Our surgeons offer laparoscopic, open, or robotic surgery depending on each patient’s needs. We utilize advanced instrumentation and state-of-art technology in our procedures.
Cervical cerclage refers to a variety of procedures that use sutures or synthetic tape to reinforce the cervix during pregnancy in women with a history of a short cervix. The cervix is the lower part of the uterus that opens to the vagina.
Cervical cerclage can be done through the vagina (transvaginal cervical cerclage) or, less commonly, through the abdomen (transabdominal cervical cerclage).
Your health care provider might recommend cervical cerclage if your cervix is at risk of opening before your baby is ready to be born or, in some cases, if your cervix begins to open too early. However, cervical cerclage isn’t appropriate for everyone. It can cause serious side effects and doesn’t always work. Some women who have a cerclage placed for a short cervix might experience preterm labor. Understand the risks of cervical cerclage and whether the procedure might benefit you and your baby.
Cervical CONE Biopsy
A cervical cone biopsy is surgery to remove tissue from the cervix. The cervix is the small round opening at the bottom of the uterus (womb). The cervix connects the uterus to the top of the vagina (birth canal). You may need a cervical biopsy if cells that are not normal are found during a Pap test. But, a cone biopsy may also be used to treat early cancer and other problems. Sometimes instead of surgery to remove your uterus, cone biopsy can be done so you can still have babies.
Chromopertubation, or instilling dye through the fallopian tubes to assess tubal patency, is a common part of laparoscopy performed for diagnostic or therapeutic purposes in women with infertility.
Colporrhaphy (Anterior and Posterior Repair)
Anterior and posterior repair are minimally invasive procedures used to correct pelvic organs that have dropped out of their normal positions.
When the tissues that support the pelvic organs become weak, stretched or damaged, due to age or childbirth for example, the organs can slip out of place, dropping down and pressing against the walls of the vagina. This is known as pelvic organ prolapse. These sagging organs create a bulge in the vagina, causing pressure, pain, discomfort, and urinary and bowel dysfunction, among other symptoms.
Anterior and posterior repair are used to tighten the support tissues that hold these organs in place, restoring their normal position and function.
Colposcopy (kol-POS-kuh-pee) is a procedure to closely examine your cervix, vagina and vulva for signs of disease. During colposcopy, your provider uses a special instrument called a colposcope.
Your provider may recommend colposcopy if your Pap test result is abnormal. If your provider finds an unusual area of cells during colposcopy, a sample of tissue can be collected for laboratory testing (biopsy).
Cystoscopy (sis-TOS-kuh-pee) is a procedure that allows your provider to examine the lining of your bladder and the tube that carries urine out of your body (urethra). A hollow tube (cystoscope) equipped with a lens is inserted into your urethra and slowly advanced into your bladder.
Cystoscopy may be done in a testing room, using a local anesthetic jelly to numb your urethra. Or it may be done as an outpatient procedure, with sedation. Another option is to have cystoscopy in the hospital during general anesthesia.
The type of cystoscopy you’ll have depends on the reason for your procedure.
Laparoscopy is a way of doing surgery using small incisions (cuts). It is different from “open” surgery where the incision on the skin can be several inches long. Laparoscopic surgery sometimes is called “minimally invasive surgery.”
Dilation & Curettage (Obstetric patients)
An abdominal hysterectomy is a surgical procedure that removes your uterus through an incision in your lower abdomen. Your uterus — or womb — is where a baby grows if you’re pregnant. A partial hysterectomy removes just the uterus, leaving the cervix intact. A total hysterectomy removes the uterus and the cervix.
A hysterectomy can also be performed through an incision in the vagina (vaginal hysterectomy) or by a laparoscopic or robotic surgical approach — which uses long, thin instruments passed through small abdominal incisions.
Endometrial ablation is a procedure that surgically destroys (ablates) the lining of your uterus (endometrium). The goal of endometrial ablation is to reduce menstrual flow. In some women, menstrual flow may stop completely.
