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Home > OH Providers > Female Pelvic Medicine & Reconstructive Surgeons

Dr. Marie Fidela Paraiso, MD

(59 Ratings)

Specializes in: Female Pelvic Medicine and Reconstructive Surgery and Obstetrics & Gynecology

Indiana University School of Medicine (1990)

Professional interests include: fistula, urologic (genitourinary) disorders, laparoscopic hysterectomy, and more.

18099 Lorain Avenue
Cleveland, OH 44111

(216) 492-0380

Dr. Marie Fidela Paraiso, MD is a female pelvic medicine specialist in Cleveland, OH specializing in female pelvic medicine and reconstructive surgery and obstetrics & gynecology. She graduated from Indiana University School of Medicine in 1990 and has 35 years of experience. Dr. Marie Fidela Paraiso, MD is affiliated with Cleveland Clinic, Cleveland Clinic Main Campus and Fairview Medical Center.

Office Locations

Address:

18099 Lorain Avenue
Cleveland, OH 44111

Address:

9500 Euclid Avenue Mail Code A81
Cleveland, OH 44195

Some issues Dr. Marie Fidela Paraiso, MD can help you with:

Hysterectomy (Uterus Removal)

A hysterectomy is an extremely common surgery performed to remove the uterus. Sometimes the fallopian tubes, ovaries, or cervix will be removed as well. A woman who has had a hysterectomy will no longer have periods and cannot get pregnant.

There are a variety of reasons that women have hysterectomies, including:

Heavy bleeding or pain, such as that due to fibroids, endometriosis, or adenomyosis
Cancer
Prolapsed uterus, where the pelvic muscles can no longer completely hold the uterus in place

It is important to note that having any of these conditions does not necessarily mean that a hysterectomy is necessary. There are other available treatment options in most cases.

Although the uterus is responsible for a period, it is the ovaries that control the hormonal changes that women go through every month. So if a woman has a hysterectomy but keeps her ovaries, she might still experience hormonal swings every month even if she no longer has a period. Alternately, if a younger woman has a hysterectomy where her ovaries as removed, she will essentially be in immediate menopause.

A hysterectomy can be performed traditionally through one large cut in the abdomen, laparoscopically using tiny incisions and small tools, or through the vagina. Full recovery may take four to six weeks. After a hysterectomy, patients might experience sexual changes such as vaginal dryness or a change in libido. It is common to experience strong emotions after a hysterectomy, including both grief and relief. If a patient's ovaries were removed, they may be at higher risk for certain diseases, such as heart disease and osteoporosis. Taking hormonal birth control might reduce this risk.

Pelvic Organ Prolapse

Pelvic organ prolapse is the bulging of pelvic organs into the vaginal canal due to a weak pelvic floor, causing symptoms like discomfort, pain, urinary problems, and constipation. The pelvic floor is a group of muscles that support the pelvic organs, which are made up of the bladder, rectum, small bowel, uterus, and vagina. Vaginal childbirth, menopause, pelvic surgery, radiation treatments, or being extremely overweight may cause the pelvic floor to weaken. Pelvic organ prolapse is a very common disorder among women, particularly for those who are over 50.

The choice of treatment for pelvic organ prolapse depends on the severity of the condition. Mild to moderate prolapse may be managed by doing pelvic floor strengthening exercises, taking hormone replacement therapy, or using pessaries. Pessaries are small devices inserted into the vagina to help support the pelvic organs. Pessary fitting is a quick procedure done in a doctor's office. For severe prolapse, surgical treatment may be necessary. Pelvic organ prolapse surgery repairs the following:

Cystocele or bladder prolapse, where the bladder sags into the vagina. The surgeon repairs a cystocele by strengthening the front wall of the vagina using stitches so that the bladder will no longer sag.
Enterocele or small bowel prolapse, which occurs when the small bowel descends towards the vagina. To correct an enterocele, the tissues between the small bowel and the vagina are sewn together, allowing them to provide more support.
Rectocele or posterior prolapse, which is the bulging of the front wall of the rectum into the back wall of the vagina. Surgery to repair a rectocele removes the excess stretched tissue between the rectum and vagina.
Uterine prolapse, which occurs when the uterus slips down to the vagina. To treat a uterine prolapse, the surgeon may secure the neck of the uterus (called cervix) to a ligament in the pelvis using stitches. Another option for this type of prolapse is a vaginal hysterectomy, which is the removal of the uterus.

