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Home > MO Providers > Female Pelvic Medicine & Reconstructive Surgeons

Dr. Raymond Todd Foster Sr., MD

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

University of Missouri-Columbia School of Medicine

Professional interests include: women's health issues, urodynamics (bladder and urethra function test), female incontinence, and more.

500 N Keene Street Suite 306
Columbia, MO

(573) 817-3165

Dr. Raymond Todd Foster Sr., MD is a female pelvic medicine specialist in Columbia, MO specializing in female pelvic medicine and reconstructive surgery and obstetrics & gynecology. He graduated from University of Missouri-Columbia School of Medicine. Dr. Raymond Todd Foster Sr., MD is affiliated with University of Missouri Health Care and THE CURATORS OF THE UNIVERSITY OF MISSOURI.

Office Locations

Address:

500 N Keene Street Suite 306
Columbia, MO

Some issues Dr. Raymond Todd Foster Sr., MD can help you with:

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.

Urinary Tract Infection (UTI)

A urinary tract infection, or UTI, happens when bacteria enter the body through the opening where urine is normally released. The bacteria infect the lining of the urethra and bladder, turning them red and inflamed. This causes pain in the abdomen or pelvic area, a burning sensation during urination, a sense of urgency about going to the bathroom, frequent urination, and urine that smells bad and looks cloudy, or even contains traces of blood. If the urinary tract infection is severe, it may travel all the way to the kidneys, a more serious kind of UTI called pyelonephritis. Patients with this kidney infection might have blood in their urine, feel back pain, and develop a fever.

Urinary tract infections are extremely common: 12% of all men and 40-50% of all women will have a urinary tract infection during their lifetime. They are more common in women because women have shorter urethras, so bacteria have a shorter distance to travel from the outside of the body to the bladder and cause an infection. Some people also have urethras that are an unusual shape or have an obstruction in the urethra that makes getting a UTI more likely. Also, certain chronic illnesses like diabetes weaken the immune system, so any bacteria in the body are more likely to cause an infection.

A urinary tract infection can be diagnosed very quickly by a doctor. A sample of urine can be examined under a microscope for the presence of bacteria or white blood cells. There are also diagnostic strips that can be used to test a urine sample without the need for a microscope. Once a diagnosis is made, treatment is a course of oral antibiotics, and most patients feel better within just a few days. There are some things that patients can do themselves to help reduce the risk of getting a urinary tract infection in the future. Stay well hydrated, wipe from front to back after going to the bathroom, wear breathable cotton undergarments, and don't hold it in when patients feel the urge to go.

Urodynamics (Bladder and Urethra Function Test)

Urodynamics are tests that assess how well the lower urinary tract is functioning. Specifically, they evaluate its ability to hold and release urine, as well as show if any blockages or leaks are present. The lower urinary tract is made up of the following:

The bladder, which stores urine.
The urinary sphincters, which are muscles around the opening of the bladder that hold urine in.
The urethra, which is the tube where urine flows out of the body.

Urodynamics tests are normally performed together as one series, but depending on patients' symptoms, only one or some of them may be necessary. The most common tests are:

Cystometrogram, which measures the amount of urine the bladder can store and how full it is before someone has the urge to urinate. Doctors may order this test if she suspects their patient has a weak bladder.
Pressure flow study, which measures the pressure in the bladder while urinating. This test helps locate a blockage in the bladder.
Uroflowmetry, which measures how much and how fast urine flows out of the body. This test is usually recommended when patients have difficulty urinating or they have a slow stream.
Urethral sphincter electromyography, which measures how strong the muscles and nerves in the bladder and sphincters are. Doctors may request this test if the problem they are experiencing is linked to muscle or nerve damage in the lower urinary tract.
Urethral pressure profile, which measures the pressure along the urethra while the bladder is gradually filled with fluid. Low pressure could mean someone has a weak urethra, a contributing factor to urinary incontinence (loss of bladder control).

For a few hours following a urodynamics study, patients will likely feel some soreness or discomfort. It is recommended to drink at least one glass of water every half hour for two hours to relieve these symptoms. Holding a warm, moistened washcloth over the area where discomfort is felt or taking a warm bath may also help. Results for cystrometrograms and uroflowmetry are typically available immediately after the test, but results for the other tests may take a few days. When doctors have reviewed a patient's test results, he or she will discuss them with the patient, along with any treatments the patient may need.

anorectal procedures	45
catheterization	25
diagnostic procedures	45
doctor visit	197
incontinence surgery	20
minimally invasive procedures	162
neurostimulator lead placement	11
pelvic surgery	20
reconstructive surgery	21
urologic procedures	350

**Ethnicity**
Non-Hispanic White	238
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	110
From 75 to 84	56
85 and over	22
Less than 65	62

