Welcome to SU Surgical Associates, a groundbreaking ambulatory surgical center designed exclusively by women for women—where medical excellence meets elegant comfort. From gynecologic surgery to aesthetic wellness procedures, every detail has been curated to support, heal, and empower women at every stage of life.
Our facility redefines what a surgical experience can feel like. Featuring the latest in minimally invasive surgical technology, including pelvic floor reconstruction, minimally invasive procedures for urinary incontinence, and advanced cosmetic gynecologic procedures, SU Surgical Associates delivers hospital-grade care in a serene, boutique environment.
Every aspect of the center has been intentionally designed to reflect female-focused care:
From the minute you walk in the door to register to full recovery, our team offers personalized care rooted in clinical expertise and genuine compassion. Our surgeons are leaders in women’s health, and our staff is trained to prioritize comfort, dignity, and trust.
The issues we focus on are not always easy to talk about. They’re often personal, private, and complicated by years of silence or minimization. That doesn’t make them minor. When something affects how you move, how you rest, or how you feel in your own body, it deserves attention.
Our procedures address concerns like involuntary leakage, prolapse, postpartum changes, diminished vaginal tone, pain with intimacy, and more. Many treatments are performed on an outpatient basis at our Ambulatory Surgery Center, designed specifically for female patients. Offering efficiency, a safe environment, and clinical excellence with personal care baked in.
Our team includes fellowship-trained and board-certified providers who treat incontinence, overactive bladder, and pelvic floor disorders every single day. We use research-backed techniques and innovative therapies, always with your quality of life front and center.
This is one of the most common concerns we treat. The unspoken effect it has on daily confidence, movement, and spontaneity is enormous. We offer both non-surgical and surgical solutions based on your anatomy and lifestyle.
A gel-based injectable that gently bulks the urethral wall to stop leakage during physical activity, coughing, or laughing. It’s ideal for women seeking quick relief without undergoing surgery. Most notice improvement almost immediately.
For more advanced cases, this procedure uses a narrow mesh support placed through small incisions. It provides long-term urethral support with minimal disruption. We’ve seen thousands of women reclaim their confidence with this technique.
This condition isn’t just about urgency. It’s the sleep interruptions, the constant bathroom mapping, and the way it interrupts your concentration during the day. We offer several neuromodulation therapies that reestablish control between the bladder and brain.
This device delivers subtle stimulation to the sacral nerves that control bladder function. The innovative controller simplifies your interaction. It’s placed discreetly and personalized to your signal threshold. Rechargeable and recharge-free batteries are available. Recharge a few times a year—and otherwise, forget it’s even there.
Roughly the size of a nickel, Ecoin sits near the tibial nerve and delivers low-frequency pulses to reduce OAB symptoms. No remote. No visible device. Just reliable relief without the pharmaceutical side effects.
A trusted system used for years in women with refractory bladder symptoms and more. The Interstim implant targets the sacral nerves and provides adjustable settings based on your body’s response.
This wireless system is ultra-miniaturized and allows for more flexible placement. For women who’ve struggled to find a good fit with traditional options, Neuspera opens new doors.
Prolapse often develops slowly, sometimes after childbirth or years of physical labor. Many women feel pressure or heaviness, or even notice a bulge. These symptoms are valid, and they are treatable.
This technique uses an internal anchoring system to lift and stabilize the uterus through a vaginal approach. There are no abdominal incisions, which means reduced recovery time and less post-operative pain. It’s an option for women looking to retain their uterus while restoring proper anatomical support.
For patients with vaginal vault prolapse—particularly after hysterectomy—Mendit provides secure elevation and stabilization through a percutaneous vaginal route. The results are strong, and the approach is gentle.
Cosmetic doesn’t mean superficial. For many women, these procedures improve comfort, function, and self-image. Whether you’re addressing post-childbirth changes or discomfort in fitted clothing, we approach each case with clinical precision and respect.
This refined technique uses radiofrequency instead of a scalpel, reducing swelling and bruising. It allows for high accuracy and minimal discomfort. Women often choose it to address asymmetry, irritation, or visible changes following hormonal shifts or childbirth.
This surgical tightening procedure reinforces internal support and restores tone to the vaginal canal. It’s often chosen by women who’ve experienced laxity from childbirth or aging and are seeking improved control, comfort, and sexual confidence.
