Dr. Mushtaler offering Acessa alternative hysterectomy procedure

Dr. Jennifer Mushtaler is one of a select group of national laparoscopic surgeons offering the Acessa procedure to women suffering from uterine fibroids as an alternative to hysterectomy.

Acessa Health Inc. Technology Featured in Ten-Year Review of Symptomatic Fibroid Management

Acessa Procedure Demonstrated Minimal Blood Loss, Shorter Hospitalization, Low Readmission and Re-intervention Rates

September 07, 2017 08:43 PM Eastern Daylight Time

AUSTIN, Texas–(BUSINESS WIRE)–Acessa Health Inc., developer of the Acessa® System, announced today that its laparoscopic radio frequency ablation technology was featured in a ten-year systematic review and meta-analysis of treatment options for uterine fibroids. The review, presented at MIS Week 2017 by Dr. Yelena Havryliuk of Weill Cornell Medical College, included an assessment of 143 journal articles from 2006 to 2016 and featured a quantitative synthesis (meta-analysis) of 45 studies during that period.

“The Acessa team is thrilled with the results of this comprehensive data review that overwhelmingly supports our technology as a superior intervention for women with symptomatic fibroids”

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The weighted combined results from hysterectomy trials were compared with those from uterine-preserving fibroid studies including myomectomy, uterine artery embolization (UAE), laparoscopic radiofrequency ablation (Lap-RFA), and magnetic resonance-guided focused ultrasound (MRg-FUS). Key findings of the review include:

  • Mean estimated blood loss following hysterectomy and myomectomy procedures exceeded 269 mL and 175 mL, respectively; Acessa’s Lap-RFA technology averaged 35 mL (nearly 8 times less than hysterectomy);
  • Hospitalization after hysterectomy, myomectomy, and UAE averaged 2.0 – 2.4 days whereas Acessa’s Lap-RFA procedure was performed on an outpatient basis in all cases studied;
  • Weighted average re-intervention rates after UAE and MRg-FUS ranged from 14.8% to 30.5% at 13-14 months whereas Acessa’s Lap-RFA averaged only 4.2% at 27-35 months;
  • Readmission rates within 90 days of discharge for MRg-FUS, UAE, and myomectomy procedures were 7.4%, 3.4%, and 2.7%, respectively, whereas Acessa’s Lap-RFA was 0.7%; and
  • Patients treated with Acessa’s Lap-RFA reported superior improvement in health-related quality of life and symptom severity scores relative to patients receiving hysterectomy, myomectomy or UAE.

“The Acessa team is thrilled with the results of this comprehensive data review that overwhelmingly supports our technology as a superior intervention for women with symptomatic fibroids,” said Kim Rodriguez, chief executive officer of Acessa Health Inc. “Acessa has been featured in more than 20 peer reviewed studies supporting its use. Dr. Harvryliuk’s meta review provides yet another encouraging data point as we seek to redefine the standard of care for millions of women suffering from fibroids.”

“I have used the Acessa System and been impressed with minimal blood loss, quick recovery, low re-intervention rates, and resolution of symptoms expressed by my patients,” said Dr. Havryliuk.

Uterine fibroids are typically benign tumors that can cause heavy menstrual bleeding, painful periods, uncomfortable pressure, and distention of the abdomen.1 Approximately 70 percent of women in the U.S. will develop fibroids by age 50; prevalence is higher among African Americans.2 Annual direct and indirect costs of symptomatic fibroids in the U.S. are estimated to exceed $34 billion.3

The Acessa System offers a safe, effective, and minimally invasive treatment. With Acessa, physicians use a laparoscopic instrument to deliver radiofrequency energy to fibroids. After the procedure, treated fibroids shrink and are reabsorbed by surrounding tissue.

Unlike many alternative interventions, Acessa can treat almost all sizes and locations of fibroids, including those outside the uterine cavity and within uterine walls. The procedure requires no cutting or suturing of uterine tissue, and patients typically go home the same day, experiencing minimal discomfort and a rapid return to normal activities. More than 1,700 women have been successfully treated with the Acessa System.

About the Acessa System

The Acessa System is the only radiofrequency ablation system cleared by the U.S. Food and Drug Administration and CE marked for use in percutaneous, laparoscopic coagulation and ablation of soft tissue, including treatment of symptomatic uterine fibroids under laparoscopic ultrasound guidance. It has been the subject of 20 peer-reviewed publications across 750 study patients. In January 2017, the American Medical Association (AMA) issued a new Category 1 CPT code specifically for Laparoscopic Radiofrequency (RF) Ablation of Uterine Fibroids, paving the way for the Acessa procedure to become the standard of care for as many as 30 million women in the United States. For more information, visit acessaprocedure.com.

