{"id":960,"date":"2020-01-25T14:20:53","date_gmt":"2020-01-25T14:20:53","guid":{"rendered":"https:\/\/www.toplinemd.com\/bitran-and-rivera-md-llc\/?page_id=960"},"modified":"2025-01-30T12:44:01","modified_gmt":"2025-01-30T17:44:01","slug":"surgery","status":"publish","type":"page","link":"https:\/\/www.toplinemd.com\/bitranriveratendlermd\/surgery\/","title":{"rendered":"Surgery"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container has-pattern-background has-mask-background fusion-parallax-none nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-background-position:center top;--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:10%;--awb-padding-bottom:10%;--awb-background-image:url(&quot;https:\/\/www.toplinemd.com\/bitran-and-rivera-md\/wp-content\/uploads\/sites\/18\/2020\/02\/Service-Background-1024x341.jpg&quot;);--awb-background-size:cover;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-justify-content-center fusion-flex-content-wrap\" style=\"max-width:1352px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_3_5 3_5 fusion-flex-column fusion-animated\" style=\"--awb-padding-top:20px;--awb-padding-bottom:10px;--awb-bg-color:rgba(144,52,91,0.63);--awb-bg-color-hover:rgba(144,52,91,0.63);--awb-bg-size:cover;--awb-width-large:60%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.2%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.2%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\" data-animationType=\"fadeInDown\" data-animationDuration=\"0.6\" data-animationOffset=\"top-into-view\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-one\" style=\"--awb-text-color:#ffffff;--awb-margin-bottom:15px;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;\"><h1 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:63;line-height:1.1;\"><strong>Surgery<\/strong><\/h1><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling fusion-equal-height-columns\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:5%;--awb-padding-right:5%;--awb-padding-bottom:5%;--awb-padding-left:5%;--awb-background-color:#f7f8fb;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_2 1_2 fusion-one-half fusion-column-first fusion-column-no-min-height\" style=\"--awb-padding-top:5%;--awb-padding-bottom:5%;--awb-bg-size:cover;--awb-margin-bottom:0px;width:50%;width:calc(50% - ( ( 8% ) * 0.5 ) );margin-right: 8%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-column-content-centered\"><div class=\"fusion-column-content\"><div class=\"fusion-title title fusion-title-2 fusion-sep-none fusion-title-text fusion-title-size-two\" style=\"--awb-text-color:#90345b;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;--awb-font-size:46px;\"><h2 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;font-size:1em;--fontSize:46;line-height:1.09;\"><strong>Board-Certified ObGyns in Miami Beach, FL<\/strong><\/h2><\/div><div class=\"fusion-text fusion-text-1\"><p>The board-certified OB\/GYNs at Bitran, Rivera &amp; Tendler, MD, have the training, expertise, and experience to perform state-of-the-art gynecological surgical procedures. We realize that the prospect of gynecological surgery can be disconcerting. That\u2019s why we first listen to your concerns and thoroughly explain your treatment so that you understand what it entails.<\/p>\n<pre class=\"tab tcy\"><\/pre>\n<p>Throughout the process, we provide caring support because your health, comfort, and well-being are our number one priority. Our doctors perform surgery at Mount Sinai Medical Center, either as inpatient or outpatient surgery.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_2 1_2 fusion-one-half fusion-column-last fusion-column-no-min-height\" style=\"--awb-padding-top:5%;--awb-padding-bottom:5%;--awb-bg-size:cover;width:50%;width:calc(50% - ( ( 8% ) * 0.5 ) );\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-column-content-centered\"><div class=\"fusion-column-content\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-0 fusion_builder_column_inner_1_5 1_5 fusion-one-fifth fusion-column-first fusion-no-small-visibility\" style=\"--awb-padding-top:46px;--awb-padding-right:20px;--awb-padding-bottom:46px;--awb-padding-left:20px;--awb-bg-color:#90345B;--awb-bg-color-hover:#90345B;--awb-bg-size:cover;--awb-margin-bottom:0px;width:20%;width:calc(20% - ( ( 0 ) * 0.2 ) );margin-right: 0px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-column-content-centered\"><div class=\"fusion-column-content\"><div class=\"fusion-fa-align-center\"><i class=\"fb-icon-element-1 fb-icon-element fontawesome-icon fa-mobile-alt fas circle-no\" style=\"--awb-font-size:45px;\"><\/i><\/div><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-1 fusion_builder_column_inner_4_5 4_5 fusion-four-fifth fusion-column-last\" style=\"--awb-padding-top:25px;--awb-padding-right:20px;--awb-padding-bottom:40px;--awb-padding-left:20px;--awb-bg-color:#ffffff;--awb-bg-color-hover:#ffffff;--awb-bg-size:cover;--awb-border-color:#90345B;--awb-border-top:2px;--awb-border-right:2px;--awb-border-bottom:2px;--awb-border-left:2px;--awb-border-style:solid;--awb-margin-bottom:0px;width:80%;width:calc(80% - ( ( 0 ) * 0.8 ) );\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-column-content-centered\"><div class=\"fusion-column-content\"><div class=\"fusion-text fusion-text-2\"><p style=\"color: #fff; margin-bottom: 0;\"><span style=\"color: #90345b;\">Telephone<\/span><\/p>\n<\/div><div class=\"fusion-text fusion-text-3\"><p style=\"font-size: 37px; line-height: 41px; margin-bottom: 0;\"><strong><span style=\"color: #888888;\"><a class=\"telephone\" href=\"tel:1.305.673.9270\">(305) 