Hypertension	62
High Cholesterol	41
Stroke	4
Ischemic Heart Disease	27
Depression	36
Chronic Kidney Disease	13
Asthma	10
Osteoperosis	13
Atrial Fibrilation	6
Heart Failure	12
Chronic Obstructive Pulmonary Disease	12
Diabetes	29
Dementia	4
Cancer	6

anorectal procedures	45
catheterization	44
diagnostic procedures	45
doctor visit	171
gastrointestinal procedures	10
implant surgery	10
incontinence surgery	19
minimally invasive procedures	117
neurostimulator replacement	10
pelvic surgery	29
peripheral nerve stimulator replacement	10
reconstructive surgery	30
urologic procedures	323

**Age**
From 65 to 74	88
From 75 to 84	54
85 and over	0
Less than 65	0

Hypertension	60
High Cholesterol	51
Stroke	0
Ischemic Heart Disease	20
Depression	36
Chronic Kidney Disease	15
Asthma	12
Osteoperosis	13
Atrial Fibrilation	0
Heart Failure	11
Chronic Obstructive Pulmonary Disease	13
Diabetes	31
Dementia	0
Cancer	6

anorectal procedures	33
catheterization	124
diagnostic procedures	33
doctor visit	214
gastrointestinal procedures	12
implant surgery	12
incontinence surgery	10
minimally invasive procedures	49
neurostimulator lead placement	13
neurostimulator replacement	12
pelvic surgery	19
peripheral nerve stimulator replacement	12
reconstructive surgery	20
urologic procedures	310

**Age**
From 65 to 74	198
From 75 to 84	124
85 and over	0
Less than 65	0

Hypertension	63
High Cholesterol	53
Stroke	0
Ischemic Heart Disease	23
Depression	42
Chronic Kidney Disease	16
Asthma	17
Osteoperosis	16
Atrial Fibrilation	6
Heart Failure	7
Chronic Obstructive Pulmonary Disease	17
Diabetes	35
Dementia	6
Cancer	8

**Ethnicity**
Non-Hispanic White	238
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	112
From 75 to 84	67
85 and over	16
Less than 65	54

Hypertension	62
High Cholesterol	43
Stroke	6
Ischemic Heart Disease	16
Depression	38
Chronic Kidney Disease	23
Asthma	23
Osteoperosis	12
Atrial Fibrilation	0
Heart Failure	8
Chronic Obstructive Pulmonary Disease	19
Diabetes	26
Dementia	6
Cancer	8

anorectal procedures	35
catheterization	174
diagnostic procedures	35
doctor visit	267
gastrointestinal procedures	18
gynecologic procedures	15
implant surgery	18
minimally invasive procedures	62
neurostimulator lead placement	21
neurostimulator replacement	18
pelvic surgery	43
peripheral nerve stimulator replacement	18
reconstructive surgery	44
urologic procedures	376

**Age**
From 65 to 74	116
From 75 to 84	62
85 and over	23
Less than 65	47

Hypertension	59
High Cholesterol	49
Stroke	0
Ischemic Heart Disease	24
Depression	31
Chronic Kidney Disease	23
Asthma	10
Osteoperosis	14
Atrial Fibrilation	6
Heart Failure	15
Chronic Obstructive Pulmonary Disease	13
Diabetes	28
Dementia	8
Cancer	10

anorectal procedures	39
catheterization	162
diagnostic procedures	39
doctor visit	239
gastrointestinal procedures	20
implant surgery	20
minimally invasive procedures	54
neurostimulator lead placement	22
neurostimulator replacement	20
pelvic surgery	43
peripheral nerve stimulator replacement	20
reconstructive surgery	44
urologic procedures	386

**Ethnicity**
Non-Hispanic White	230
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	129
From 75 to 84	62
85 and over	0
Less than 65	0

Hypertension	67
High Cholesterol	48
Stroke	0
Ischemic Heart Disease	23
Depression	31
Chronic Kidney Disease	22
Asthma	12
Osteoperosis	13
Atrial Fibrilation	7
Heart Failure	13
Chronic Obstructive Pulmonary Disease	15
Diabetes	28
Dementia	7
Cancer	8

anorectal procedures	60
catheterization	164
diagnostic procedures	60
doctor visit	257
gastrointestinal procedures	19
implant surgery	19
incontinence surgery	10
minimally invasive procedures	81
neurostimulator lead placement	21
neurostimulator replacement	19
pelvic surgery	42
peripheral nerve stimulator replacement	19
reconstructive surgery	43
urologic procedures	488

**Age**
From 65 to 74	121
From 75 to 84	84
85 and over	0
Less than 65	0

Hypertension	62
High Cholesterol	52
Stroke	0
Ischemic Heart Disease	25
Depression	37
Chronic Kidney Disease	23
Asthma	9
Osteoperosis	12
Atrial Fibrilation	10
Heart Failure	12
Chronic Obstructive Pulmonary Disease	17
Diabetes	0
Dementia	6
Cancer	10

anorectal procedures	27
catheterization	55
diagnostic procedures	27
doctor visit	108
minimally invasive procedures	41
neurostimulator lead placement	9
pelvic surgery	29
reconstructive surgery	30
urologic procedures	217