Each of these procedures is performed through a vaginal incision, but an enterocele repair may use the abdominal approach as an alternative. If two or more pelvic organs have prolapsed, a combination of any of these procedures may be performed during the same surgical session.

For women who no longer wish to have intercourse, an operation called colpocleisis

may be a surgical option as well. By closing the vaginal canal, colpocleisis treats pelvic organ prolapse and eliminates any risk of its recurrence.

In most instances, pelvic organ prolapse surgery only requires a hospital stay of one day. Patients may experience vaginal bleeding for the first few weeks following surgery. If this happens, patients should use sanitary pads rather than tampons, as a higher risk of infection is associated with the use of tampons. To further help with recovery, patients should begin doing gentle pelvic floor strengthening exercises a few days after surgery. Doing these exercises at least three times a day as a routine tightens the pelvic floor muscles and prevents the recurrence of prolapse.

Sacral Nerve Stimulation (SNS)

Sacral nerve stimulation (SNS), also called sacral neuromodulation, is a treatment for bladder and bowel problems. Using thin, insulated wires (electrodes) and a device called a neurostimulator, sacral nerve stimulation can deliver electrical signals to correct communication issues between the brain and the bladder. The electrical signals reach the sacral nerve, which is responsible for muscles that control the bladder and rectal sphincter. By targeting this nerve, sacral nerve stimulation can influence the activity of pelvic muscles to treat overactive bladder, fecal (bowel) incontinence, and chronic constipation. When diet or lifestyle changes, medication, and other conservative options fail to work, neurostimulation is an option.

SNS surgery has two parts. The first part is an evaluation phase, during which it is determined if neurostimulation is effective treatment option for patients. Patients lie on their stomachs while a temporary electrode lead, through which electrical signals will travel, is inserted into their lower back. A permanent lead may also be used, and it would remain in place should the trial period prove successful. The lead is connected to an external neurostimulator. The procedure takes approximately one hour and may be performed in a doctor's office, hospital, or surgical center. After the procedure, patients are required to keep a log of their toilet habits over approximately two weeks, and they may need to limit their activities during this time. If patients' symptoms do not improve after the trial, they may repeat the test phase or discuss other treatment options with their doctors.

If the trial stimulator is effective, patients will undergo the second phase of SNS surgery, which is permanent implantation. In the second stage of surgery, the temporary lead (if used) will be replaced with a permanent lead. Then the sacral nerve stimulator will be implanted subcutaneously (under the skin) in the upper buttock. Patients should be able to return home the day of their procedure.

If patients are sore after surgery, their doctors may give them medication. The sacral nerve stimulator will be programmed after the procedure, and when it is turned on, patients should feel a sensation similar to pulling, tapping, tingling, or pulsing. Patients will need to work with their doctors during follow-up appointments to determine the most effective settings for the stimulator. Patients will be given instructions on how to adjust it themselves at home. The stimulator is powered by a battery that will last approximately five years, after which it can be replaced.

anorectal procedures	13
diagnostic procedures	13
doctor visit	173
incontinence surgery	17
lab tests	17
minimally invasive procedures	9
pelvic surgery	28
placement of vaginal support device	22
reconstructive surgery	28
urologic procedures	84

**Ethnicity**
Non-Hispanic White	153
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	81
From 75 to 84	49
85 and over	22
Less than 65	23

Hypertension	66
High Cholesterol	54
Stroke	0
Ischemic Heart Disease	23
Depression	21
Chronic Kidney Disease	10
Asthma	9
Osteoperosis	13
Atrial Fibrilation	7
Heart Failure	6
Chronic Obstructive Pulmonary Disease	7
Diabetes	24
Dementia	0
Cancer	10

anorectal procedures	15
diagnostic procedures	15
doctor visit	193
placement of vaginal support device	25
urologic procedures	40

**Ethnicity**
Non-Hispanic White	148
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	80
From 75 to 84	43
85 and over	19
Less than 65	20

Hypertension	59
High Cholesterol	55
Stroke	0
Ischemic Heart Disease	23
Depression	25
Chronic Kidney Disease	13
Asthma	0
Osteoperosis	11
Atrial Fibrilation	0
Heart Failure	10
Chronic Obstructive Pulmonary Disease	10
Diabetes	23
Dementia	0
Cancer	15

anorectal procedures	13
diagnostic procedures	13
doctor visit	161
incontinence surgery	11
placement of vaginal support device	28
urologic procedures	58