673-9270<\/a><\/span><\/strong><\/p>\n<\/div><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-2 fusion_builder_column_inner_1_5 1_5 fusion-one-fifth fusion-column-first fusion-no-small-visibility\" style=\"--awb-padding-top:46px;--awb-padding-right:20px;--awb-padding-bottom:46px;--awb-padding-left:20px;--awb-bg-color:#90345B;--awb-bg-color-hover:#90345B;--awb-bg-size:cover;--awb-margin-bottom:0px;width:20%;width:calc(20% - ( ( 0 ) * 0.2 ) );margin-right: 0px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-column-content-centered\"><div class=\"fusion-column-content\"><div class=\"fusion-fa-align-center\"><i class=\"fb-icon-element-2 fb-icon-element fontawesome-icon fa-fax fas circle-no\" style=\"--awb-font-size:45px;\"><\/i><\/div><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-3 fusion_builder_column_inner_4_5 4_5 fusion-four-fifth fusion-column-last\" style=\"--awb-padding-top:25px;--awb-padding-right:20px;--awb-padding-bottom:40px;--awb-padding-left:20px;--awb-bg-color:#ffffff;--awb-bg-color-hover:#ffffff;--awb-bg-size:cover;--awb-border-color:#90345B;--awb-border-top:2px;--awb-border-right:2px;--awb-border-bottom:2px;--awb-border-left:2px;--awb-border-style:solid;--awb-margin-bottom:0px;width:80%;width:calc(80% - ( ( 0 ) * 0.8 ) );\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-column-content-centered\"><div class=\"fusion-column-content\"><div class=\"fusion-text fusion-text-4\"><p style=\"color: #fff; margin-bottom: 0;\"><span style=\"color: #90345b;\">Fax<\/span><\/p>\n<\/div><div class=\"fusion-text fusion-text-5\"><p style=\"font-size: 37px; line-height: 41px; margin-bottom: 0;\"><strong><span style=\"color: #888888;\"><a class=\"telephone\" href=\"fax:1.305.538.0057\">(305) 538-0057<\/a><\/span><\/strong><\/p>\n<\/div><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div>\n<div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_2 1_2 fusion-one-half fusion-column-first\" style=\"--awb-bg-size:cover;width:50%;width:calc(50% - ( ( 4% ) * 0.5 ) );margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"accordian fusion-accordian\" style=\"--awb-border-size:0px;--awb-icon-size:20px;--awb-content-font-size:16px;--awb-icon-alignment:left;--awb-hover-color:#f9f9f9;--awb-border-color:#e5e5e5;--awb-background-color:#ffffff;--awb-divider-color:#dddbdb;--awb-divider-hover-color:#dddbdb;--awb-icon-color:#90345B;--awb-title-color:#90345B;--awb-content-color:#585858;--awb-icon-box-color:#6abf16;--awb-toggle-hover-accent-color:#90345B;--awb-title-font-family:&quot;Roboto&quot;;--awb-title-font-weight:900;--awb-title-font-style:normal;--awb-title-font-size:20px;--awb-content-font-family:&quot;Roboto&quot;;--awb-content-font-style:normal;--awb-content-font-weight:400;\"><div class=\"panel-group fusion-toggle-icon-unboxed\" id=\"accordion-960-1\"><div class=\"fusion-panel panel-default panel-141e9ed17df50785e fusion-toggle-no-divider fusion-toggle-boxed-mode\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_141e9ed17df50785e\"><a aria-expanded=\"false\" aria-controls=\"141e9ed17df50785e\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-960-1\" data-target=\"#141e9ed17df50785e\" href=\"#141e9ed17df50785e\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Hysterectomy<\/span><\/a><\/h4><\/div><div id=\"141e9ed17df50785e\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_141e9ed17df50785e\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>A\u00a0hysterectomy\u00a0is a procedure to remove the uterus and cervix. It may be performed as a treatment for cancer, including endometrial (uterine) cancer, precervical cancer, cervical cancer, and ovarian cancer, as well as uterine fibroids, uterine prolapse, endometriosis, and heavy bleeding.<\/p>\n<p>The fallopian tubes and ovaries may also be removed. This is called a BSO (bilateral Salpingo-oophorectomy).<\/p>\n<p>A hysterectomy may be performed through an incision in your abdomen or vagina. It can also be done laparoscopically, which is a minimally invasive procedure that requires a few small incisions in your lower abdomen.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-b6ed025415b09b81b fusion-toggle-no-divider fusion-toggle-boxed-mode\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_b6ed025415b09b81b\"><a aria-expanded=\"false\" aria-controls=\"b6ed025415b09b81b\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-960-1\" data-target=\"#b6ed025415b09b81b\" href=\"#b6ed025415b09b81b\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Laparoscopic Surgery<\/span><\/a><\/h4><\/div><div id=\"b6ed025415b09b81b\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_b6ed025415b09b81b\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>A laparoscope is a type of endoscope used to view the internal female reproductive organs (uterus, fallopian tubes, and ovaries). It consists of a long, thin tube with a light and viewing instrument.\u00a0Laparoscopy\u00a0is a minimally invasive surgery that may be performed to both diagnose and treat a number of conditions.<\/p>\n<p>Our gynecologic surgeons may recommend a diagnostic laparoscopy when they need to view your reproductive organs in order to rule out or confirm a diagnosis of\u00a0ovarian cysts,\u00a0endometriosis, uterine fibroids, ectopic pregnancy (the fertilized egg implants outside the uterus), pelvic floor disorders (such as urinary incontinence and pelvic organ prolapse), blocked fallopian tubes, and cancer. If necessary, they can also treat these conditions during surgery.<\/p>\n<p>Doctors can also perform a hysterectomy and tubal ligation (getting your fallopian tubes tied to prevent pregnancy) laparoscopically.