Some changes are subtle but disruptive. Vaginal dryness, loss of sensation, pain with intercourse—these symptoms can emerge gradually.
We offer treatments that support long-term pelvic health without surgery. Our providers consider hormone status, lifestyle, and other systemic factors in every treatment plan. We also see many patients during transitional phases: postpartum healing, perimenopause, postmenopause, or after cancer treatment. You don’t have to “tough it out.” You just need someone who will treat what’s really happening.
Board-certified in both OB/GYN and Urogynecologic Reconstructive Pelvic Surgery, Dr. Pezzella brings more than 30 years of experience to this practice. She’s fellowship-trained, a primary investigator in many clinical trials, and a Key Opinion Leader for national companies where she trains other surgeons in new innovative surgical treatments and consults on device development. As South Carolina’s only provider with advanced training in both urogynecology and cosmetic gynecology, she offers treatments no one else in the state can match.
Dr. Rueb is a Cleveland Clinic, double board-certified urologist and Urogynecologic Reconstructive Pelvic Surgeon. Her skill set covers both the surgical and restorative sides of pelvic health, and patients trust her with complex conditions that haven’t been successfully treated elsewhere. She blends deep technical skill with thoughtful, clear patient communication. Dr. Rueb is an award-winning resident educator and primary investigator in several studies on incontinence and pelvic organ prolapse. She also provides clinical education to other surgeons, demonstrating the latest techniques, such as Mend-it, through educational videos. She brings an unparalleled level of expertise to the Midlands.
This isn’t a medspa with a surgical wing tacked on. It’s a purpose-built center grounded in decades of clinical experience, designed specifically for women who need answers—and results that last. Every detail, from the devices we use to the way we structure follow-ups, reflects that focus.
Southern Urogynecology is the only practice in South Carolina offering several of the procedures listed on this page. Our providers are fellowship-trained and nationally recognized. Many serve as clinical advisors and thought leaders in their specialties. But inside these walls, you won’t find ego or sales scripts—just people who take their work seriously and want patients to feel safe, prepared, and in control of their care.
Shared decision-making is the foundation of every treatment plan. We don’t hand you a checklist or point you toward a single option. We explain the full range of what’s available, why it might work for you, and what to expect long term.
And finally, recovery isn’t treated as an afterthought. Our surgical center was built with private recovery bays, quiet spaces, and a calming design that encourages healing. There are no overnight stays, no hospital bureaucracy, and no cold transitions from intake to discharge. Just continuity, compassion, and well-executed care.
An Ambulatory Surgery Center (ASC) is a licensed, accredited facility for outpatient procedures. That means no hospital stay, no waiting room chaos, and a dramatically lower risk of infection. Our ASC is built into our Columbia practice and serves only women receiving pelvic and gynecologic care.
You’ll arrive at your scheduled time, receive care from a team you already know, and recover in a quiet room designed for your privacy—not turnover speed.
A fast, low-intervention solution for stress urinary incontinence. This urethral bulking agent is injected in a short outpatient procedure to help reduce leaks during activity, coughing, or exercise. It offers meaningful relief without surgical downtime.
A small, implantable device designed to regulate bladder signals by targeting sacral nerves. Rechargeable and discreet, Axonics is ideal for women dealing with urgency, frequency, or mixed incontinence who want control that lasts.
This incisionless tibial nerve stimulator is about the size of a coin and works silently in the background to ease symptoms of an overactive bladder. No external controllers, no maintenance—just steady symptom relief over time.
An internal support procedure used to lift the uterus and stabilize pelvic structures without any abdominal incisions. It’s a strong option for women experiencing prolapse who want to avoid traditional surgery or preserve the uterus.
Performed with radiofrequency for cleaner incisions and reduced swelling, labiaplasty helps resolve discomfort caused by excess tissue or asymmetry. Patients often report improvements in comfort, confidence, and clothing fit.
A surgical procedure that restores tone and tightness to the vaginal canal. Commonly chosen after childbirth or menopause, vaginoplasty helps rebuild internal support and can enhance both physical function and intimate comfort.
Most procedures performed at our ASC are covered by major insurance carriers and Medicare. Our administrative team will review your benefits before anything is booked. We believe that financial clarity is part of good care.
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