About Acessa Health, Inc.

Acessa Health is a women’s health innovator dedicated to advancing minimally invasive, uterine-sparing solutions for women with symptomatic fibroids. The company introduced the use of radiofrequency ablation for the treatment of uterine fibroids and is continuing to develop technologies that improve the lives of patients. Acessa Health is headquartered in Austin, TX.

1 www.womenshealth.gov
2 Baird DD et al. High cumulative incidence of uterine leiomyoma in black and white women: Ultrasound evidence. Am J Obstet Gynecol 2003; 188 (1):100-107.
Cardozo ER, Clark AD, Banks NK, Henne MB, Stegmann BJ, Segars JH. The estimated annual cost of uterine leiomyomata in the United States. Am J Obstet Gynecol. 2012;206:211.e1-211.e9


Nobles Global Communications
Diana Soltesz, 818-618-5634

Original article here.

Dr. Mushtaler’s Pie in the Face

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All for a good cause, Dr. Mushtaler (OB JEN) was a good sport yesterday taking a pie in the face for a fundraiser.  Well, more accurately FIVE pies!  Benefitting the American Heart Association, Labor & Delivery nurses at St. David’s North Austin Women’s Center paid $5 per pie to smear the faces of participating physicians.  Dr. Mushtaler was one of several physicians who got hit, all in good fun.

Take a look!


Welcome Sendero Idealcare!

Capital Ob/Gyn Associates of Texas is pleased to welcome members of Sendero Idealcare to the practice. As of January 19,2016, we are par and in-network as preferred ob/gyn providers.

Capital of Ob/Gyn Associates of Texas provides complete care for women including gynecology, gynecologic surgery, birth control, preventive exams, routine obstetrical care and high risk obstetrical care. Our physicians – “Ob Jen” Mushtaler, Catherine Browne and Jennifer Uxer – are all experienced, board certified obstetricians/gynecologists giving direct to patient care.

Sendero Idealcare is an accredited open marketplace plan available to residents of Central Texas. To enroll follow the link www.senderoidealcare.com.

Capital Ob/Gyn On Par with Cigna Network

Capital Ob/Gyn Associates is pleased to welcome Cigna network members to the practice. All three of our doctors have previously been participants in the Cigna network. Recent changes with Aetna’s acquisition of Cigna raised concerns about the future of the contracting relationship. Our practice is pleased to have been selected for preferred in-network contracting based on the high quality of care measures we provide. Our patients are cared for directly by our physicians. We do not utilize mid levels to move large numbers. We provide quality, intimate women’s gynecologic and obstetrical care.

New to Cigna? Looking for an in-network ob/gyn? Check out the bios of our three physicians and our staff will be pleased to assist you with your scheduling needs.

Dr. Jennifer Mushtaler
Dr. Catherine Browne
Dr. Jennifer Uxer

For more information or for scheduling, please contact our office at 512.836.2536.

OB JEN on ZOOMALife Radio

zooma austinDr. Mushtaler (OB JEN) was recently featured on ZOOMALife Radio where she talks to Brooke and Brae from ZOOMA about what it takes to be a female who runs, biologically speaking…

Items discussed in this episode by Dr. Mushtaler (OB JEN): 

  • Most common question women runners ask their OB/GYNs
  • Risks (or lack thereof) to running during pregnancy, including in the early months
  • What you can do about “leakage” down there post-pregnancy
  • How “aunt flow” affects racing

Reposted from ZOOMALife Radio:

Episode 6:What it Means to Be a Woman Runner
Part 2, Where We Talk to an OB/GYN

This episode is part two in a three-episode series about what it means to be a woman runner. In this episode, we’ll talk with Dr. Jennifer Mushtaler, affectionately known as OB JEN. Dr. Mushtaler is an athlete herself and specializes, among other areas, in pelvic floor support, urinary incontinence and female athletics at her practice in Austin, TX. Oh boy – you can see where this is going! We met OB Jen at ZOOMA Texas where she and a great group of women from her office always come to volunteer.

Listen Here: http://zoomarun.com/?powerpress_embed=9524-podcast&powerpress_player=mediaelement-audio

Subscribe to ZOOMALife Radio on iTunes!

To schedule an appointment with Capital Ob/Gyn Associates of Texas, please visit www.capobgyn.com or call 512-83-OBJEN.

OB JEN Sponsors Zooma for Third Year

zooma texas sponsor

Capital Ob/Gyn Associates of Texas is proud sponsor The ZOOMA Texas Half Marathon, 10K and 5K for the third straight year in 2015.

Our practice consists of compassionate and caring women serving women in the community at all stages of life and activity levels, so partnership with ZOOMA couldn’t be a better fit for us.