<\/p>\n<p>Laparoscopic surgery is typically performed on an outpatient basis and requires only a few small incisions in your abdomen.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-2069306385d44cedf fusion-toggle-no-divider fusion-toggle-boxed-mode\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_2069306385d44cedf\"><a aria-expanded=\"false\" aria-controls=\"2069306385d44cedf\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-960-1\" data-target=\"#2069306385d44cedf\" href=\"#2069306385d44cedf\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Myomectomy<\/span><\/a><\/h4><\/div><div id=\"2069306385d44cedf\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_2069306385d44cedf\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>Myomectomy is a procedure to remove uterine fibroids (also called myomas), a common condition in women. While benign, these tissue masses can cause symptoms such as heavy or long periods, abdominal or back pain (especially during sex), constipation, and frequent or difficult urination. They may also be a cause of infertility or miscarriage.<\/p>\n<p>The surgery may be performed using a large \u201copen\u201d incision in the abdomen or using a laparoscope and small incisions. The uterus is left intact.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-1c457a43d2009896f fusion-toggle-no-divider fusion-toggle-boxed-mode\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_1c457a43d2009896f\"><a aria-expanded=\"false\" aria-controls=\"1c457a43d2009896f\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-960-1\" data-target=\"#1c457a43d2009896f\" href=\"#1c457a43d2009896f\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Hysteroscopic Surgery<\/span><\/a><\/h4><\/div><div id=\"1c457a43d2009896f\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_1c457a43d2009896f\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>Polyps are another type of benign tissue mass in the uterus. They are one of the most common causes of abnormal vaginal bleeding in both premenopausal and postmenopausal women.<\/p>\n<p>Our doctors can diagnose and remove uterine polyps using a hysteroscope, a long, thin instrument used to view the inside of the uterus. It is inserted through the vagina, so there are no incisions involved.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-63af47f2f90ed22e8 fusion-toggle-no-divider fusion-toggle-boxed-mode\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_63af47f2f90ed22e8\"><a aria-expanded=\"false\" aria-controls=\"63af47f2f90ed22e8\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-960-1\" data-target=\"#63af47f2f90ed22e8\" href=\"#63af47f2f90ed22e8\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Tubal Ligation<\/span><\/a><\/h4><\/div><div id=\"63af47f2f90ed22e8\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_63af47f2f90ed22e8\"><div class=\"panel-body toggle-content fusion-clearfix\">Tubal ligation is a sterilization procedure for women who are certain they don\u2019t want a future pregnancy. Commonly known as &#8220;getting your tubes tied,&#8221; this permanent form of birth control involves blocking the fallopian tubes to prevent eggs from traveling to the uterus and coming into contact with sperm.<br \/>\nThe tubes may be blocked in several ways: they may be cut, tied, cauterized, or sealed off with plastic rings or clips. We currently recommend removing the tube entirely (salpingectomy) rather than simply blocking it, as experts feel this lowers the risk for a future ovarian cancer which is thought to sometimes start in the tube. The procedure is typically done via laparoscopy on an outpatient basis. This can also be done at the time of cesarean section if desired.<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-c53277c03813202a8 fusion-toggle-no-divider fusion-toggle-boxed-mode\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_c53277c03813202a8\"><a aria-expanded=\"false\" aria-controls=\"c53277c03813202a8\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-960-1\" data-target=\"#c53277c03813202a8\" href=\"#c53277c03813202a8\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Endometrial Ablation<\/span><\/a><\/h4><\/div><div id=\"c53277c03813202a8\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_c53277c03813202a8\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>Endometrial ablation is a procedure to reduce heavy or abnormal uterine bleeding or eliminate one\u2019s period entirely. It is a nonsurgical alternative to hysterectomy.<\/p>\n<p>In our practice we use\u00a0NovaSure\u00ae, which gently destroys the lining of the uterus with precise amounts of radiofrequency energy. The doctor inserts a wand-like device through the vagina into the uterus to administer the electrical energy, so there are no incisions involved.<\/p>\n<p>We perform NovaSure in the comfort of our office in a matter of minutes. The procedure is only for premenopausal women who are done with childbearing.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-b03c7e44577ebb68d fusion-toggle-no-divider fusion-toggle-boxed-mode\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_b03c7e44577ebb68d\"><a aria-expanded=\"false\" aria-controls=\"b03c7e44577ebb68d\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-960-1\" data-target=\"#b03c7e44577ebb68d\" href=\"#b03c7e44577ebb68d\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Stress Incontinence Surgery<\/span><\/a><\/h4><\/div><div id=\"b03c7e44577ebb68d\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_b03c7e44577ebb68d\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>Stress incontinence is urine leakage that occurs when you strain yourself laughing, coughing, sneezing, exercising, or lifting things. Vaginal sling procedures are used to help control this condition.