**Ethnicity**
Non-Hispanic White	140
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	71
From 75 to 84	40
85 and over	11
Less than 65	18

Hypertension	54
High Cholesterol	46
Stroke	0
Ischemic Heart Disease	19
Depression	30
Chronic Kidney Disease	20
Asthma	9
Osteoperosis	12
Atrial Fibrilation	8
Heart Failure	13
Chronic Obstructive Pulmonary Disease	12
Diabetes	26
Dementia	0
Cancer	8

anorectal procedures	122
catheterization	171
diagnostic procedures	122
doctor visit	468
gastrointestinal procedures	45
gynecologic procedures	25
implant surgery	45
incontinence surgery	24
minimally invasive procedures	202
neurostimulator lead placement	51
neurostimulator replacement	45
pelvic surgery	141
peripheral nerve stimulator replacement	45
reconstructive surgery	118
urologic procedures	884

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. Raymond Todd Foster Sr., MD for Medicare patients.

The highest averages for the top procedures that Dr. Raymond Todd Foster Sr., MD treated as a female pelvic medicine specialist in Columbia, MO were urologic procedures, catheterization, minimally invasive procedures and anorectal procedures.

anorectal procedures	50
catheterization	120
diagnostic procedures	50
doctor visit	244
gastrointestinal procedures	19
gynecologic procedures	20
implant surgery	19
incontinence surgery	15
minimally invasive procedures	92
neurostimulator lead placement	20
neurostimulator replacement	19
pelvic surgery	49
peripheral nerve stimulator replacement	19
reconstructive surgery	46
urologic procedures	418

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. Raymond Todd Foster Sr., MD.

**Gender**
Male	0
Female	203

**Ethnicity**
Black / African American	0
Asian / Pacific Islander	0
Non-Hispanic White	84
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
75 to 84	54
85 and over	7
Less than 65	18
65 to 74	94

Average of Total of Conditions of Medicare patients treated by Dr. Raymond Todd Foster Sr., MD From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Raymond Todd Foster Sr., MD treated were hypertension, high cholesterol, depression and diabetes.

Hypertension	48
High Cholesterol	38
Stroke	1
Ischemic Heart Disease	17
Depression	28
Chronic Kidney Disease	15
Asthma	10
Osteoporosis	10
Heart Failure	9
Chronic Obstructive Pulmonary Disease	11
Diabetes	20
Atrial Fibrillation	4
Cancer	6
Dementia	3

Education & Training

Dr. Raymond Todd Foster Sr., MD graduated from University of Missouri-Columbia School of Medicine. He completed residency at Texas A & M Health Science Center and Affiliated Hospitals. He is certified by the American Board of Obstetrics & Gynecology Pelvic Medicine & Reconstructive Surgery and has a state license in Missouri.

Medical School: University of Missouri-Columbia School of Medicine

Residency: Texas A & M Health Science Center and Affiliated Hospitals

Board Certification: American Board of Obstetrics & Gynecology Pelvic Medicine & Reconstructive Surgery

Licensed In: Missouri

Affiliations & Hospitals

Dr. Raymond Todd Foster Sr., MD is associated with these hospitals and organizations:

University of Missouri Health Care

THE CURATORS OF THE UNIVERSITY OF MISSOURI

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General Payments

These charts describe general payments received by Dr. Raymond Todd Foster Sr., MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Axonics, Inc.	$2,779 Axonics r-SNM System $2,128	Axonics $445	Bulkamid $206
Medtronic USA, Inc.	$1,498 INTERSTIM $1,068	Sacral Nerve Stimulation - Neuro $429
Pfizer Inc.	$250 PVC $133	PREMARIN ORALS $36	ESTRING $35	COLOGUARD $34	PREMARIN $12
Rochester Medical Corporation	$213 $213
Axonics Modulation Technologies, Inc.	$50 Axonics r-SNM System $50
Other	$247 Bard Urinary Drainage Bag $49	ADVANTAGE FIT SYSTEM $32	Myrbetriq $31	SURGICEL Family of Absorbable Hemostats $24	GENTLECATH $20	Other $91

**Types of Payments**
Travel and Lodging	$2,444
Food and Beverage	$1,969
Honoraria	$623

Biography

Dr. Raymond Foster is a specialist in female pelvic medicine and reconstructive surgery and obstetrics & gynecology in Columbia, MO. His areas of expertise include the following: sacral nerve stimulation (SNS), female incontinence, and urinary tract infection (UTI). Dr. Foster attended medical school at the University of Missouri-Columbia School of Medicine. He trained at a hospital affiliated with Texas A & M Health Science Center for residency. Distinctions awarded to Dr. Foster include: (2 awards); Military Awards and Decorations; and Bronze Star Medal. He is affiliated with the University of Missouri Health Care. Dr. Foster's practice in Columbia, MO is open to new patients as reported by University of Missouri Health Care.