Essentia Health–Duluth Clinic 1st Street Building
Gynecologists at Essentia Health in Duluth help prevent, diagnose and treat women’s health conditions. Women of all ages receive preventive care to achieve and maintain wellness, including cervical cancer screening (Pap smear), contraceptive counseling and menopause consulting.
Our gynecology team also cares for women with a wide range of gynecological conditions, from
to incontinence to
gynecologic cancergynecologic cancer
Led by Dr. Colleen R. Evans, the only chemotherapychemotherapy
in Northern Minnesota, our gynecologic oncology team provides comprehensive, optimal care for gynecological cancers. This means you don’t have to go far from home to get the care and support you deserve.
Diagnosis and Treatment
Dr. Evans evaluates and treats the full spectrum of gynecologic cancers, including malignancies of the vulva, vagina, pelvis, cervix, uterus, fallopian tubes and ovaries. She uses a minimally invasive approach to surgery, including laparoscopy and robotic techniques.
If additional therapy such as
is necessary, Dr. Evans partners with Essentia Health’s
hematology/oncology teamhematology/oncology team
to form a cancer treatment plan that’s right for each individual. From there, she is in involved in every treatment step, including follow-up visits.
Our gynecologic oncology team also includes a certified genetic counselor. This specialist can help explain the genetics of gynecologic cancers, what you should know about your relatives’ cancer history, and who in your family should be tested.
Our team performs laparoscopies, a form of minimally invasive surgery, to treat a variety of gynecological conditions. Using advanced, robotic-assisted surgical technology and small incisions, our surgeons complete complex operations with extreme precision and accuracy.
Incontinence is often treated with laparoscopic surgery, including transobturator taping (TOT) and transvaginal, or tension-free, taping (TVT). These surgeries involve inserting a sling to keep your bladder closed.
Other laparoscopic surgery procedures include vaginal hysterectomies and the removal of cancerous and non-cancerous tumors, such as urinary fibroids (myomectomy). Our
fertility specialistsfertility specialists
may also use laparoscopic surgery in infertility diagnosis and treatment.
Our care team performs tubal ligations (also called ‘having your tubes tied’) and Essure sterilization procedures as forms of permanent contraceptive. We also do tubal ligation reversals to rejoin a woman's fallopian tubes after sterilization.
The surgery team also performs abdominal hysterectomies and hysteroscopies for abnormal uterine bleeding, also known as endometrial ablation.
There are currently no classes or events slated for this facility.
Trouble controlling your bladder, known as urinary incontinence, is common among women. If incontinence is affecting your day-to-day life, our continence clinic can help.
Types of Urinary Incontinence
There are three main types of urinary incontinence:
- Stress incontinence – urine leakage when you laugh, sneeze, strain, lift or put pressure on the bladder
- Urge incontinence (bladder instability) – you urgently need to urinate and can’t to get to the bathroom in time.
- Overflow incontinence – your bladder leaks often because it does not empty properly.
Our incontinence specialists use a variety of tests to determine the cause of your incontinence. These can range from blood tests and urinalysis to cystometrograms (CMG). In a CMG, also called urodynamic testing, a catheter is inserted into your urethra and fills your bladder with water. The test measures the pressure in your bladder when it is full and when it is empty. It also determines the strength of your bladder muscle as you empty your bladder.
Once the cause of incontinence has been identified, your care team will work with you to develop a personalized treatment plan. Treatment options range from simple exercises and lifestyle changes to medications and minimally invasive surgery. The most common surgeries involve inserting slings to keep your bladder closed. These operations include transobturator taping (TOT) and transvaginal, or tension-free, taping (TVT).
Continence Brochure (PDF)