**Ethnicity**
Non-Hispanic White	280
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	190
From 75 to 84	62
85 and over	26
Less than 65	46

Hypertension	54
High Cholesterol	56
Stroke	0
Ischemic Heart Disease	20
Depression	30
Chronic Kidney Disease	13
Asthma	10
Osteoperosis	12
Atrial Fibrilation	7
Heart Failure	8
Chronic Obstructive Pulmonary Disease	8
Diabetes	24
Dementia	7
Cancer	13

anorectal procedures	27
diagnostic procedures	27
doctor visit	234
gynecologic procedures	15
incontinence surgery	22
minimally invasive procedures	25
pelvic surgery	33
placement of vaginal support device	21
reconstructive surgery	33
urologic procedures	152

**Ethnicity**
Non-Hispanic White	177
Black	13
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	106
From 75 to 84	61
85 and over	18
Less than 65	22

Hypertension	66
High Cholesterol	59
Stroke	0
Ischemic Heart Disease	17
Depression	25
Chronic Kidney Disease	17
Asthma	14
Osteoperosis	10
Atrial Fibrilation	7
Heart Failure	8
Chronic Obstructive Pulmonary Disease	9
Diabetes	19
Dementia	0
Cancer	12

anorectal procedures	13
diagnostic procedures	13
doctor visit	218
incontinence surgery	18
pelvic surgery	18
placement of vaginal support device	35
reconstructive surgery	18
urologic procedures	89

**Ethnicity**
Non-Hispanic White	188
Black	13
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	113
From 75 to 84	64
85 and over	17
Less than 65	19

Hypertension	56
High Cholesterol	48
Stroke	0
Ischemic Heart Disease	19
Depression	30
Chronic Kidney Disease	15
Asthma	9
Osteoperosis	11
Atrial Fibrilation	8
Heart Failure	9
Chronic Obstructive Pulmonary Disease	7
Diabetes	21
Dementia	0
Cancer	9

anorectal procedures	20
diagnostic procedures	20
doctor visit	178
incontinence surgery	11
minimally invasive procedures	9
pelvic surgery	6
placement of vaginal support device	13
reconstructive surgery	6
urologic procedures	79

**Ethnicity**
Non-Hispanic White	164
Black	13
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	105
From 75 to 84	54
85 and over	16
Less than 65	14

Hypertension	54
High Cholesterol	50
Stroke	0
Ischemic Heart Disease	19
Depression	25
Chronic Kidney Disease	20
Asthma	12
Osteoperosis	12
Atrial Fibrilation	7
Heart Failure	9
Chronic Obstructive Pulmonary Disease	8
Diabetes	21
Dementia	0
Cancer	10

doctor visit	186
gynecologic procedures	12
incontinence surgery	19
minimally invasive procedures	11
pelvic surgery	19
placement of vaginal support device	14
reconstructive surgery	19
urologic procedures	36

**Ethnicity**
Non-Hispanic White	167
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	108
From 75 to 84	50
85 and over	0
Less than 65	0

Hypertension	52
High Cholesterol	50
Stroke	0
Ischemic Heart Disease	21
Depression	28
Chronic Kidney Disease	17
Asthma	9
Osteoperosis	17
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	8
Diabetes	20
Dementia	0
Cancer	11

anorectal procedures	11
diagnostic procedures	11
doctor visit	154
incontinence surgery	12
minimally invasive procedures	17
pelvic surgery	14
placement of vaginal support device	10
reconstructive surgery	14
urologic procedures	60

**Ethnicity**
Non-Hispanic White	146
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	97
From 75 to 84	45
85 and over	0
Less than 65	0

Hypertension	54
High Cholesterol	57
Stroke	0
Ischemic Heart Disease	16
Depression	30
Chronic Kidney Disease	20
Asthma	11
Osteoperosis	19
Atrial Fibrilation	0
Heart Failure	10
Chronic Obstructive Pulmonary Disease	9
Diabetes	19
Dementia	0
Cancer	11

anorectal procedures	27
diagnostic procedures	27
doctor visit	368
gynecologic procedures	15
incontinence surgery	14
minimally invasive procedures	41
pelvic surgery	49
reconstructive surgery	49
urologic procedures	151

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. Marie Fidela Paraiso, MD for Medicare patients.

