Physicians & Departments
When Dr. Daniel Pesch came to Martha’s Vineyard Hospital in 2010 from a position as chairman of the OB/GYN department at a large Chicago hospital, he began referring many of his Island patients to Dr. Neeraj Kohli, medical director of Boston Urogyn. Dr. Pesch’s patients gave glowing reports of their experience with Dr. Kohli and a professional friendship was born.
“My patients have gotten excellent care from Neeraj,” says Dr. Pesch. “He’s so capable – I’ve had nothing but good comments from patients who’ve come back from seeing him.” In fact, says Dr. Pesch, “We’ve been sending so many patients up to Boston, we finally decided: maybe it’s worth bringing him down here.”
That’s just what Martha’s Vineyard Hospital has done, launching a new urogynecology clinic in May that brings Dr. Kohli to the Island for two days each month – doing procedures on Thursdays and seeing patients on Fridays.
Dr. Kohli is a nationally recognized surgeon in the emerging sub-specialty of urogynecology. He founded, and for eight years headed, the Division of Urogynecology and Reconstructive Pelvic Surgery at Brigham and Women’s Hospital in Boston. A Fellow of the American Board of Obstetrics and Gynecology since 2004, he is an assistant professor of OB/GYN at Harvard Medical School, has written dozens of articles in scholarly medical journals, and has been invited to lecture at medical centers and universities across the United States.
Urogynecology, he says, is such a new and rapidly evolving specialty that even its name isn’t entirely settled: “The funny thing is that in the early days, people used to confuse urogynecology with me going to Europe and operating there. Actually, it’s a cross between urology and gynecology. The terminology we now use is female pelvic floor medicine.
“We concentrate on conditions of the pelvic floor, which most gynecologists and urologists may not be familiar with. These include overactive bladder; urinary incontinence and pelvic prolapse; fecal incontinence, pelvic pain syndromes, urinary tract infections, post-mesh complications and fistulas.”
Most of the conditions Dr. Kohli treats are chronic and worsen over time. “As Dan sent me more patients,” says Dr. Kohli, “and got positive feedback from them, we realized there was an under-served community here on the Vineyard.”
Dr. Kohli says the vast majority of the procedures he performs can be done under local IV sedation on an outpatient basis with excellent results. This makes urogynecology an ideal service to be bringing to the Island, where patients can so easily go home after an appointment at the Hospital.
Dr. Kohli makes a few central points in explaining his medical sub-specialty: “First of all, most of these conditions are not a normal part of aging – you shouldn’t have to suffer with them. Second, the vast majority of these conditions can safely and effectively be treated. Finally, we have a range of treatment options from very conservative to a little more aggressive. Our complication rate is less than 5 percent, and our success rate for treatment is probably in the 85 percent range.”