Getting to Know . . .
John Judd, MD, Urogynecologist
Midwest Urogynecology, LLC

Providing Treatment for Urinary Incontinence or Pelvic Prolapse Issues
Improving Women’s Quality of Life


If you are in need of a caring professional with the specialized skills, training, and experience in urogynecologic surgery to assist you by implementing his vast knowledge and in conjunction with the latest technology and medical equipment, Dr. Judd is available and focused on improving the quality of women’s health and lives.

One of just a few specialists in this burgeoning area of care, Dr. Judd is a native of Abilene, TX, and a second generation physician. He initially earned a bachelor of science in electrical engineering from Duke University in Durham, NC before realizing his passion to help others through medicine. He attended the University of Texas Southwestern Medical School in Dallas, and went on to complete a residency in Obstetrics and Gynecology at Ochsner Medical Center in New Orleans.

Dr. Judd pursued specialized training in Female Pelvic Medicine and Reconstructive Surgery at Duke University Medical Center. After completing his subspecialty fellowship training, Dr. Judd joined the Department of Obstetrics and Gynecology at Washington University in St. Louis, where he served as an Assistant Professor of Female Pelvic Medicine and Reconstructive Surgery before relocating to Des Peres Hospital to establish Midwest Urogynecology, LLC.

“I’m sometimes asked what a urogynecologist does,” Dr. Judd reports. “A urogynecologist receives specialized training to diagnose and treat women with pelvic floor disorders (PFDs) and are experts in the evaluation and treatment of conditions that affect the female pelvic organs and the muscles and connective tissues that support the organs. They also, if need be, offer additional expertise in vaginal and pelvic floor surgery.”

A urogynecologist like Dr. Judd can improve the quality of life by offering comprehensive treatment for female incontinence or prolapse issues. He is one of about four practicing urogynecologists in the St Louis area.

“Most patients have a strong interest in our level of experience. They prefer that a surgeon who fixes their problem does the procedure as often as five times a week rather than someone who does it only five times a year. Our main goal is to care for patients and provide them with the timely, personalized service they deserve. We’re bringing our patients the same kind of medical care they would receive in a large medical center while providing the same responsiveness and care as your local doctor.”

Conditions and Treatment
“If you are suffering from urinary incontinence or pelvic prolapse, you are not alone. One in four women experiences pelvic problems at some point in her life – incontinence being among the most common. We are here to help with a variety of treatment options and procedures geared towards correcting urinary and prolapse conditions in women.”

“When muscles or ligaments stretch or become weak, they are no longer able to support the uterus and pelvic floor, causing prolapse. Uterine prolapse occurs when the uterus sags or slips from its normal position and into the vagina or birth canal, and sometimes out of the vaginal introitus.”

Symptoms of uterine prolapse include:
• Feeling like you are sitting on a ball
• Vaginal irritation or increased discharge
• Problems with sexual intercourse
• Seeing the uterus or cervix coming out from the vagina
• Pulling or heavy feeling in the vagina
• Difficulty with bowel movements
• Recurrent bladder infections

Vaginal Prolapse
Commonly associated with childbirth, the top, bottom or sides of the vagina can fall toward the vaginal opening, causing pressure, difficulty emptying the bladder or even a protrusion from the introitus.

Common factors that may cause vaginal prolapse include:

• Childbirth (especially multiple births)
• Genetics
• Menopause
• History of abdominal straining
• Hysterectomy
Symptoms of vaginal prolapse may include:
• Pressure in the vagina or pelvis
• Painful intercourse
• A lump at the opening of the vagina
• A decrease in pain or pressure when lying down
• Recurrent urinary tract infections

Urinary Incontinence
“Many women experience involuntary loss of urine called urinary incontinence (UI). Some women may lose a few drops of urine while running or coughing. Others may feel a strong, sudden urge to urinate just before losing a larger amount of urine. Some women may experience a combination of symptoms. These common urinary conditions range in severity.”

“For some women, the risk of urine loss keeps them from enjoying many activities with their family and friends. Women experience UI more commonly, up to twice as often as men, and factors such as pregnancy and childbirth, menopause, and the structure of the female urinary tract account for this difference. Women can also become incontinent from neurologic injury, birth defects, obesity, stroke, multiple sclerosis, and physical problems associated with aging. Older women experience UI more often than younger women. But urinary incontinence is not a normal part of aging, and many treatment options exist.” “Incontinence is among the most under-reported condition of people over 50 years of age in this country. There seems to be a stigma about it which is unfortunate. We have some remarkable treatments that will allow you to get out and not have to constantly worry about where the nearest bathroom is located.”

Stress Incontinence
“Stress incontinence involves involuntary leakage of urine when pressure within the abdomen increases suddenly, as in coughing, sneezing, exercising, running, jumping or heavy lifting. Symptoms of these urinary conditions can range from a few drops lost to a larger flow.”

Overactive Bladder (OAB)
“Also known as urinary urgency, a sudden, involuntary contraction of the muscle in the wall of the bladder which results in the inability to stop urine loss.”

Symptoms of OAB may include:
• Frequent urge to urinate
• Frequent urination (8 or more times in 24 hours)
• Inability to stop urination
• Involuntary loss of urine immediately following an urgent need to urinate
• Disrupted sleep

Defecatory Dysfunction
“Some people may experience difficulty emptying the bowels which may occur even with frequent visits to the bathroom and even with normal stool consistency. This may be functional (related to the course and structure of the passage) or neurologic (relaxation and contraction of muscles from nerve signals) in nature. We offer advanced testing and treatment options to address these issues.”

Vaginal Mesh Complications
“Patients who have previously undergone a surgical procedure to repair stress incontinence or prolapse may have had vaginal mesh placed as part of that repair. In some instances, this mesh can cause inflammation and pain following surgery that fails to resolve over time. Additionally, the mesh product may at times become visible in the vagina, bladder or rectum through a process of erosion or extrusion.”

Symptoms of vaginal mesh complications may include:
• Palpable mesh product in the vagina
• Pelvic pain and painful intercourse
• Recurrent urinary tract infections (UTIs) or vaginal infections

If you are currently suffering from any of these urinary conditions, Dr. Judd and Midwest Urogynecology will work with you, providing both surgical and non-surgical urinary treatments for women in the St. Louis and surrounding areas. Just check your insurance and then call his office at 314.596.9955 for an appointment or additional information.

Dr. Judd and Midwest Urogynecology
Dr. Judd and his wife, a pediatrician, have two children and reside in Olivette. The antics of Tober, the family’s rambunctious puppy, keeps their home filled with laughter.

Dr. Judd is looking forward to meeting as many Kirkwood-Des Peres Area Chamber of Commerce members as possible. Please introduce yourself to him at an upcoming Chamber meeting. In the meantime, you can learn more about Midwest Urogynecology at http://www.midwesturogyn.com