<\/p>\n<p>The procedure involves creating a sling from your own tissue or synthetic material (usually mesh) to help close the urethra and bladder neck to prevent urine leakage. The sling is either passed under your urethra &#8212; which carries urine from the bladder &#8212; and bladder neck or attached to the strong tissues in the lower belly and left in place allowing your body to heal around the sling and incorporate it into your tissue.<\/p>\n<\/div><\/div><\/div><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-3 fusion-flex-container has-pattern-background has-mask-background hundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-background-position:left top;--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:5%;--awb-padding-bottom:5%;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-3 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-two\" style=\"--awb-text-color:#90345b;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;\"><h2 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:47;line-height:1.2;\"><p style=\"text-align: center;\">Our Services<\/p><\/h2><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-5 fusion_builder_column_1_4 1_4 fusion-flex-column fusion-animated service-col\" style=\"--awb-padding-top:20px;--awb-padding-right:20px;--awb-padding-bottom:20px;--awb-padding-left:20px;--awb-bg-color:#f2f5f8;--awb-bg-color-hover:#f2f5f8;--awb-bg-size:cover;--awb-width-large:25%;--awb-margin-top-large:0px;--awb-spacing-right-large:7.68%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:7.68%;--awb-width-medium:50%;--awb-order-medium:0;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\" data-animationType=\"fadeInLeft\" data-animationDuration=\"0.6\" data-animationOffset=\"top-into-view\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-image-element \" style=\"text-align:center;--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-1 hover-type-zoomin\"><img decoding=\"async\" width=\"400\" height=\"256\" alt=\"Gynecology-image\" title=\"Gynecology-image\" src=\"https:\/\/www.toplinemd.com\/bitran-and-rivera-md\/wp-content\/uploads\/sites\/18\/2020\/02\/Gynecology-image.jpg\" class=\"img-responsive wp-image-982\" srcset=\"https:\/\/www.toplinemd.com\/bitranriveratendlermd\/wp-content\/uploads\/sites\/18\/2020\/02\/Gynecology-image-200x128.jpg 200w, https:\/\/www.toplinemd.com\/bitranriveratendlermd\/wp-content\/uploads\/sites\/18\/2020\/02\/Gynecology-image.jpg 400w\" sizes=\"(max-width: 1024px) 100vw, (max-width: 640px) 100vw, 400px\" \/><\/span><\/div><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"--awb-flex-grow:0;--awb-flex-grow-medium:0;--awb-flex-grow-small:0;--awb-flex-shrink:0;--awb-flex-shrink-medium:0;--awb-flex-shrink-small:0;width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-4 fusion_builder_column_inner_1_1 1_1 fusion-flex-column\" style=\"--awb-padding-top:30px;--awb-padding-right:20px;--awb-padding-bottom:30px;--awb-padding-left:20px;--awb-bg-color:#ffffff;--awb-bg-color-hover:#ffffff;--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:20px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-4 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-three\" style=\"--awb-text-color:#90345b;--awb-margin-bottom:10px;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;\"><h3 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:27;line-height:1.5;\"><p style=\"text-align: center;\">Gynecology<\/p><\/h3><\/div><div class=\"fusion-text fusion-text-6\"><p style=\"text-align: center;\">The field of medicine that takes care of women is gynecology, and it differs from obstetrics because it only treats women who are not pregnant. Gynecology encompasses numerous examinations, tests, and screenings that are all designed to detect health issues that can significantly affect a woman\u2019s reproductive health and well-being.<\/p>\n<\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-bottom:10px;width:100%;\"><\/div><div style=\"text-align:center;\"><a class=\"fusion-button button-flat fusion-button-default-size button-custom fusion-button-default button-1 fusion-button-default-span fusion-button-default-type\" style=\"--button_accent_color:#ffffff;--button_accent_hover_color:#ffffff;--button_border_hover_color:#ffffff;--button_gradient_top_color:#90345b;--button_gradient_bottom_color:#90345b;--button_gradient_top_color_hover:#692542;--button_gradient_bottom_color_hover:#692542;--button_text_transform:uppercase;\" target=\"_blank\" rel=\"noopener noreferrer\" href=\"\/bitranriveratendlermd\/gynecologist-miami-beach-florida\/\"><span class=\"fusion-button-text awb-button__text awb-button__text--default\">Learn More<\/span><\/a><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-6 fusion_builder_column_1_4 1_4 fusion-flex-column fusion-animated service-col\" style=\"--awb-padding-top:20px;--awb-padding-right:20px;--awb-padding-bottom:20px;--awb-padding-left:20px;--awb-bg-color:#f2f5f8;--awb-bg-color-hover:#f2f5f8;--awb-bg-size:cover;--awb-width-large:25%;--awb-margin-top-large:0px;--awb-spacing-right-large:7.68%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:7.68%;--awb-width-medium:50%;--awb-order-medium:0;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\" data-animationType=\"fadeInDown\" data-animationDuration=\"0.6\" data-animationOffset=\"top-into-view\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-image-element \" style=\"text-align:center;--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-2 hover-type-zoomin\"><img decoding=\"async\" width=\"400\" height=\"256\" title=\"Obstetrics-image\" src=\"https:\/\/www.toplinemd.com\/bitran-and-rivera-md\/wp-content\/uploads\/sites\/18\/2020\/02\/Obstetrics-image.jpg\" alt class=\"img-responsive wp-image-983\" srcset=\"https:\/\/www.toplinemd.com\/bitranriveratendlermd\/wp-content\/uploads\/sites\/18\/2020\/02\/Obstetrics-image-200x128.jpg 200w, https:\/\/www.toplinemd.com\/bitranriveratendlermd\/wp-content\/uploads\/sites\/18\/2020\/02\/Obstetrics-image.jpg 400w\" sizes=\"(max-width: 1024px) 100vw, (max-width: 640px) 100vw, 400px\" \/><\/span><\/div><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"--awb-flex-grow:0;--awb-flex-grow-medium:0;--awb-flex-grow-small:0;--awb-flex-shrink:0;--awb-flex-shrink-medium:0;--awb-flex-shrink-small:0;width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-5 fusion_builder_column_inner_1_1 1_1 fusion-flex-column\" style=\"--awb-padding-top:30px;--awb-padding-right:20px;--awb-padding-bottom:30px;--awb-padding-left:20px;--awb-bg-color:#ffffff;--awb-bg-color-hover:#ffffff;--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:20px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-5 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-three\" style=\"--awb-text-color:#90345b;--awb-margin-bottom:10px;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;\"><h3 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:27;line-height:1.5;\"><p style=\"text-align: center;\">Obstetrics<\/p><\/h3><\/div><div class=\"fusion-text fusion-text-7\"><p style=\"text-align: center;\">Obstetrics is a field of medicine that deals with pregnancy and giving birth. Many years ago, it was common for women to give birth at home, but since medicine has advanced so much we now have an array of staff and birth clinics ready to welcome you and make sure your baby is delivered in a safe, comforting environment.<\/p>\n<\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-bottom:10px;width:100%;\"><\/div><div style=\"text-align:center;\"><a class=\"fusion-button button-flat fusion-button-default-size button-custom fusion-button-default button-2 fusion-button-default-span fusion-button-default-type\" style=\"--button_accent_color:#ffffff;--button_accent_hover_color:#ffffff;--button_border_hover_color:#ffffff;--button_gradient_top_color:#90345b;--button_gradient_bottom_color:#90345b;--button_gradient_top_color_hover:#692542;--button_gradient_bottom_color_hover:#692542;--button_text_transform:uppercase;\" target=\"_blank\" rel=\"noopener noreferrer\" href=\"\/bitranriveratendlermd\/obstetrician-miami-beach-florida\/\"><span class=\"fusion-button-text awb-button__text awb-button__text--default\">Learn More<\/span><\/a><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-7 fusion_builder_column_1_4 1_4 fusion-flex-column fusion-animated service-col\" style=\"--awb-padding-top:20px;--awb-padding-right:20px;--awb-padding-bottom:20px;--awb-padding-left:20px;--awb-bg-color:#f2f5f8;--awb-bg-color-hover:#f2f5f8;--awb-bg-size:cover;--awb-width-large:25%;--awb-margin-top-large:0px;--awb-spacing-right-large:7.68%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:7.68%;--awb-width-medium:50%;--awb-order-medium:0;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\" data-animationType=\"fadeInLeft\" data-animationDuration=\"0.6\" data-animationOffset=\"top-into-view\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-image-element \" style=\"text-align:center;--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-3 hover-type-zoomin\"><img decoding=\"async\" width=\"400\" height=\"256\" title=\"Surgery-image\" src=\"https:\/\/www.toplinemd.com\/bitran-and-rivera-md\/wp-content\/uploads\/sites\/18\/2020\/02\/Surgery-image.jpg\" alt class=\"img-responsive wp-image-984\" srcset=\"https:\/\/www.toplinemd.com\/bitranriveratendlermd\/wp-content\/uploads\/sites\/18\/2020\/02\/Surgery-image-200x128.jpg 200w, https:\/\/www.toplinemd.com\/bitranriveratendlermd\/wp-content\/uploads\/sites\/18\/2020\/02\/Surgery-image.jpg 400w\" sizes=\"(max-width: 1024px) 100vw, (max-width: 640px) 100vw, 400px\" \/><\/span><\/div><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"--awb-flex-grow:0;--awb-flex-grow-medium:0;--awb-flex-grow-small:0;--awb-flex-shrink:0;--awb-flex-shrink-medium:0;--awb-flex-shrink-small:0;width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-6 fusion_builder_column_inner_1_1 1_1 fusion-flex-column\" style=\"--awb-padding-top:30px;--awb-padding-right:20px;--awb-padding-bottom:30px;--awb-padding-left:20px;--awb-bg-color:#ffffff;--awb-bg-color-hover:#ffffff;--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:20px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-6 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-three\" style=\"--awb-text-color:#90345b;--awb-margin-bottom:10px;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;\"><h3 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:27;line-height:1.5;\"><p style=\"text-align: center;\">Surgery<\/p><\/h3><\/div><div class=\"fusion-text fusion-text-8\"><p style=\"text-align: center;\">The board-certified OB\/GYNs at Bitran &amp; Rivera, MD, have the training, expertise, and experience to perform state-of-the-art gynecological surgical procedures. We realize that the prospect of gynecological surgery can be disconcerting. That\u2019s why we first listen to your concerns and thoroughly explain your treatment so that you understand what it entails.