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  • Laura Hagedorn, ARNP, MSN

    Lake Nona 9679 Lake Nona Village Place Suite 101 Orlando, FL 32827 Phone: 407.261.2934 Medical Education University of Phoenix, MSN

  • Cynthia Peschong, ARNP, MSN

    Longwood 550 East State Road 434 Longwood, FL 32750 Phone: 407.381.7367 Biography Mrs. Cynthia Peschong is a board-certified and licensed Advanced

  • Julie Howard, ARNP, FNP-C

    Clermont 17325/17327 Pagonia Drive Clermont, FL 34711 Phone: 407.905.6009 Fax: 407.905.6010 Medical Education Masters of Science, Nursing,

  • Urinary Disorders - Incontinence

    Urinary continence disorders come in several varieties:

  • Pelvic Organ Prolapse

    Cystocele – bulging of the bladder into the vagina Rectocele – bulging of the rectum into the vagina Enterocele –

  • Diagnostic Hysteroscopy

    A hysteroscopy is a procedure performed to visualize inside the uterus.  The procedure is typically performed to identify causes for abnormal uterine bleeding and irregular periods such as the growth of fibroid tumors or uterine polyps.  We can perform this procedure in our office as well as in the operating room.

  • Bladder Instillations

    Bladder instillations are used to place numbing medications into the bladder for temporary pain relief due to interstitial cystitis.  This procedure may also be performed to test for bladder mucosal sensitivity. First the urethra is cleaned with betadine soap.  A small catheter is placed in the bladder. Through this catheter a mixture of anesthetic medications is placed.   The entire procedure is done in the office setting.

  • Abdominal Myomectomy

    The size and location of the incision will depend on the size and number of fibroids you have.  The abdominal approach is usually reserved for patients with a large number of fibroids, or very large fibroids.  The advantages of the Abdominal myomectomy in this setting is that it allows the surgeon the ability to actually feel the uterus and allows the surgeon to find fibroids deep inside the uterus that may not be visible just by looking.  The disadvantages are a longer hospital stay, longer recovery period,greater risk of blood loss, and pain.  Patents typically require a 48 to 72 hour hospital stay.

  • Intra Uterine Device Placement

    An intrauterine device(IUD) is a T-Shaped contraceptive device placed inside the uterus.  The procedure is performed in the office.  There are two types of IUD’s the paragard IUD (Copper, hormone free) and the Mirena IUD (releases progesterone to the uterine lining daily).  The paragard last for 10 years and the Mirena for five years.  Both can be removed prior and are a long-term form of reversible contraception.  Not all patient’s are optimal candidates for IUD placement, this will be determined at your visit.

  • Laparoscopic Excision of Adhesions

    If you have history of chronic abdominal orpelvic pain and history of prior surgery, endometriosis, pelvic inflammatory disease (PID) or inflammatory bowel disease (Crohn’s, Ulcerative Colitis, Diverticulitis) you may have scarring (adhesions) inside your abdomen.  After reviewing your medical history and performing an exam you may be advised to have a Laparoscopic Excision of Adhesions.