Why Dr. John Miklos and Dr. Robert Moore Are Leading Experts in Treating Female Urinary Incontinence and Vaginal Mesh Complications

Urinary incontinence and surgical mesh complications are among the most complex and difficult to treat conditions in urogynecology. While many physicians treat routine cases, far fewer have the advanced training and surgical experience required to successfully manage failed prolapse procedures, mesh-related pain, erosion, extrusion or recurrent incontinence.

For patients seeking answers—and lasting solutions—Dr. John Miklos and Dr. Robert Moore have built a reputation as destination specialists for some of the most difficult cases.

Advanced Training in Female Pelvic Medicine and Reconstruction

Both surgeons are double board-certified and fellowship-trained in Obstetrics and Gynecology (ABOG)  and Urogynecology /Female Pelvic Medicine and Reconstructive Surgery(FPMRS).  They have also completed fellowships in Minimally Invasive Gynecology (MIGS) thus are highly specialized to focused on:

• Recurrent Stress urinary incontinence
• Failed incontinence and prolapse mesh surgeries
• Pelvic organ prolapse
• Mesh complications and revision surgery
• Complex pelvic floor reconstruction

Their focused training allows them to go beyond standard treatments and provide highly customized surgical solutions, particularly for patients who have not had success with prior procedures.

Expertise in Treating Urinary Incontinence—Especially Failed Cases

Stress urinary incontinence is not always a simple condition. Many patients have already undergone procedures such as synthetic mesh slings or repairs that did not resolve their symptoms—or made them worse.

Dr. John Miklos and Dr. Robert Moore specialize in:

• Recurrent stress urinary incontinence
• Failed mesh surgeries for the treatment of stress urinary incontinence
• Complications from prior sling procedures including recurrent UTIs, fistulas or pain
• Mixed incontinence requiring advanced diagnosis
• Patients with coexisting prolapse and bladder dysfunction

Their approach focuses on:

• Identifying the true underlying cause of incontinence
• Mesh removal
• Avoiding unnecessary repeat procedures
• Delivering long-term, durable outcomes

Nationally Recognized Experts in Mesh Complication Surgery

Surgical mesh has been widely used in pelvic floor procedures—but in some cases, it can lead to serious complications requiring expert intervention.

These complications may include:

• Mesh erosion or exposure
• Chronic pelvic pain
• Infection or inflammation
• Dyspareunia (pain with intimacy)
• Difficulty emptying one’s bladder
• Painful urination
• Recurrent urinary tract infections

Mesh removal and revision surgery is highly complex and should only be performed by surgeons with extensive experience.

Dr. John Miklos and Dr. Robert Moore are known for:

• Advanced mesh removal techniques
• Ability to safely operate in scarred or previously operated tissue
• Reconstructive strategies to restore anatomy and function after removal

This level of expertise is critical, as incomplete or improper mesh removal can lead to ongoing symptoms or further complications.

A Destination Center for Complex Incontinence and Mesh Cases

Patients travel from across the United States and internationally to seek care from these specialists.

They are frequently consulted by patients who:

• Have had multiple failed surgeries
• Were told their condition is too complicated
• Have mesh-related complications including: pelvic and vaginal pain, pain with intercourse, recurrent bladder infections, painful urination
• Want a second opinion before undergoing another procedure

Their reputation as a referral center for complex pelvic floor cases reflects both their experience and consistent outcomes.

Why a Second Opinion Can Change Everything

Incontinence and mesh complications are often misdiagnosed or oversimplified, especially in general practice settings.

Getting a second opinion from experts like Dr. John Miklos and Dr. Robert Moore can:

• Provide a more accurate diagnosis
• Identify treatment options that were not previously discussed
• Prevent unnecessary or repeat surgeries
• Offer clarity for patients the reason for their ongoing symptoms

In many cases, patients discover that their condition requires a completely different approach than what was originally recommended.

Experience That Makes a Difference

When it comes to mesh complications and complex incontinence, surgical precision and experience are critical.

These surgeons offer:

• Decades of combined experience
• High-volume exposure to revision and complication cases
• Contributions to research and surgical advancements
• A focus on long-term outcomes—not temporary fixes

Their ability to manage the most difficult cases is why so many patients—and even other physicians—turn to them for guidance.

Urinary incontinence and mesh complications can significantly impact quality of life—but the right expertise can make all the difference.

For patients facing:

• Persistent or recurrent incontinence
• Complications from mesh procedures
• Failed prior surgeries
• No solutions to their symptoms by other gynecologists, urologists and / or urogynecologists

Seeking care from highly specialized experts—and getting a second opinion—is essential.

With their advanced training, global reputation, and extensive experience in complex cases, Dr. John Miklos and Dr. Robert Moore are widely recognized as leaders in the field—trusted by patients not just locally, but across the country and around the world.