<\/p>\n<\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-bottom:10px;width:100%;\"><\/div><div style=\"text-align:center;\"><a class=\"fusion-button button-flat fusion-button-default-size button-custom fusion-button-default button-3 fusion-button-default-span fusion-button-default-type\" style=\"--button_accent_color:#ffffff;--button_accent_hover_color:#ffffff;--button_border_hover_color:#ffffff;--button_gradient_top_color:#90345b;--button_gradient_bottom_color:#90345b;--button_gradient_top_color_hover:#692542;--button_gradient_bottom_color_hover:#692542;--button_text_transform:uppercase;\" target=\"_blank\" rel=\"noopener noreferrer\" href=\"\/bitranriveratendlermd\/surgery\/\"><span class=\"fusion-button-text awb-button__text awb-button__text--default\">Learn More<\/span><\/a><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-8 fusion_builder_column_1_4 1_4 fusion-flex-column fusion-animated service-col\" style=\"--awb-padding-top:20px;--awb-padding-right:20px;--awb-padding-bottom:20px;--awb-padding-left:20px;--awb-bg-color:#f2f5f8;--awb-bg-color-hover:#f2f5f8;--awb-bg-size:cover;--awb-width-large:25%;--awb-margin-top-large:0px;--awb-spacing-right-large:7.68%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:7.68%;--awb-width-medium:50%;--awb-order-medium:0;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\" data-animationType=\"fadeInDown\" data-animationDuration=\"0.6\" data-animationOffset=\"top-into-view\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-image-element \" style=\"text-align:center;--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-4 hover-type-zoomin\"><img decoding=\"async\" width=\"400\" height=\"256\" alt=\"Hearts With Hands\" title=\"Office-Procedures-image\" src=\"https:\/\/www.toplinemd.com\/bitran-and-rivera-md\/wp-content\/uploads\/sites\/18\/2020\/02\/Office-Procedures-image.jpg\" class=\"img-responsive wp-image-985\" srcset=\"https:\/\/www.toplinemd.com\/bitranriveratendlermd\/wp-content\/uploads\/sites\/18\/2020\/02\/Office-Procedures-image-200x128.jpg 200w, https:\/\/www.toplinemd.com\/bitranriveratendlermd\/wp-content\/uploads\/sites\/18\/2020\/02\/Office-Procedures-image.jpg 400w\" sizes=\"(max-width: 1024px) 100vw, (max-width: 640px) 100vw, 400px\" \/><\/span><\/div><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"--awb-flex-grow:0;--awb-flex-grow-medium:0;--awb-flex-grow-small:0;--awb-flex-shrink:0;--awb-flex-shrink-medium:0;--awb-flex-shrink-small:0;width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-7 fusion_builder_column_inner_1_1 1_1 fusion-flex-column\" style=\"--awb-padding-top:30px;--awb-padding-right:20px;--awb-padding-bottom:30px;--awb-padding-left:20px;--awb-bg-color:#ffffff;--awb-bg-color-hover:#ffffff;--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:20px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-7 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-three\" style=\"--awb-text-color:#90345b;--awb-margin-bottom:10px;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;\"><h3 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:27;line-height:1.5;\"><p style=\"text-align: center;\">Office Procedures<\/p><\/h3><\/div><div class=\"fusion-text fusion-text-9\"><p style=\"text-align: center;\"><span data-mce-type=\"bookmark\" style=\"display: inline-block; width: 0px; overflow: hidden; line-height: 0;\" class=\"mce_SELRES_start\">\ufeff<\/span>Bitran, Rivera &amp; Tendler, MD, LLC offers an extensive range of non- or minimally invasive gynecological services in the comfort of our own office. These services include treatments for heavy menstrual bleeding, Pap smear abnormalities, vaginal atrophy due to menopause, and more.<\/p>\n<\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-bottom:10px;width:100%;\"><\/div><div style=\"text-align:center;\"><a class=\"fusion-button button-flat fusion-button-default-size button-custom fusion-button-default button-4 fusion-button-default-span fusion-button-default-type\" style=\"--button_accent_color:#ffffff;--button_accent_hover_color:#ffffff;--button_border_hover_color:#ffffff;--button_gradient_top_color:#90345b;--button_gradient_bottom_color:#90345b;--button_gradient_top_color_hover:#692542;--button_gradient_bottom_color_hover:#692542;--button_text_transform:uppercase;\" target=\"_blank\" rel=\"noopener noreferrer\" href=\"\/bitranriveratendlermd\/office-procedures\/\"><span class=\"fusion-button-text awb-button__text awb-button__text--default\">Learn More<\/span><\/a><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\n<div class=\"fusion-bg-parallax\" data-bg-align=\"center top\" data-direction=\"up\" data-mute=\"false\" data-opacity=\"100\" data-velocity=\"-0.3\" data-mobile-enabled=\"false\" data-break_parents=\"0\" data-bg-image=\"https:\/\/www.toplinemd.com\/bitran-and-rivera-md\/wp-content\/uploads\/sites\/18\/2020\/02\/HP-Patient-Feedback.jpg\" data-bg-repeat=\"false\" data-bg-color=\"rgba(255,255,255,0.35)\" data-blend-mode=\"overlay\" ><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-4 fusion-parallax-up nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-background-position:center top;--awb-background-blend-mode:overlay;--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:7%;--awb-padding-bottom:7%;--awb-background-color:rgba(255,255,255,0.35);--awb-background-image:url(&quot;https:\/\/www.toplinemd.com\/bitran-and-rivera-md\/wp-content\/uploads\/sites\/18\/2020\/02\/HP-Patient-Feedback.jpg&quot;);--awb-background-size:cover;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-9 