedure involves pulling the top of the vagina up and securing it to the tailbone, with a bridg ing piece of surg ica l mesh. She a lways reviews potentia l complica- tions related to mesh with patients. The mesh used in sacrocolpopex y is simila r to that used for hernia repa ir. " The complications for mesh from sacrocolpopex y a re signif ica ntly lower t h a n t he c ompl ic at ion s for v a g i n a l mesh," Dr. Na rins says. BUILDING A TEAM Sa fet y, in genera l, is a major focus a s Dr. Na r i ns bu i lds her su rg ica l tea m at Crouse Hea lth. It 's not about hiring new p e ople but a b out ke epi n g s u r - ger ies a s shor t a nd st a nda rd i zed a s possible, reduci ng t he time patients spend under a nesthesia . "Like a ny industr y, whether it 's the a irline industr y or ma nufacturing or whatever, repetition leads to h ig her qua lit y," she says. That 's why physicia ns a re pa r ticula r about the operating room setup, such as patient positioning, the correct number of surg ica l tools a nd even the way that X-rays a re ta ken. " W hen you bring a lot of cases to a particular hospital system and you work with the sa me people, a ll those little things help you make the surgery as suc- cessful as possible," Dr. Narins says. "An experienced team helps provide the safest and most efficient care for each patient." RESEARCH D r. Na r i n s a l so i s plea sed w it h t he potentia l for f uture resea rch at A MP Urolog y a nd Crouse Hea lth. " We h a v e a v e r y n i c e r e s e a r c h div ision here at A MP," she says. " We have t he volu me of patient s a nd t he infra str ucture; my hope a nd my pla n going for wa rd is that I w i ll be able, if my patients w ish, to involve t hem in resea rch for new treatment s or new uses for existing technolog y." T o l e a r n m o r e a b o u t w o m e n ' s health services at Crouse Health, visit crouse.org/services/womens-services. n Meet the Physician: Hadley Narins, MD Position: Urologist at Associated Medical Professionals of NY; developing the Female Urology and Pelvic Reconstruction Program at Crouse Health Fellowship: Female Urology and Pelvic Reconstruction at Minnesota Urology Residency: Urology (four years) and gen - eral surgery (one year) at SUNY–Buffalo Medical Degree: Thomas Jefferson University in Philadelphia " I am well-versed in multiple treatment modalities we have to offer patients. I have good experience, and I am very comfortable using various treatment methods to provide individualized care for each patient." — HADLEY NARINS, MD, UROLOGIST AT CROUSE HEALTH M D N E W S . C O M /// M D N E W S C E N T R A l N E W Y O R K ■ 2 018 1 5