Dr. Eilber shares the advantages to having an elective cesarean section.
Elective C-section is very much a hot topic in the lay public these days. The advantages obviously are you really minimize your risk, if any, of having pelvic floor disorders, mostly prolapse. It is not unusual for women who have never had either pregnancy or delivery to have incontinence after menopause, but that’s typically just the stress incontinence and not the prolapse.
Even if a woman has a very small baby, depending on how her pelvic floor anatomy is, she still may have quite a bit of trauma, and there are some small women who have very large babies and never have problems. The issue is we cannot predict which women are going to have problems.
Generally speaking, people tend to be what their mothers are. So if I have a patient who comes in and says, “My mother had a lot of problems, you know, I am really concerned. Should I ask for an elective C-section?” I think that’s reasonable. However, every woman has to make her own decision.
About Dr. Karyn Eilber, M.D.:
Dr. Karyn Eilber, M.D., is one of the few board certified female urologists in the Los Angeles area that is fellowship trained in the treatment of incontinence, voiding dysfunction, and female pelvic reconstruction. Dr. Eilber received her medical degree from the University of California, Los Angeles School of Medicine and completed a urology residency and fellowship also at UCLA.
Following fellowship training, Dr. Eilber joined the Department of Urology at Memorial Sloan-Kettering Cancer Center where she gained extensive experience in pelvic reconstruction following cancer treatment and treating male incontinence after prostatectomy. Since returning to California, her practice is focused on vaginal reconstruction and the treatment of both men and women for incontinence and voiding dysfunction.