Leading up to the race, we would love to meet you — say HELLO to OB JEN and her friendly staff at Thursday’s packet pickup!

Thursday, March 26
Athleta at the Domain
11601 Century Oaks Terrace, Suite 121
Austin, TX 78758

[youtube https://www.youtube.com/watch?v=TGiFGw0kVkY&w=560&h=315]

ZOOMA Texas lets you savor the splendor of spring wildflowers in the Texas Hill Country, as you wind your way through 13.1 miles well outside of the Austin city limits. Bluebonnets and Indian Paintbrush dance in the waving grasses on either side of the quiet roadways that make up this scenic race.  For the last few miles of the half marathon, you’ll traverse exclusively on the gorgeous grounds of the host property, the Hyatt Regency Lost Pines Resort.

Perks of this year’s race include:

  • Entry into a scenic, professionally-managed, and timed half marathon, 10K, or 5K race
  • Access to full fit girls weekend schedule – a Fitness Expo, a Mocktail Party, and an After-Party Expo featuring wine from Barefoot Wine & Bubbly, post-race massages, shopping, and live music
  • ZOOMA Signature Swag Bag
  • Water and energy drink stationed along the course and at the finish line
  • Food at the finish line
  • A sweet ZOOMA medal for half marathon finishers (pictured below), and a medal for 10K and 5K finishers
  • Access to special room rates at the official race resort, the Hyatt Regency Lost Pines Resort and Spa

Here’s to happy running and wishing you a weekend of memories with your girlfriends!  We know it’s a weekend we won’t forget.

Schedule an appointment with Dr. Jen Mushtaler (OB JEN) by visiting the Capital Ob/Gyn Associates of Texas Website www.capobgyn.com or by calling 512-83-OBJEN.  

Baby Birthing Classes July, August & September

Announcing NEW DATES for Baby Birthing Classes hosted by Capital Ob/Gyn Associates of Texas. Classes will be held on the following Wednesdays:

~ July 23
~ August 20
~ September 24

Registration is $60 per enrollee (patient & support person).

Topics for the birthing class will include:

  • Pregnancy & Post-Partum
  • Labor & Delivery Experience
  • Parent & Newborn Care
  • Car Seat Safety
  • Lactation Basis
  • Q&A Session
  • Tour of The St. David’s Women’s Center

Bring your infant car seat, favorite pillow(s) and wear comfortable clothing. There will be a few hands-on exercises involved.

The class will be taught by Cindy Warner, RN and will take place at our office.

Capital Ob/Gyn Associates of Texas
12201 Renfert Way, Suite 325
Austin, TX 78758

Please make checks payable to Capital Ob/Gyn Associates of Texas prior to class date.  *Classes are limited so reserve your spot today!

Stay tuned for more available class times to be announced!
– The Staff at Capital Ob/Gyn Associates of Texas


Doula Open House Success

Dr Jennifer Mushtaler and Dr Catherine Browne and their staff would like to thank last week’s attendees for a successful doula open house. Almost twenty doulas from around the Austin area came for a meet and greet, question and answer session and networking opportunity.

Doulas from the ATX Doulas, Birth Focus, Central Texas Doula Association, Austin Born and Giving Austin Labor Support came for the event. Also in attendance were doulas Morgan Miles, Jamie Gwynn, Leia Downs, Brooke Stage, Julie Garcia, Chan McDermott and Alexa Plunkett.

doula supportCapital Ob/Gyn Associates offers women personalized and intimate care during their pregnancy and birth. We care for women with low and high risk pregnancies. We are pleased to support women seeking VBAC and vaginal delivery for twin pregnancies. We are also supportive of a natural birth plan in a hospital setting. Capital Ob/Gyn welcomes doulas in support of their patients.

What is a doula? Doulas are labor companion. These women have a love and respect of the beauty of birth and are available for continuous support during the process to both patient and her companion(s). Studies have shown that women who labor with a doula have lower rates of medical intervention and greater success in achieving a natural and empowered birth experience.

Further, women have greater success with breast-feeding and a decreased incidence of postpartum depression when supported by a doula. Doulas can be very valuable and supportive to partners and spouses who may be new or uneasy about the birth experience.

doula-aidCan a doula deliver my baby? Doulas are not medically trained professionals and are not certified as midwives or physicians so they cannot deliver your baby or perform medical care. Doulas cannot offer medical advice, but they can help you to ask questions of your providers to feel comfortable and confident. Doulas can help you prepare for the birth experience and help you articulate your preferences for birth. Doulas can help be your voice when you are scared or unable to voice your own concerns. Many doulas are certified by their various organizations: DONA International, International Childbirth Education Association, Association of Labor Assistants and Childbirth Educators, Childbirth International, Childbirth and Post-partum Professional Association.

