While in training at Barnes Hospital/Washington University Dr. Butrick developed a strong interest in caring for patients with prolapsed pelvic organs and incontinence. After returning to his hometown of Kansas City to start his practice, he was fortunate to be able to spend a portion of his first 4 years training with world renowned Urogynecologists and Urologists from around the country. His training not only involved the surgical and nonsurgical therapies for incontinence and pelvic organ prolapse, but also the management of complex pelvic pain syndromes. In the mid-nineties, his reputation grew, as physicians around the metropolitan Kansas City area would refer their patients to him for his specialized care.
In 1998, he established The Urogynecology Center and multiple milestones in his career occurred.
Then in 2013, Dr. Butrick became Board Certified in Female Pelvic Medicine and Reconstructive Surgery.
As his practice grew, he moved to a new facility in 2003 and established the first practice in Kansas City dedicated to the care of women with incontinence, pelvic pain, and pelvic organ prolapse. He continues to be at the cutting edge in advanced treatment of patients with these problems and continues to be the physician that seems to be able to fix the problems that others cannot.
Dr. Butrick and his staff moved to their new facility in southern Overland Park in 2012 in order to offer more services and easier access for patients. In the new center he offers a more spacious environment for improved patient educational events and services like office based gynecologic aesthetic procedures and laser therapy for vaginal rejuvenation and treatment of stress incontinence.
For some patients nonsurgical approaches are not sufficient. Dr. Butrick continues to offer inpatient surgery for various pelvic floor problems at the surrounding hospitals. You can be reassured by his 25 plus years of surgical experience that has resulted in one of the lowest complication rates in the Kansas City area for the surgical management of urogynecologic problems. He has demonstrated less than a 1% risk for bladder injury, ureteral injury, bowel injury or blood transfusions. He is frequently asked to teach other physicians from around the country his surgical techniques. Because of his vast experience in the management of various pain disorders he is often able to use special perioperative techniques to make the surgical experience as pain free as possible.
With thirty years of surgical experience, these are my results:
- < 1% Conversion to open procedure
- < 1% Bowel Injury
- < 1% Bladder Injury
- < 1% Ureter Injury
- < 1% Blood Transfusion
- IC/BPS: Management of the Pain Disorder
- Senior Editor for Entire Supplement for: Sacral Neuromodulation- International Urogynecology Journal – December 2010
- Patient Selection for Sacral Neuromodulation International Urogynecology Journal – December 2010
- Diagnosis and treatment of interstitial cystitis/painful bladder syndrome: a review – Journal of Women’s Health – June 2010
- The overlap of interstitial cystitis/painful bladder syndrome and overactive bladder – Journal of the Society of Laparoendoscopic Surgeons – April 2010
- Do guns kill people or ….? The mesh dilemma – International Urogynecology Journal – Feb 2010
- Pathophysiology of Pelvic Hypertonic Disorders; Clinics of OB/GYN – Dec. 2009
- Identification and Management of Pathophysiology of Pelvic Floor Hypertonic Disorders; Clinics of OB/GYN – Dec. 2009
- Chronic Pelvic Pain Syndromes: Clinical, Urodynamics and Urothelial Observations; International Urogynecology Journal – September 2009
- Pelvic floor hypertonic disorders: identification and management – Obstetrics-Gynecology Clinic of North America – Sept 2009
- Chapters published Management of Pelvic Pain, Editor: Howard
- Voiding Dysfunction and Chronic Pelvic Syndromes
- Urethral Diverticula
- Bladder Cancer
- Pelvic Floor Tension Myalgia
- Patients with Chronic Pelvic Pain; Endometriosis or Interstitial Cystitis/Painful Bladder Syndrome? – Journal of the Society of Laparoendoscopic Surgeons – April/June 2007
- Chronic Pelvic Pain: How Many Surgeries Are Enough? Clinic of OB/GYN – June 2007
- Multimodal Therapy for Painful Bladder Syndrome/Interstitial Cystitis: The Journal of Reproductive Medicine – March 2006
- Interstitial Cystitis and Chronic Pelvic Pain: New Insights in Neuropathology diagnosis and treatment – Clinical Obstetrics/Gynecology – Dec. 2003
- The Neuropathology of Interstitial Cystitis in Chronic Pelvic: The Hidden Diagnosis, The Female Patient – May 2002, supplement
- Multiple book chapters and articles in non peer review journals.
Dr. Butrick’s Newest Publication
In the past 20 years Dr. Butrick has seen 100s, even thousands, of patients sent to him for evaluation of persistent pain after a surgery done by another physician. Often, once a careful evaluation has been undertaken, it turns out that the patient had multiple risk factors for persistent pain. Once Dr. Butrick has identified the various pain triggers he orchestrates a team of providers who together manage, and hopefully resolve, the pain. Because of his extensive experience he lectures around the country and recently published an article that specifically helps physicians and patients with the identification and management of persistent postoperative pain. He has always felt a strong need to educate other physicians about the management of persistent postoperative pain disorders but even more important is the identification of the risk factors prior to surgery such that the surgical plan can be modified to prevent the development of this common life-changing complication.
While many physicians might consider this a rare complication of surgery Dr. Butrick and his staff at The Urogynecology Center know differently. The data is quite clear that approximately 4% of all women who have a c/section, up to 30% who have a hysterectomy and approximately 19% of women after pelvic floor surgery will also have various chronic pain disorders. The identification of risk factors and the early management of new onset pain is the key to preventing development of persistent postoperative pain. Dr. Butrick is hopeful that his colleagues support the research necessary to clarify the peri-operative changes in surgical technique that will potentially minimize the development of this problem.
Click here to read the article. He also will be lecturing on this subject at the upcoming American Urogynecology Society meeting next fall in Denver. Hopefully this article will change the surgical management of patients who undergo pelvic floor surgeries and potentially these ideas will be applied to a variety of surgeries in the future.
- Moderator of “Round Table Discussion” on Overactive Bladder with several other thought leaders in management of female incontinence.
- Panel member of experts in the management of IC/PBS.
- Leader of the only Gynecare TVT/Sling training course in the United States in 2012.
- Peer review request by the American Urologic Association.
- He was one of ten physicians selected to go to Sweden and train with the developer of the “TVT” – the gold standard in the management of Stress Urinary Incontinence, and he has since been instrumental in training physicians across the country these techniques.
- He was one of four founding members of the International Pelvic Pain Society.
- He was one of the first Urogynecologists to perform sacral nerve stimulation.
- Dr. Butrick is past president of the International Pelvic Pain Society and the International Society of Pelvic Neuromodulation.
- Dr. Butrick is a reviewer for many years reviewed journals including Journal of Urology, International Urogynecology Journal, Journal of Female Pelvic Medicine and Reconstructive Surgery and the OB/GYN Journal.