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Dr. Marsha Kathleen Guess, MS, MD

(196 Ratings)

Specializes in: Urogynecology

University of California, Los Angeles (UCLA), David Geffen School of Medicine (1997)

Professional interests include: women's health issues, reconstructive surgery, urologic (genitourinary) disorders, and more.

9548 Park Meadows Drive
Lone Tree, CO 80124

(720) 848-2233

Dr. Marsha Kathleen Guess, MS, MD is an urogynecologist in Aurora, CO specializing in urogynecology. She graduated from University of California, Los Angeles (UCLA), David Geffen School of Medicine in 1997 and has 28 years of experience. Dr. Marsha Kathleen Guess, MS, MD is affiliated with UCHealth, University of Colorado Medicine, UNIVERSITY PHYSICIANS INCORPORATED and UCHealth Urogynecology Clinic - Lone Tree.

Office Locations

Address:

12605 E 16th Avenue
Aurora, CO 80045

Address:

1635 Aurora Court 3rd Floor
Aurora, CO 80045

Address:

9548 Park Meadows Drive
Lone Tree, CO 80124

Some issues Dr. Marsha Kathleen Guess, MS, MD can help you with:

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.

In The News (see more mentions in the news)

“"We're basically showing that there may be modifiable risk factors associated with female riders," said Dr. Marsha Guess, an author of the study and an assistant professor of obstetrics, gynecology...”—"Bike seats could cause sex problems for women", My San Antonio, July 2018

“"The choice between vaginal birth and (Casesarean) section is a complex one, and our results are not meant to promote one over the other," said Dr. Marsha K. Guess, assistant professor in Yale's...”—"Yale study shows pelvic prolapse more likely in vaginal births than C-sections", New Haven Register, July 2017

“Dr. Marsha K. Guess, assistant professor at Yale University's Department of Obstetrics, Gynecology and Reproductive Sciences, adds that she believes people have linked leggings to these negative...”—"Why your gyno loves your leggings", New York Post, July 2016

doctor visit	116
urologic procedures	27

**Ethnicity**
Non-Hispanic White	72
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	35
From 75 to 84	22
85 and over	12
Less than 65	21

Hypertension	58
High Cholesterol	50
Stroke	0
Ischemic Heart Disease	20
Depression	23
Chronic Kidney Disease	12
Asthma	12
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	16
Chronic Obstructive Pulmonary Disease	0
Diabetes	20
Dementia	0
Cancer	0

doctor visit	126
minimally invasive procedures	10
urologic procedures	58

**Ethnicity**
Non-Hispanic White	65
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	34
From 75 to 84	24
85 and over	0
Less than 65	0

Hypertension	49
High Cholesterol	44
Stroke	0
Ischemic Heart Disease	22
Depression	24
Chronic Kidney Disease	0
Asthma	0
Osteoperosis	13
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	18
Dementia	0
Cancer	0

doctor visit	113
minimally invasive procedures	10
urologic procedures	42

**Ethnicity**
Non-Hispanic White	124
Black	28
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	82
From 75 to 84	0
85 and over	0
Less than 65	56

Hypertension	54
High Cholesterol	53
Stroke	0
Ischemic Heart Disease	20
Depression	38
Chronic Kidney Disease	14
Asthma	14
Osteoperosis	14
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	24
Dementia	0
Cancer	0

doctor visit	106
urologic procedures	11

**Ethnicity**
Non-Hispanic White	97
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	51
From 75 to 84	28
85 and over	0
Less than 65	0

Hypertension	47
High Cholesterol	39
Stroke	0
Ischemic Heart Disease	14
Depression	30
Chronic Kidney Disease	20
Asthma	17
Osteoperosis	16
Atrial Fibrilation	0
Heart Failure	11
Chronic Obstructive Pulmonary Disease	0
Diabetes	23
Dementia	0
Cancer	0

abdominal surgery	15
anorectal procedures	30
diagnostic procedures	30
doctor visit	269
minimally invasive procedures	34
open surgery	15
pelvic surgery	28
placement of vaginal support device	24
reconstructive surgery	28
urologic procedures	139

**Ethnicity**
Non-Hispanic White	175
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	100
From 75 to 84	63
85 and over	0
Less than 65	0

Hypertension	60
High Cholesterol	34
Stroke	0
Ischemic Heart Disease	19
Depression	31
Chronic Kidney Disease	20
Asthma	13
Osteoperosis	19
Atrial Fibrilation	0
Heart Failure	9
Chronic Obstructive Pulmonary Disease	10
Diabetes	19
Dementia	9
Cancer	13

abdominal surgery	13
anorectal procedures	34
diagnostic procedures	34
doctor visit	331
minimally invasive procedures	40
open surgery	13
pelvic surgery	25
placement of vaginal support device	24
reconstructive surgery	25
urologic procedures	155

**Ethnicity**
Non-Hispanic White	201
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	119
From 75 to 84	62
85 and over	28
Less than 65	15

Hypertension	59
High Cholesterol	39
Stroke	0
Ischemic Heart Disease	23
Depression	27
Chronic Kidney Disease	21
Asthma	8
Osteoperosis	21
Atrial Fibrilation	0
Heart Failure	7
Chronic Obstructive Pulmonary Disease	8
Diabetes	18
Dementia	8
Cancer	12

abdominal surgery	20
anorectal procedures	55
diagnostic procedures	55
doctor visit	386
minimally invasive procedures	55
open surgery	20
pelvic surgery	41
placement of vaginal support device	30
reconstructive surgery	41
urologic procedures	236

