Two locations to serve you!

(916) 779-1160

(916) 772-5533

Urogynecology Consultants for minimally invasive surgery

Advanced techniques for your safety and comfort

At Urogynecology Consultants, our board-certified physicians, Dr. Wesley Hilger, Dr. Sesh Kasturi, and Dr. Kristen Buono, are experts when it comes to minimally invasive surgical techniques. We were the first practice in Northern California to introduce da Vinci robot surgery for vaginal prolapse repair. Our practice offers a menu of minimally invasive procedures, including robotic surgery, laparoscopic surgery, and vaginal surgery for the treatment of:

  • Pelvic organ prolapse
  • Urinary incontinence
  • Vesicovaginal fistula
  • Vaginal mesh complications (including transvaginal mesh)
  • Rectovaginal fistula
  • Postsurgical vaginal scarring
  • Congenital anomalies (vaginal agenesis, MRKH syndrome)
  • Benign gynecologic conditions requiring surgery (endometriosis, uterine fibroids)

Minimally invasive is easier on you

At Urogynecology Consultants, patient care and comfort are always top priorities. The advantages of minimally invasive surgery include:

Shorter hospital stay: Many surgeries are outpatient or require only an overnight stay.

Less discomfort: Less need for pain medication so you can recover more quickly.

Less scarring: Our approach requires few if any abdominal incisions. If an abdominal incision is required, it is less than 1 cm. We even perform “scarless surgery” with no visible abdominal incisions.

Quicker recovery: Often you will be back to normal in a matter of weeks.

Credentials you can count on

Our physicians are double board-certified in obstetrics and gynecology and female pelvic medicine and reconstructive surgery. These credentials require fellowship training in advanced gynecologic surgery. This additional training gives our surgeons in-depth knowledge about female pelvic anatomy and surgical approaches to treat complex gynecologic conditions.

Collaborative care, experience you can trust

At Urogynecology Consultants, our physicians each perform between three and six complex minimally invasive surgeries a week – that’s hundreds of complex procedures each year. With experience come better results and fewer complications. We are a referral practice and we treat complex conditions from around the state. And as a team practice, we always collaborate, which means as our patient, you will benefit from our collective expertise.

Feel like yourself again

As a woman, you have unique needs when it comes to healthcare. Get the compassion and respect you deserve from a team of doctors who can help you renew your confidence and restore your quality of life.

Your comfort and well-being is our top priority at Urogynecology Consultants. You can reach us at (916) 779-1160 (Sacramento) or (916) 772-5533 (Roseville) with your questions or to schedule a consultation. Our minimally invasive surgery patients come to us from Sacramento, Roseville, Elk Grove, El Dorado Hills, Folsom, Fairfield, Davis, Modesto, South Lake Tahoe, Reno, Redding, Chico, and other nearby areas.

Patient Reviews

  • It's been 1½ years since Dr. Hilger "fixed" me and improved my life forever. I think of you often with deep gratitude! ~ Carole

  • Dr. Kasturi, Thank you for all your care and all you have done for me. You are all the best. ~MC

  • Dr. Hilger, I wanted to thank-you again for the great care, concern and surgical repair that you gave me. Life feels so much better having the prolapse repair done. ~ Terri

  • Thank you so very much for all of the excellent care you've given to me Dr. Kasturi. You are so patient and compassionate and have helped me through my surgery and beyond. ~ MS

  • Thank you so much Dr. Hilger for all you've done to make my life better. So grateful. ~ Susan

  • Thank you Dr. Hilger for making the time to call me on the phone, yesterday. I think that it is rare that there are doctor to patient phone calls anymore. They are going the way of the old fashion doctor house call. You answered a lot of my questions. So, I am especially grateful. ~ Lorna

  • Thank you so very much for the excellent care and services. You always made me feel comfortable. When our health is compromised, it is scary, but to receive the care I did, made me feel so much better! ~ BR

Meet the Team

  • Wesley S. Hilger
  • Sesh Kasturi
  • Kristen Buono

Meet our compassionate team of highly credentialed urogynecology specialists.

Video Gallery

What's New

Breaking the Silence about Pelvic Prolapse Though half of women who’ve delivered a child and half of women over 50 experience pelvic organ prolapse, it remains something rarely discussed except with a woman’s closest girlfriend or physician. Why the embarrassment? Pelvic prolapse refers to a condition where the uterus, vagina, bladder and rectum shift positions in a woman’s body and move downward, resulting in some uncomfortable and awkward symptoms such as heaviness or aching in the p...