No incisions are needed for endometrial ablation. Your provider inserts slender tools through the passageway between your vagina and uterus (cervix).
A hymenorrhaphy is a surgical procedure that aims to repair the hymen by stitching it back together.
A hymenotomy is a surgical procedure wherein the hymen is opened or removed to treat certain medical conditions that are mostly related to the hymen’s structural problems.
A hysterectomy can be done in different ways: through the vagina, through the abdomen, laparoscopy, or robotically.
Hysterosalpingography (HSG) is an X-ray procedure that is used to view the inside of the uterus and fallopian tubes. It often is used to see if the fallopian tubes are partly or fully blocked. It also can show if the inside of the uterus is of a normal size and shape. All of these problems can lead to infertility and pregnancy problems.
Hysteroscopy is used to diagnose or treat problems of the uterus. A hysteroscope is a thin, lighted telescope-like device. It is inserted through your vagina into your uterus. The hysteroscope transmits the image of your uterus onto a screen. Other instruments are used along with the hysteroscope for treatment.
Hysteroscopy Dilation and Curettage (D&C)
Dilation and curettage (D&C) is a procedure to remove tissue from inside your uterus. providers perform dilation and curettage to diagnose and treat certain uterine conditions — such as heavy bleeding — or to clear the uterine lining after a miscarriage or abortion.
In a dilation and curettage — sometimes spelled “dilatation” and curettage — your provider uses small instruments or a medication to open (dilate) your cervix — the lower, narrow part of your uterus. Your provider then uses a surgical instrument called a curette to remove uterine tissue. Curettes used in a D&C can be sharp or use suction.
Your provider may perform the D&C along with another procedure called a hysteroscopy. During a hysteroscopy, your provider inserts a slim instrument with a light and camera on the end into your vagina, through your cervix and up into your uterus.
Your provider then views the lining of your uterus on a screen, noting any areas that look abnormal, making sure there aren’t any polyps and taking tissue samples as needed. During a hysteroscopy, your provider can also remove uterine polyps and fibroid tumors.
A labiaplasty is a surgical procedure done to reshape a woman’s labia minora—the inner “lips” of the vulva.
Laparoscopic Ovarian Drilling
Laparoscopic ovarian drilling is a surgical treatment that can trigger ovulation in women who have polycystic ovary syndrome (PCOS). Electrocautery or a laser is used to destroy parts of the ovaries.
This surgery is not commonly used. But it can be an option for women who are still not ovulating after losing weight and trying fertility medicines.
Loop Electrosurgical Excision Procedure (LEEP)
Loop electrosurgical excision procedure (LEEP) uses a wire loop heated by electric current. It is used to remove cells and tissue in a woman’s lower genital tract. It is used as part of the diagnosis and treatment for areas that are abnormal or cancer.
The lower genital tract includes the cervix and vagina. The cervix is the lower, narrow part of the uterus. The vagina connects the cervix and the vulva.
With LEEP, an electric current passes through the fine wire loop. It is then used to cut away a thin layer of abnormal tissue. This tissue will be sent to the lab for testing. LEEP can also remove abnormal cells to let healthy tissue grow.
Lysis of Adhesions (Adhesiolysis)
Adhesions are scars that form within the body. They usually form in the abdomen or pelvis. They can also form in joints or eyes. Adhesions develop naturally after surgery as part of the healing process. They can also develop after infection or any other inflammatory process.
An oophorectomy (oh-of-uh-REK-tuh-me) is a surgical procedure to remove one or both of your ovaries. Your ovaries are almond-shaped organs that sit on each side of the uterus in your pelvis. Your ovaries contain eggs and produce hormones that control your menstrual cycle.
When an oophorectomy involves removing both ovaries, it’s called bilateral oophorectomy. When the surgery involves removing only one ovary, it’s called unilateral oophorectomy.
Pelvic laparoscopy is surgery to examine pelvic organs. It uses a viewing tool called a laparoscope. The surgery is also used to treat certain diseases of the pelvic organs.
