A majority of patients are treated either laparoscopically or vaginally. Laparoscopic removal of even the largest uterus is completed by blending vaginal surgery, robotassisted laparoscopy, and more common three-to five-incision laparoscopy.
No two patients are the same. Our physicians emphasize exploring all reasonable conservative options to manage symptoms — including hormone treatments to control bleeding, progesterone IUDs, office- or outpatient-based endometrial ablation, uterine artery embolization, and myomectomy.
There is no single recommended approach to dealing with uterine fibroids. When medications have failed to resolve a woman’s heavy or prolonged periods, pain, urinary incontinence or constipation, she may be a candidate for myomectomy. A thorough exam using flexible hysteroscopy, saline infusion sonography or MRI will help us establish an appropriate plan.
Most myomectomies can be performed minimally invasively using hysteroscopic, laparoscopic, robotic, and mini-laparotomic techniques.
Our surgeons are nationally recognized for their expertise in laparoscopic suturing. They understand the importance of careful uterine repair to help ensure successful pregnancy after treatment.
When weakening of the pelvic floor compromises a woman’s quality of life and conservative approaches to help her have failed, our specialists stress vaginal and laparoscopic repair. Most patients undergo preoperative evaluation in our Pelvic Floor Center incorporating gynecology, urology, colorectal surgery and skilled nursing.
Prior surgery or infection can cause uterine scarring which compromises a woman’s ability to conceive. Our physicians are experienced in releasing these adhesions to restore fertility.
Endometriosis is a painful and chronic disease of pre-menopausal women. Extensive disease, scarring, and pain can prompt a series of surgeries and compromised quality of life. Our gynecologists have the expertise to manage the most complex cases, including those complicated by other pelvic pain syndromes.