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-padding-top:40px;--awb-bg-blend:overlay;--awb-bg-size:cover;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-title title fusion-title-8 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-two\" style=\"--awb-text-color:#90345b;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;\"><h2 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:47;line-height:1.2;\"><p style=\"text-align: center;\">Patient Feedback<\/p><\/h2><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-10 fusion_builder_column_1_3 1_3 fusion-one-third fusion-column-first fusion-animated\" style=\"--awb-bg-blend:overlay;--awb-bg-size:cover;width:33.3333333333%;width:calc(33.3333333333% - ( ( 4% + 4% ) * 0.333333333333 ) );margin-right: 4%;\" data-animationType=\"slideInLeft\" data-animationDuration=\"0.6\" data-animationOffset=\"top-into-view\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-title title fusion-title-9 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-three\" style=\"--awb-text-color:#90345b;--awb-margin-top:20px;--awb-margin-bottom:20px;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;\"><h3 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:27;line-height:1.5;\"><p style=\"text-align: center; font-size: 22px;\"><strong>Leah S.<\/strong><\/p><\/h3><\/div><div class=\"fusion-text fusion-text-10\"><p style=\"text-align: center;\"><span style=\"font-weight: 400;\"><i class=\"fas fa-quote-left\"><\/i> From the front desk to the nurses, everyone is so great and so helpful.. Dr Bitran is very implicated and goes above and beyond his line of work to comfort you\u2026\u00a0\u00a0<i class=\"fas fa-quote-right\"><\/i><\/span><\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-11 fusion_builder_column_1_3 1_3 fusion-one-third fusion-animated\" style=\"--awb-bg-blend:overlay;--awb-bg-size:cover;width:33.3333333333%;width:calc(33.3333333333% - ( ( 4% + 4% ) * 0.333333333333 ) );margin-right: 4%;\" data-animationType=\"slideInDown\" data-animationDuration=\"0.6\" data-animationOffset=\"top-into-view\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-title title fusion-title-10 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-three\" style=\"--awb-text-color:#90345b;--awb-margin-top:20px;--awb-margin-bottom:20px;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;\"><h3 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:27;line-height:1.5;\"><p style=\"text-align: center; font-size: 22px;\"><strong>Vivian K.<\/strong><\/p><\/h3><\/div><div class=\"fusion-text fusion-text-11\"><p style=\"text-align: center;\"><span style=\"font-weight: 400;\"><i class=\"fas fa-quote-left\"><\/i>\u00a0\u00a0If you choose this practice you will not be disappointed. Words cannot express the gratitude and respect I have for these Doctors for their kindness, compassion and expertise.\u00a0\u00a0<i class=\"fas fa-quote-right\"><\/i><\/span><\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-12 fusion_builder_column_1_3 1_3 fusion-one-third fusion-column-last fusion-animated\" style=\"--awb-bg-blend:overlay;--awb-bg-size:cover;width:33.3333333333%;width:calc(33.3333333333% - ( ( 4% + 4% ) * 0.333333333333 ) );\" data-animationType=\"slideInRight\" data-animationDuration=\"0.6\" data-animationOffset=\"top-into-view\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-title title fusion-title-11 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-three\" style=\"--awb-text-color:#90345b;--awb-margin-top:20px;--awb-margin-bottom:20px;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;\"><h3 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:27;line-height:1.5;\"><p style=\"text-align: center; font-size: 22px;\"><strong>Gina M.<\/strong><\/p><\/h3><\/div><div class=\"fusion-text fusion-text-12\"><p style=\"text-align: center;\"><span style=\"font-weight: 400;\"><i class=\"fas fa-quote-left\"><\/i>\u00a0\u00a0I\u2019ve known Dr.Bitran for 21 years. He is one of the most kind ,compassionate and gentle physicians I have ever met. When I look at my youngest girl I am reminded of him\u00a0\u00a0<i class=\"fas fa-quote-right\"><\/i><\/span><\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div>\n<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-5 fusion-flex-container has-pattern-background has-mask-background fusion-parallax-none nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-background-position:center top;--awb-background-blend-mode:overlay;--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:7%;--awb-padding-bottom:7%;--awb-background-color:rgba(255,255,255,0.35);--awb-background-image:url(&quot;https:\/\/www.toplinemd.com\/bitran-and-rivera-md\/wp-content\/uploads\/sites\/18\/2020\/02\/HP-SP.jpg&quot;);--awb-background-size:cover;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-justify-content-center fusion-flex-content-wrap\" style=\"max-width:1352px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-13 fusion_builder_column_3_5 3_5 fusion-flex-column\" style=\"--awb-bg-blend:overlay;--awb-bg-size:cover;--awb-width-large:60%;--awb-margin-top-large:20px;--awb-spacing-right-large:3.2%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.2%;--awb-width-medium:100%;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-12 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-two\" style=\"--awb-text-color:#90345b;--awb-margin-bottom:20px;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;\"><h2 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:47;line-height:1.2;\"><p style=\"text-align: center;\">Request an Appointment<\/p><\/h2><\/div><div class=\"fusion-text fusion-text-13 fusion-text-no-margin\" style=\"--awb-margin-bottom:20px;\"><p style=\"text-align: center;\">Looking to schedule your next annual well visit? Please call our office to request an appointment.