Refer when your patient says
“I’m leaking urine.”
“I can’t make it to the bathroom in time.”
“I always feel like I have to go.”
“I’ve had multiple UTIs this year.”
“Something is falling or bulging.”
“I’m having bowel control issues.”
“I feel pressure or heaviness in my pelvis.”
“I can’t empty my bladder completely.”
No workup needed — but don’t wait on these
Prolapse at or beyond the hymen
Recurrent UTI with incomplete emptying
Pessary declined, failed, or poorly tolerated
Any mesh complication or exposure
Incontinence persisting after a trial of pelvic floor PT
Prior failed prolapse or incontinence repair
Everything else is welcome just the same. Mild, early, undiagnosed, or already worked up — send them along and we’ll send you the plan.
How we treat
Our approach moves step by step. Many patients never need surgery; for those who do, we offer advanced, minimally invasive procedures.
Non‑surgical & office‑based
Pelvic floor physical therapyGuided strengthening and retraining of the muscles that support the bladder and pelvic organs.
Behavioral & lifestyle careBladder training, fluid and diet guidance, and other proven first‑line strategies.
Pessary fittingA simple, removable support device for prolapse — an effective, non‑surgical alternative.
MedicationsTargeted therapies for overactive bladder and related symptoms.
Bladder Botox & nerve therapiesBladder injections and sacral neuromodulation for stubborn overactive bladder, urinary retention, and accidental bowel leakage.
In‑office diagnosticsMultichannel urodynamics and cystoscopy, so most evaluations are completed here without onward referral.
Advanced surgical care
Robotic & minimally invasive surgeryA high volume of robotic‑assisted procedures, including robotic sacrocolpopexy for prolapse — precise, durable repairs through small incisions with a faster recovery.
Vaginal native tissue prolapse repairReconstructive repair using the patient’s own tissue, through a vaginal approach with no abdominal incisions.
Sling procedures for incontinenceWell‑established outpatient surgery for stress urinary incontinence.
Complex & revision casesSubspecialty expertise for fistula, mesh concerns, and prior repairs that need a second look.
Coordinated, unhurried follow‑upWe stay with your patient after treatment to make sure she gets the outcome she came for.
Where your patient can be seen
Our main office is in Fort Worth, and we hold satellite clinics so patients can be seen closer to home — Willow Park weekly and Glen Rose monthly, along with clinics in the Alliance and Harris Southwest areas.
Surgery is performed at Andrews Women’s Hospital at Baylor All Saints, Texas Health Harris Southwest, and Baylor Surgicare.
What you’ll get back
You will receive a consultation note after the first visit and after any procedure. If you would like to discuss a patient before referring, message either of us on Doximity, or call the office.
Dr. Ripperda — referral guide (PDF)
Dr. Norris — referral guide (PDF)
One page each — when to refer, what we treat, and where that physician sees patients. Keep it by the fax machine or hand it to your staff.
Our physicians
Christopher Ripperda, MD — board‑certified in Obstetrics & Gynecology and in Urogynecology and Reconstructive Pelvic Surgery. Fellowship, UT Southwestern / Parkland Hospital.
Kyle Norris, MD — board‑certified in Obstetrics & Gynecology, board‑eligible in Urogynecology and Reconstructive Pelvic Surgery. Fellowship, University of Alabama at Birmingham.