We primarily treat leakage of urine, pelvic organ prolapse, accidental bowel leakage, fistula, recurrent urinary tract infection, urinary dysfunction, vulvar skin disorders, urinary retention, microscopic hematuria, and chronic pelvic pain conditions.

Dr. de Winter also specializes in vulvodynia, recurrent vaginal infections (yeast/DIV/bacterial vaginitis), and offers surgical sterilization and minimally invasive general gynecology procedures.

We offer treatment of menopausal conditions as a concierge care line only.

Call us at 562-426-4904

Book through the website: Click the “book consultation” link below

Or email us at praxis@praxisurogyn.com

The first appointment takes about 1 hour. During this time we will discuss your condition and you may have a physical examination, evaluation of how well your bladder empties using an ultrasound, and we will discuss possible treatment options.

If surgery is planned, this will require a separate visit with your surgeon to go over the procedure in detail and a preoperative evaluation to be sure you are healthy enough for surgery.

We are located in Long Beach, CA, next to Long Beach Memorial hospital in the Hartley Building. If you are on Long Beach Blvd, you can turn onto Columbia and pull into a parking structure on the left that is next to our building. Parking costs $6 for the day.

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A Urogynecologist is a doctor who specializes in the care of women with pelvic floor dysfunction. A physician with this specialty has completed medical school, a four-year residency in obstetrics and gynecology, and then three years of fellowship training to develop expertise in evaluating and treating women who experience pelvic floor problems. Fellowships include training in female urology, colorectal surgery, advanced gynecologic surgery, and one full year of clinical research. Urologists can also enter this sub-specialty after completing 5-year residency in Urology.

Since we subspecialize, our practice does not typically perform well woman exams or any pregnancy services. Additionally, we do not take care of certain conditions in urology including kidney stones, surgery on the kidneys, male conditions, or bladder/kidney cancers.

Pelvic floor dysfunction encompasses a wide variety of disorders which have a significant impact on your quality of life. Although your primary care physician or obstetrician-gynecologist may have knowledge about these problems, a urogynecologist can offer additional expertise. You should see a urogynecologist when you feel that your quality of life is being impacted by the symptoms of pelvic floor dysfunction or when your primary doctor recommends consultation. A urogynecologist also may be consulted when there is need for special expertise in vaginal reconstructive surgery.

Due to the COVID pandemic, the sensitive nature of the conditions we treat, and liability reasons, we cannot accommodate children in the office for appointments.

One adult is allowed to join if that person helps you make decisions because of memory issues or to aid in discussion of surgery and recovery.