Pelvic care & procedures

Gynecological advanced treatments

Colposcopy

A colposcopy is a non-surgical diagnostic tool used to examine the cervix, vagina, and vulva more closely in the event of an abnormal pap smear. A colposcope magnifies the cervix, the lowest part of the uterus, to see if there are any abnormal cells present. The cervix is the lowest part of the uterus.

Cryotherapy

In the event abnormal cervical cells are discovered, it doesn’t necessarily indicate cancer. However, your physician may recommend cervical cryotherapy. This procedure is a highly effective gynecological treatment that freezes a section of the cervix to remove the abnormal cells.

Dilation and Curttage

Dilation and curettage (D&C) are a common procedure that removes a portion of your uterine lining with a suction device or a sharp curette (a surgical instrument used for scraping) to diagnose uterine conditions such as uterine cancer, polyps, and endometriosis.

Hysteroscopy

Hysteroscopy, a thin, lighted telescopic instrument inserted into the uterus through the vagina, diagnoses uterine problems and can remove scar tissue, locate an intrauterine device, diagnose repeated miscarriages, and evaluate abnormal uterine bleeding. It sends digital pictures of your uterus to a screen for further examination.

Ablation

Ablation may be used for endometriosis that uses heat, cold or different types of energy such as radiofrequency to destroy the tissue that lines the uterus and reduces bleeding during your periods. Some women have heavy bleeding or bleeding that lasts longer than normal. Endometrial ablation can treat many causes of heavy bleeding and remove the thin layer of tissue (endometrium) that lines the uterus.

Laproscopic & robotic surgery

• Cystectomy - can be used to remove ovarian cysts laparoscopically through a small incision in your abdomen. However, in some cases an open surgery may be the only option and uses one large incision in the abdomen to remove the ovarian cyst. This method may be preferred if ovarian cyst is large or if the cyst is cancerous.
• Myomectomy - removes uterine fibroids that can cause a range of symptoms, from heavy menstrual bleeding to pelvic pain and pressure. Laparoscopic and robotic myomectomy are minimally invasive surgical techniques that involve smaller incisions, resulting in less tissue trauma and quicker recovery. Laparoscopic myomectomy is performed using a laparoscope, while robotic myomectomy utilizes a robotic system to enhance precision.
• Hysterectomy - Laparoscopic hysterectomy can be performed both vaginally and abdominally. A vaginal hysterectomy inserts a laparoscope (a thin tube with a video camera on the end) into your lower abdomen through the vaginal incision and removes the uterus through the vagina. An abdominal hysterectomy uses just 3-4 tiny incisions in the abdomen and inserts a camera that magnifies the pelvic organs allowing specialized instruments to remove your uterus in small pieces through the abdominal incisions. Robotic-assisted hysterectomy provides added surgical features further improving precision with less post-surgery pain and scarring. In some cases, traditional hysterectomies may be advised when the patient is not an optimal candidate for laparoscopic or robotic- assisted surgery. This involves a single, larger incision across the abdomen to give surgeons direct access to your reproductive organs.

Urogynecology disorders

Urogynecology is the treatment of specialized pelvic floor disorders in women. Your pelvic floor consists of muscles and connective tissues that support the organs in your reproductive system, including your uterus and vagina. These muscles also support organs in your urinary system, like your bladder.

Weakened or injured pelvic floor muscles can cause problems such as:

• Bowel incontinence
• Pelvic floor prolapse & dysfunction
• Vaginal fistulas

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