Until fairly recently surgery on female reproductive organs required long abdominal incisions and lengthy recovery time. Today, advanced technologies such as laparoscopy and robotics allow us to perform hysterectomies and remove fibroid tumors via tiny incisions, using a magnifying camera, small surgical instruments and very precise movement. Modern pelvic surgery is safer and easier on the patient than ever before.
This procedure allows your doctor to look at the inside of your uterus using a thin magnifying instrument called a hysteroscope, which is introduced into the uterus through the vagina and cervix. Hysteroscopy is used to diagnose and treat uterine disorders, and is performed in the office or hospital, depending on the complexity of the problem.
Commonly called getting your “tubes tied,” this procedure is a permanent form of birth control. Your doctor ties off your fallopian tubes, preventing eggs from traveling from ovaries to uterus. We perform this procedure in a hospital setting with a laparoscope, so you have very small incisions and will probably go home the same day.
Dilatation and Curettage
You may require a “D&C” to stop abnormal bleeding, to remove built-up uterine lining material, or remove retained tissue after childbirth or miscarriage. The procedure is done in the hospital under general anesthesia and involves dilation (widening) the cervix to insert the curette to scrape the lining of the uterus.
This surgery resolves abnormal bleeding by eliminating the lining of the uterus, so it is not appropriate if you plan to have children. Several methods are used, including laser beam, radiofrequency, heated saline solution, electricity, freezing or microwave. Your doctor will perform the procedure here in the office or in the hospital, depending on the complexity of the problem.
Transvaginal Tape (TVT)
If you’ve experienced accidental urine leakage while coughing or laughing, you have “stress incontinence,” which can be corrected with TVT. This is essentially a mesh sling that supports the tube (urethra) that carries urine out of the bladder. This hospital procedure is done with very small incisions in your abdomen and vagina, usually under local anesthesia. You will probably go home the same day.