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Ziomara Maria Bernt, PA

Accepting New Patients

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Specializes in: Urogynecology
Professional interests include: urodynamics (bladder and urethra function test), chronic pelvic pain, fecal incontinence, and more.
25 Michigan Street Ne Suite 6200
Grand Rapids, MI 49503

Ziomara Maria Bernt, PA is in Grand Rapids, MI specializing in urogynecology. Ziomara Maria Bernt, PA is affiliated with Corewell Health and SPECTRUM HEALTH PRIMARY CARE PARTNERS.

View Provider's Full Profile (616) 391-3304

Office Locations

Address:

25 Michigan Street Ne Suite 6200
Grand Rapids, MI 49503

Some issues Ziomara Maria Bernt, PA 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.

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.

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Ziomara Maria Bernt, PA for Medicare patients.

The highest averages for the top procedures that Ziomara Maria Bernt, PA treated as in Grand Rapids, MI were urologic procedures, lab tests, complementary or alternative therapy and catheterization.

anorectal procedures 23
catheterization 30
complementary or alternative therapy 39
diagnostic procedures 23
doctor visit 107
lab tests 59
potassium test 13
urologic procedures 61

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Ziomara Maria Bernt, PA.

Gender
Female 82
Male 0
Ethnicity
Black / African American
Asian / Pacific Islander
Non-Hispanic White 48
Native American / Alaskan Native
Hispanic 1
Other
Age
85 and over 3
75 to 84 12
Less than 65 15
65 to 74 36

Average of Total of Conditions of Medicare patients treated by Ziomara Maria Bernt, PA From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Ziomara Maria Bernt, PA treated were hypertension, high cholesterol, depression and chronic kidney disease.

Hypertension 50
High Cholesterol 34
Stroke
Ischemic Heart Disease 12
Depression 34
Chronic Kidney Disease 16
Asthma 10
Osteoporosis 6
Heart Failure 2
Chronic Obstructive Pulmonary Disease 5
Diabetes 16
Atrial Fibrillation
Dementia
Cancer 2

Education & Training

She has a state license in Michigan.

Licensed In: Michigan

Affiliations & Hospitals

Ziomara Maria Bernt, PA is associated with these hospitals and organizations:

Corewell Health
SPECTRUM HEALTH PRIMARY CARE PARTNERS

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General Payments

These charts describe general payments received by Ziomara Maria Bernt, PA. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

Payments by Company
Medtronic, Inc. $173 INTERSTIM
$173
Astellas Pharma US Inc $73
$73
Novo Nordisk Inc $16 Wegovy
$16
Types of Payments
Food and Beverage $189
Education $73

Biography

Ms. Ziomara Bernt specializes in urogynecology and practices in Grand Rapids, MI. Clinical interests for Ms. Bernt include urge incontinence (overactive bladder), colposcopy, and vaginal prolapse. Ms. Bernt is affiliated with Corewell Health. Her practice in Grand Rapids, MI is open to new patients as reported by Corewell Health.

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