<\/p>\n<\/div><div style=\"text-align:center;\"><a class=\"fusion-button button-flat fusion-button-default-size button-custom fusion-button-default button-5 fusion-button-default-span fusion-button-default-type\" style=\"--button_accent_color:#ffffff;--button_accent_hover_color:#ffffff;--button_border_hover_color:#ffffff;--button_gradient_top_color:#90345b;--button_gradient_bottom_color:#90345b;--button_gradient_top_color_hover:#692542;--button_gradient_bottom_color_hover:#692542;--button_text_transform:uppercase;\" target=\"_self\" href=\"tel:+13056739270\"><span class=\"fusion-button-text awb-button__text awb-button__text--default\">Call Now<\/span><\/a><\/div><\/div><\/div><\/div><\/div>\n<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-6 hundred-percent-fullwidth non-hundred-percent-height-scrolling fusion-equal-height-columns wh2footerlogos\" style=\"--awb-border-sizes-top:0px;--awb-border-sizes-bottom:0px;--awb-border-sizes-left:0px;--awb-border-sizes-right:0px;--awb-border-color:#90345B;--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:0px;--awb-padding-right:0px;--awb-padding-left:0px;--awb-background-color:#f0f3f6;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-14 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last fusion-column-no-min-height\" style=\"--awb-padding-top:0px;--awb-padding-right:0px;--awb-padding-left:0px;--awb-bg-blend:overlay;--awb-bg-size:cover;--awb-border-color:#90345B;--awb-border-bottom:15px;--awb-border-style:solid;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-15 fusion_builder_column_1_2 1_2 fusion-one-half fusion-column-first wh2footerlogo\" style=\"--awb-padding-top:40px;--awb-padding-left:12%;--awb-bg-blend:overlay;--awb-bg-size:cover;width:50%;width:calc(50% - ( ( 4% ) * 0.5 ) );margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-column-content-centered\"><div class=\"fusion-column-content\"><div class=\"fusion-image-element in-legacy-container\" style=\"--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-5 hover-type-none\"><a class=\"fusion-no-lightbox\" href=\"\/bitran-and-rivera-md\/\" target=\"_self\" aria-label=\"Bitran-Rivera-Tendler-OBGYN-CoBrand-Logo-rgb-color\"><img decoding=\"async\" width=\"188\" height=\"120\" src=\"https:\/\/www.toplinemd.com\/bitran-and-rivera-md\/wp-content\/uploads\/sites\/18\/2024\/12\/Bitran-Rivera-Tendler-OBGYN-CoBrand-Logo-rgb-color-e1733244593277.png\" alt class=\"img-responsive wp-image-1122\"\/><\/a><\/span><\/div><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-16 fusion_builder_column_1_2 1_2 fusion-one-half fusion-column-last wh2footerlogo\" style=\"--awb-padding-top:40px;--awb-padding-right:4%;--awb-bg-blend:overlay;--awb-bg-size:cover;width:50%;width:calc(50% - ( ( 4% ) * 0.5 ) );\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-column-content-centered\"><div class=\"fusion-column-content\"><div class=\"fusion-image-element in-legacy-container\" style=\"--awb-max-width:270px;--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-6 hover-type-none\"><a class=\"fusion-no-lightbox\" href=\"https:\/\/www.toplinemd.com\/\" target=\"_blank\" aria-label=\"TopLine MD-RegisterR_Stacked_Logo_rgb_color\" rel=\"noopener noreferrer\"><img decoding=\"async\" width=\"1576\" height=\"376\" src=\"https:\/\/www.toplinemd.com\/bitranriveratendlermd\/wp-content\/uploads\/sites\/18\/2026\/03\/TopLine-MD-RegisterR_Stacked_Logo_rgb_color.png\" alt class=\"img-responsive wp-image-1138\" srcset=\"https:\/\/www.toplinemd.com\/bitranriveratendlermd\/wp-content\/uploads\/sites\/18\/2026\/03\/TopLine-MD-RegisterR_Stacked_Logo_rgb_color-200x48.png 200w, https:\/\/www.toplinemd.com\/bitranriveratendlermd\/wp-content\/uploads\/sites\/18\/2026\/03\/TopLine-MD-RegisterR_Stacked_Logo_rgb_color-400x95.png 400w, https:\/\/www.toplinemd.com\/bitranriveratendlermd\/wp-content\/uploads\/sites\/18\/2026\/03\/TopLine-MD-RegisterR_Stacked_Logo_rgb_color-600x143.png 600w, https:\/\/www.toplinemd.com\/bitranriveratendlermd\/wp-content\/uploads\/sites\/18\/2026\/03\/TopLine-MD-RegisterR_Stacked_Logo_rgb_color-800x191.png 800w, https:\/\/www.toplinemd.com\/bitranriveratendlermd\/wp-content\/uploads\/sites\/18\/2026\/03\/TopLine-MD-RegisterR_Stacked_Logo_rgb_color-1200x286.png 1200w, https:\/\/www.toplinemd.com\/bitranriveratendlermd\/wp-content\/uploads\/sites\/18\/2026\/03\/TopLine-MD-RegisterR_Stacked_Logo_rgb_color.png 1576w\" sizes=\"(max-width: 1000px) 100vw, 600px\" \/><\/a><\/span><\/div><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div>\n<\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":{"footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-960","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.toplinemd.com\/bitranriveratendlermd\/wp-json\/wp\/v2\/pages\/960","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.toplinemd.com\/bitranriveratendlermd\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.toplinemd.com\/bitranriveratendlermd\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.toplinemd.com\/bitranriveratendlermd\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.toplinemd.com\/bitranriveratendlermd\/wp-json\/wp\/v2\/comments?post=960"}],"version-history":[{"count":0,"href":"https:\/\/www.toplinemd.com\/bitranriveratendlermd\/wp-json\/wp\/v2\/pages\/960\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.toplinemd.com\/bitranriveratendlermd\/wp-json\/wp\/v2\/media?parent=960"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}