top of page

Steve Rivera, M.D.

Contact Us

MĀlama

Urology

image_2c0dd400.png

COMPREHENSIVE MANAGEMENT OPTIONS

We offer individualized treatment plans that may include:

  • Behavioral modification

  • Pelvic floor physical therapy

  • Medical management-medications

  • Office-based procedures

  • Outpatient minimally invasive surgery

    • Abdominal

    • Pelvic

WHO WE TREAT

Conditions Treated

[01]

Urinary Incontinence

  • Stress incontinence

  • Urge incontinence (overactive bladder)

  • Mixed incontinence

  • Overflow incontinence

  • Urinary fistulas

​

generated_da81b25d260169bb.png

[02]

Pelvic Organ Prolapse

  • Cystocele (bladder prolapse)

  • Rectocele

  • Enterocele

  • Uterine prolapse

  • Vaginal vault/apical prolapse

generated_eabc1b1d3e3c1317.png

[03]

Voiding & Bladder Dysfunction

  • Voiding dysfunction

  • Neurogenic bladder

  • Urinary retention

  • BPH / prostate obstruction

generated_9b74140c5437fc26.png

[04]

Urethra, Bladder, & Ureteral Trauma 

  • Urethral stricture

  • Urethral diverticulum

  • Urethral cysts and lesions

  • Mesh complications

  • Fistulas to the vagina, bladder, urethra, ureter​​

  • Ureteral Stricture or fibrosis

generated_5023cd1090c242a4.png
kailua beach hawaii sunrise which could also serve as a banner for a website.jpg

WHAT TREATMENTS WE OFFER

Surgical Expertise

[01]

Minimally Invasive & Robotic Surgery

  • Robotic sacrocolpopexy (colpopexy)

  • Robotic fistula repair

  • Robotic bladder augmentation

  • Robotic ureteral reconstruction

  • Robotic hysterectomy

  • Robotic partial or total cystectomy (for benign conditions)

  • Robotic partial or total nephrectomy

generated_047004bd348837a1.png

[02]

Pelvic Organ Prolapse Surgery

Vaginal Repairs

  • Anterior colporrhaphy

  • Posterior colporrhaphy

  • Combined anterior/posterior repair

  • Colpocleisis

 

Abdominal / Robotic Repairs

  • Sacrocolpopexy

  • Complex apical reconstruction

generated_1950c9f5eba93d98.png

[03]

Incontinence Surgery

  • Midurethral sling (synthetic)

  • Autologous fascial sling

  • Urethral bulking injections

    • Polyacrliamide hydrogel

generated_bcf3533c64ff4b1e.png

[04]

Urethral Surgery

  • Primary urethroplasty

  • Buccal mucosa urethroplasty

  • Urethral diverticulectomy

  • Urethral cyst excision

  • Urethral lesion excision

generated_fd1619c0e595e7ca.png

[05]

Reconstructive Surgery

  • Vaginal fistula repair (robotic or vaginal)

  • Bladder fistula repair (robotic)

  • Ureteral reconstruction

  • Mesh removal or revision

  • Bladder augmentation

generated_cc9585da6d49ea95.png

[06]

Neuromodulation & Advanced Bladder Therapies

  • Sacral nerve stimulation

  • Peripheral nerve evaluation (PNE)

  • Percutaneous tibial nerve stimulation (PTNS)

  • Tibial neuromodulation

  • Bladder chemodenervation (Onabotulinum toxin)

generated_281c14cd576c597a.png
bottom of page