The highest averages for the top procedures that Dr. Marie Fidela Paraiso, MD treated as a female pelvic medicine specialist in Cleveland, OH were urologic procedures, reconstructive surgery, pelvic surgery and minimally invasive procedures.

anorectal procedures	17
diagnostic procedures	17
doctor visit	210
gynecologic procedures	14
incontinence surgery	15
lab tests	17
minimally invasive procedures	19
pelvic surgery	26
reconstructive surgery	26
urologic procedures	86

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. Marie Fidela Paraiso, MD.

**Gender**
Male	0
Female	161

**Ethnicity**
Black / African American	3
Asian / Pacific Islander	0
Non-Hispanic White	142
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
85 and over	11
75 to 84	42
Less than 65	14
65 to 74	88

Average of Total of Conditions of Medicare patients treated by Dr. Marie Fidela Paraiso, MD From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Marie Fidela Paraiso, MD treated were hypertension, high cholesterol, depression and diabetes.

Hypertension	46
High Cholesterol	42
Stroke	0
Ischemic Heart Disease	15
Depression	21
Chronic Kidney Disease	12
Asthma	7
Osteoporosis	10
Heart Failure	6
Chronic Obstructive Pulmonary Disease	6
Diabetes	17
Atrial Fibrillation	3
Dementia	0
Cancer	9

Education & Training

Dr. Marie Fidela Paraiso, MD graduated from Indiana University School of Medicine in 1990. She completed residency at Good Samaritan Hospital, Cincinnati. She is certified by the Obstetrics and Gynecology - Female Pelvic Medicine and Reconstructive Surgery Obstetrics and Gynecology and has a state license in Ohio.

Medical School: Indiana University School of Medicine (1990)

Residency: Good Samaritan Hospital, Cincinnati (1994)

Board Certification: Obstetrics and Gynecology - Female Pelvic Medicine and Reconstructive Surgery Obstetrics and Gynecology

Licensed In: Ohio

Affiliations & Hospitals

Dr. Marie Fidela Paraiso, MD is associated with these hospitals and organizations:

Cleveland Clinic

Cleveland Clinic Main Campus

Fairview Medical Center

Ratings & Reviews

Dr. Marie Fidela Paraiso, MD has an exceptional overall rating with an average of 4.95 out of 5 stars based on 59 ratings. We collect ratings and reviews of Dr. Marie Fidela Paraiso, MD from all over the web to help you find the right in Cleveland, OH.

4.95

Overall Rating

(59 Ratings)

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General Payments

These charts describe general payments received by Dr. Marie Fidela Paraiso, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Boston Scientific Corporation	$8,234 UPSYLON $411	SOLYX SIS SYSTEM $317	Uphold LITE $212	GENERAL PELVIC ORGAN PROLAPSE $199	Advantage System $130	Other $6,964
American Medical Systems Inc.	$2,537 Elevate Anterior and Apical $1,575	ELEVATE PROLAPSE REPAIR SYSTEM $962
Medtronic USA, Inc.	$2,255 Sacral Nerve Stimulation - Neuro $1,503	INTERSTIM $693	INTERSTIM ICON $59
Coloplast Corp	$1,271 FEMALE INCONTINENCE $589	ALTIS $564	Saffron $80	Pelvic Floor Repair $38
Caldera Medical, Inc	$981 Vertessa $396	Desara $206	$379
Other	$2,296 Axonics $290	Progel $143	INTERSTIM $128	Osphena $119	Bulkamid $117	Other $1,500

**Types of Payments**
Consulting Fee	$8,925
Food and Beverage	$6,462
Travel and Lodging	$2,101
Education	$85

Research Payments

Dr. Marie Fidela Paraiso, MD has received 26 research payments totaling $148,554.

Biography

Dr. Marie Paraiso is a specialist in female pelvic medicine and reconstructive surgery and obstetrics & gynecology. These areas are among Dr. Paraiso's clinical interests: rectocele (posterior prolapse), menstrual disorders, and cystocele (bladder prolapse). Her average patient rating is 5.0 stars (out of 5). She attended Indiana University School of Medicine and then went on to complete her residency at Good Samaritan Hospital, Cincinnati. Awards and/or distinctions she has received include Best Doctors in America and Best Doctors, Cleveland Magazine. She is affiliated with Cleveland Clinic Main Campus.