Are you interested in a natural birth or the support of a doula for your labor? Come and meet Capital Ob/Gyn Associates of Texas to explore your potential. We can also provide referrals to trusted doulas in our community.

Our office is located at 12201 Renfert Way, Suite 325, Austin TX 78758.  Please call our office at 512-836-2536 with any questions or for more detailed directions.

Getting the Most Out of Your Doc Visit

Dr. Jen Mushtaler (OB JEN)

We all know that scheduling timely and routine visits to the doctor is an important part of an overall healthy lifestyle.  However, many patients feel like their visits to the doctor are rushed. Here are some helpful tips from the insiders to help you get the most out of your appointment.

Scheduling is key.

First step to a successful visit is in the scheduling. Make sure you let the scheduler know what you need to address with the doctor so that your doctor can schedule the appropriate amount of time. Otherwise, your doctor may then be rushed to give everything full attention, and sometimes additional procedures need prior authorization with insurance. In our office, we try to schedule patient’s appropriate time based on the stated reason for the visit.

Plan head so you are not rushed.

Second, make sure you are not rushed for your appointment. We have had patients try to squeeze something in before they have to pick-up children or make a work meeting or another appointment. Ask the scheduler what is a reasonable amount of time to allot for your visit. Also, some days of the week may be more or less busy in the doctor’s office and may require more time. Many things can happen at your appointment time to get even the best planned schedules behind, so give a little extra wiggle room in case.

Bring a list of your medications with you.

Bring an accurate list of your medications with you to your appointment. Better yet, bring all your prescriptions and any vitamins with you. Some medications can interfere with each other or worse, be harmful, so you want your medical providers to have an up-to-date and complete list. Also, be sure your provider knows if you have stopped medications as well. New to the doctor? Bring a written list of any medical issues and previous surgeries.

Bring a list of questions for the doc.

Most of my patients are great about jotting down questions for their visit on their phone or I-pad or an old-fashioned piece of paper. I love it and encourage all patients to do that. It is easy to get nervous or even side-tracked during a visit and then remember after you left that you wanted to ask about something that did not get covered. Also, let your doctor know at the beginning of the visit that you brought your questions. It helps us to plan the time during your visit to allow for discussion.

Getting additional tests?

Ask your doctor specifically what labs they will order so you can make sure that those labs are drawn. Then make sure you know the timeline for your results and how those will be communicated. Some offices are able to let patients check their own results online. In our office, we notify patients of results. I am not a fan of no news is good news because I have seen results get lost that need follow-up.

Getting a new prescription?

Confirm with your doctor what medications are being ordered. Most prescriptions are now faxed electronically, but to be your own best advocate you should know what medications you are taking, old and new. Also, sometimes pharmacies will offer to substitute generics and that’s when some mistakes can happen.

Check prescription coverage with your insurance company.

Another helpful hint, if you know you will be needing a particular type of medication, check to see what the level of coverage is with your insurance company. Different medications may have different co-pays, so if your doctor knows what is covered at tier 1, they may be able to help guide you to something more affordable and just as effective. Unfortunately, we don’t have that information and it is certainly not our intention to prescribe a medication the patient will be unable to take because of costs. For example, birth controls are covered by insurers now, but not all name brands or types may be covered by a particular plan. Don’t forget to have your pharmacy of choice ready to give your doctor’s office as well.

Happy scheduling!

Remember, the best way to get the most out of your appointment is to make sure that both you and your doctor’s office have scheduled appropriately and that you are prepared with an up-to-date list of medicines and concerns to be addressed.

To schedule an appointment with Capital Ob/Gyn Associates of Texas, visit www.capobgyn.com or call 512-83-OB-JEN.

Collecting Shoes for Love – Dando Amor

This year Capital Ob/Gyn Associates of Texas is participating in the Dando Amor Shoe Drive – giving love and blessing the lives of children throughout the world by putting shoes on their feet.

We’ll be collecting shoes in our front office lobby now through March 31st.  Drop off gently used children’s shoes of any size during your scheduled appointment or swing by any time during office hours.  Your donation is greatly appreciated so start cleaning out those closets!

Capital Ob/Gyn Associates of Texas
12201 Renfert Way Suite 325
Austin, TX 78758

About Dando Amor – Shoes for Love
Dando Amor is a non-profit charity organization that takes regular service trips to Ecuador and Burkina-Faso Africa.  Last year over 12,000 pairs of shoes were collected for orphans in these countries.

View these videos from recent service trips to Africa:


Learn more about Dando Amor here.

dando amor

dando amor shoe drive

To schedule an appointment with Capital Ob/Gyn Associates of Texas, contact our office at 512-83-OBJEN or visit our website at www.capobgyn.com.