**Ethnicity**
Non-Hispanic White	220
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	128
From 75 to 84	77
85 and over	0
Less than 65	0

Hypertension	56
High Cholesterol	48
Stroke	0
Ischemic Heart Disease	25
Depression	26
Chronic Kidney Disease	21
Asthma	7
Osteoperosis	0
Atrial Fibrilation	7
Heart Failure	11
Chronic Obstructive Pulmonary Disease	9
Diabetes	17
Dementia	11
Cancer	13

abdominal surgery	30
anorectal procedures	53
diagnostic procedures	53
doctor visit	337
gynecologic procedures	11
minimally invasive procedures	53
open surgery	30
pelvic surgery	60
placement of vaginal support device	17
reconstructive surgery	60
urologic procedures	240

**Ethnicity**
Non-Hispanic White	228
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	112
From 75 to 84	92
85 and over	0
Less than 65	0

Hypertension	62
High Cholesterol	49
Stroke	5
Ischemic Heart Disease	24
Depression	29
Chronic Kidney Disease	21
Asthma	11
Osteoperosis	20
Atrial Fibrilation	5
Heart Failure	11
Chronic Obstructive Pulmonary Disease	11
Diabetes	13
Dementia	16
Cancer	15

abdominal surgery	46
anorectal procedures	109
diagnostic procedures	109
doctor visit	446
gynecologic procedures	16
minimally invasive procedures	128
open surgery	46
pelvic surgery	89
reconstructive surgery	89
urologic procedures	517

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. Marsha Kathleen Guess, MS, MD for Medicare patients.

The highest averages for the top procedures that Dr. Marsha Kathleen Guess, MS, MD treated as an urogynecologist in Aurora, CO were urologic procedures, anorectal procedures, diagnostic procedures and reconstructive surgery.

abdominal surgery	24
anorectal procedures	56
diagnostic procedures	56
doctor visit	248
gynecologic procedures	13
minimally invasive procedures	47
open surgery	24
pelvic surgery	48
reconstructive surgery	48
urologic procedures	160

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. Marsha Kathleen Guess, MS, MD.

**Gender**
Male	0
Female	137

**Ethnicity**
Black / African American	2
Asian / Pacific Islander	0
Non-Hispanic White	118
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
85 and over	4
75 to 84	36
Less than 65	9
65 to 74	66

Average of Total of Conditions of Medicare patients treated by Dr. Marsha Kathleen Guess, MS, MD From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Marsha Kathleen Guess, MS, MD treated were hypertension, high cholesterol, depression and ischemic heart disease.

Hypertension	44
High Cholesterol	35
Stroke	0
Ischemic Heart Disease	16
Depression	22
Chronic Kidney Disease	12
Asthma	8
Osteoporosis	10
Heart Failure	6
Chronic Obstructive Pulmonary Disease	3
Diabetes	15
Atrial Fibrillation	1
Dementia	4
Cancer	5

Education & Training

Dr. Marsha Kathleen Guess, MS, MD graduated from University of California, Los Angeles (UCLA), David Geffen School of Medicine in 1997. She completed residency at University of California, Los Angeles (UCLA) Affiliated Hospitals. She has a state license in Connecticut.

Medical School: University of California, Los Angeles (UCLA), David Geffen School of Medicine (1997)

Residency: University of California, Los Angeles (UCLA) Affiliated Hospitals (2001)

Licensed In: Connecticut

Affiliations & Hospitals

Dr. Marsha Kathleen Guess, MS, MD is associated with these hospitals and organizations:

UCHealth

University of Colorado Medicine

UNIVERSITY PHYSICIANS INCORPORATED

UCHealth Urogynecology Clinic - Lone Tree

Ratings & Reviews

Dr. Marsha Kathleen Guess, MS, MD has an exceptional overall rating with an average of 4.7 out of 5 stars based on 196 ratings. We collect ratings and reviews of Dr. Marsha Kathleen Guess, MS, MD from all over the web to help you find the right in Aurora, CO.

4.7

Overall Rating

(196 Ratings)

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General Payments

These charts describe general payments received by Dr. Marsha Kathleen Guess, MS, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Covidien Sales LLC	$1,492 Vessel Sealing $1,187	Electrosurgery $305
Allergan Inc.	$534 BOTOX $534
Coloplast Corp	$383 Pelvic Floor Repair $238	FEMALE INCONTINENCE $145
Boston Scientific Corporation	$274 PELVIC ORGAN PROLAPSE $193	Capio $81
Medtronic, Inc.	$146 INTERSTIM $146
Other	$395 INTRAROSA $125	ADDYI $100	Myrbetriq $55	Vesicare $23	Incontinence Products $14	Other $79

**Types of Payments**
Travel and Lodging	$1,663
Food and Beverage	$1,321
Education	$240

Biography

Dr. Marsha Guess' area of specialization is urogynecology. Areas of expertise for Dr. Guess include pelvic reconstructive surgery, sexual dysfunction, and fecal incontinence. She has a 4.5 out of 5 star average patient rating. Before performing her residency at a hospital affiliated with the University of California, Los Angeles (UCLA), Dr. Guess attended the University of California, Los Angeles (UCLA), David Geffen School of Medicine. She is affiliated with the University of Colorado Hospital and the University of Colorado Medicine.