A board certified specialist in Female Pelvic Medicine and Reconstructive Surgery, Dr. Karram has been in practice for over 25 years and has served patients around the world.

Pelvic floor dysfunction is not a normal part of aging. While it impacts millions of women, there is almost always a therapy that can significantly improve, if not cure your problem.

A major proponent for female health awareness and education, Dr. Karram has the ability to address all of your pelvic floor needs.


  • A pioneer in the field of urogynecology and pelvic surgery with 30 years of clinical experience
  • Co-author of the subspecialty’s leading textbooks which practicing physicians and pelvic surgeons utilize in training around the world
  • Was voted by Good Housekeeping magazine as one of the best physicians for women in the country
  • Co-authored one of the field’s most widely used reference texts, “Atlas of Pelvic Anatomy and Gynecologic Surgery”
  • A leading clinician and researcher in the use of lasers and energy sources in the vaginal canal
  • An expert in the surgical correction of pelvic organ prolapse without the use of mesh
  • Has published over 200 peer reviewed scientific publications in the medical literature
  • Has lectured and taught live surgery to doctors throughout the US, Europe, Australia, and Asia


Dr. Karram was recently a guest panelist on the CBS show “The Doctors” where his expertise was brought to bear on a special case.  More information about the episode can be found here.

Check your local listings for air dates and times.



In this clip, Mickey gives a brief overview of his background and certifications in obstetrics, gynecology, urogynecology, female pelvic medicine and reconstructive surgery.  For more information on Dr. Karram’s qualifications,


Do you suffer from any of the following?

Dr. Karram has extensive experience in evaluating and managing all types of bladder control issues, whether they be related to what is termed stress incontinence, urge incontinence/overactive bladder, or a combination of both. He also has extensive experience treating patients who have previously undergone surgeries that have NOT been successful in the management of their incontinence.

Pelvic organ prolapse is a very common problem that occurs in a high percentage of women. Dr. Karram continues to utilize very safe and efficacious procedures for this. Most notably, the majority of the prolapse repairs that Dr. Karram does are done transvaginally without the use of any mesh. He has published extensively on this with excellent long term outcomes with minimal complications. Also, Dr. Karram has developed surgeries that can correct uterine prolapse without removal of the uterus as well as not utilizing any mesh.

If you are in need of a hysterectomy, it is important to understand that the least invasive, safest and most efficient way to have your uterus removed is transvaginally. Many physicians promote robotic and laparoscopic approaches over vaginal approaches. In reality, any hysterectomy that can be done vaginally should be done vaginally. This has been very clearly stated by the American College of Obstetrics and Gynecology.  Dr. Karram has extensive experience in performing vaginal hysterectomy in most situations that would otherwise require an incision or a laparoscopic or robotic approach.

If you have had a surgical complication related to mesh, Dr. Karram has had extensive experience managing mesh complications and again can usually do this through a transvaginal approach, maintaining vaginal function.

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