A sacrospinous fixation is an operation designed to restore support to the uterus or vaginal vault (in a woman who has had a hysterectomy). Through a cut in the vagina, stitches are placed into a strong ligament (sacrospinous ligament) in the pelvis and then to the cervix or vaginal vault. The stitches can be either permanent or slowly absorbed over time, eventually they are replaced by scar tissue that then supports the vagina or uterus. This procedure is often combined with a vaginal hysterectomy and/or surgery to treat prolapse of the bladder, bowel or stress urinary incontinence
Salpingectomy is the surgical removal of one (unilateral) or both (bilateral) fallopian tubes. Fallopian tubes allow eggs to travel from the ovaries to the uterus.
A partial salpingectomy is when you have only part of a fallopian tube removed.
Another procedure, salpingostomy (or neosalpingostomy), is when the surgeon makes an opening in the fallopian tube to remove its contents. The tube itself isn’t removed.
Salpingectomy can be done alone or combined with other procedures. These include oophorectomy, hysterectomy, and cesarean section (C-section).
Sling Procedure (Stress Urinary Incontinence)
Vaginal sling procedures are types of surgeries that help control stress urinary incontinence. This is urine leakage that happens when you laugh, cough, sneeze, lift things, or exercise. The procedure helps close your urethra and bladder neck. The urethra is the tube that carries urine from the bladder to the outside. The bladder neck is the part of the bladder that connects to the urethra.
Tubal Ligation (Sterilization)
Tubal sterilization is sterilization for women. In tubal sterilization, the fallopian tubes are removed or cut and tied with special thread, closed shut with bands or clips, sealed with an electric current, or blocked with scar tissue formed by small implants. Tubal sterilization prevents the sperm from reaching the egg.
Tuboplasty refers to a number of surgical operations that attempt to restore patency and functioning of the Fallopian tube(s) so that a pregnancy could be achieved. As tubal infertility is a common cause of infertility, tuboplasties were commonly performed prior to the development of effective in vitro fertilization (IVF). Or repair of any type of tube-like structure, including the Eustachian tube in the head & neck.
Urinary Incontinence Surgery
Urinary incontinence surgery is more invasive and has a higher risk of complications than do many other therapies, but it can also provide a long-term solution in severe cases.The surgical options available to you depend on the type of urinary incontinence you have. Most options for urinary incontinence surgery treat stress incontinence. However, low-risk surgical alternatives are available for other bladder problems, including overactive bladder — also called urge incontinence or urgency-frequency syndrome.
Myomectomy (my-o-MEK-tuh-mee) is a surgical procedure to remove uterine fibroids — also called leiomyomas (lie-o-my-O-muhs). These common noncancerous growths appear in the uterus, usually during childbearing years, but they can occur at any age.
The surgeon’s goal during myomectomy is to take out symptom-causing fibroids and reconstruct the uterus. Unlike a hysterectomy, which removes your entire uterus, a myomectomy removes only the fibroids and leaves your uterus intact.
Women who undergo myomectomy report improvement in fibroid symptoms, including heavy menstrual bleeding and pelvic pressure.
Vaginectomy is surgery to remove the vagina. If only part of the vagina is removed, it’s called a partial vaginectomy. If the entire vagina is removed, it’s called a total vaginectomy. A radical vaginectomy is removal of the vagina along with the supporting tissues around it.
Vault Prolapse Repair
Vaginal vault prolapse occurs when the upper portion of the vagina loses its normal shape and sags or drops down into the vaginal canal or outside of the vagina. It may occur alone or along with prolapse of the bladder (cystocele), urethra (urethrocele), rectum (rectocele), or small bowel (enterocele). Vaginal vault prolapse is usually caused by weakness of the pelvic and vaginal tissues and muscles.
Treatment for vulvar cancer may involve removing part of the vulva (partial vulvectomy) or the entire vulva (radical vulvectomy).