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  • Pelvic Organ Prolapse

    Cystocele – bulging of the bladder into the vagina Rectocele – bulging of the rectum into the vagina Enterocele –

  • Pelvic Floor Trigger Point Injections

    Chronic pelvic pain often occurs not just due to uterine or ovarian causes, but because of muscle spasms and disorders of the pelvic floor and the nerves that supply them.  A careful gynecologic exam from an experienced provider will be able to identify disorders of the pelvic nerves and muscles which may cause pain and pinpoint lifestyle factors that may increase pain.  When lifestyle modifications and pain medications are not helpful, nerve blocks and trigger point injections may be reasonable option.  Small amounts of anesthetic are used to pinpoint areas and nerves that are causing pain.  These pelvic blocks provide only temporary relief of pain so they are often used in combination with other therapies such as pelvic physical therapy and medical management.  If the pain originates from specific large muscle groups, these muscles can also be injected with Botox, which may be helpful but only provides temporary relief.

  • Robotic Assisted Laparoscopic Myomectomy

  • Robotic-Assisted Laparoscopic Hysterectomy

    A Robotic-assisted Laparoscopic Hysterectomy is a type of minimally invasive hysterectomy utilizing robotic technology.  The procedure is performed using a similar approach to that performed during a Laparoscopic Hysterectomy.  Small incisions ranging in size from 1-1.5 cm are made on the abdominal wall.  However, the da Vinci robot is utilized which allows the surgeon enhanced three-dimensional visualization and improved maneuverability for suturing the vagina closed once the uterus and cervix are removed.  During the procedure, the surgeon sits at a console a few feet from the operation table looking through a monitor that provides a three dimensional view.  From the console the surgeon directly controls the robot, which has arms for operating all instruments and also the ability to move, zoom and focus the robotic camera.  Both hand controls and foot pedals are used to control all of the robotic instruments directly which can grasp, cut, burn, cauterize and suture inside the pelvis.

  • Diagnostic Hysteroscopy

    A hysteroscopy is a procedure performed to visualize inside the uterus.  The procedure is typically performed to identify causes for abnormal uterine bleeding and irregular periods such as the growth of fibroid tumors or uterine polyps.  We can perform this procedure in our office as well as in the operating room.

  • Cystoscopy

    Cystoscopy is an endoscopy of the urinary bladder via the urethra. A cystoscope is used to perform this procedure. The cystoscope allows the

  • Endometrial Biopsy

    For individuals having abnormal bleeding, you may be required to undergo and 

  • Endometrial Ablation

    An Endometrial Ablation is a procedure offered to women who have heavy menstrual bleeding and do not want to undergo a hysterectomy or prefer less invasive management options prior to considering hysterectomy.  Various methods can be performed to destroy the basalis layer (lining of the uterus that has glandular tissue which bleeds monthly at the time of your menses) of the uterine lining to prevent heavy bleeding.  A hysteroscope is first used to visualize inside the uterine cavity.  All instruments are placed through the vagina and do not require vaginal or abdominal incisions.  If polyps or fibroids exist, they will be removed hysteroscopically.  If they are 2-3 cm or less they may be left in place depending on the type of ablation you undergo.  The uterine lining may also be resected to prevent heavy bleeding.  This procedure is performed with the hysteroscope and requires quite a bit of skill.  Hot water may be used to ablate the uterine lining (Hydrothermal or Thermachoice).  Bipolar electricity may also be used to burn the uterine lining.  This procedure is called Novasure Ablation.

  • Bladder Instillations

    Bladder instillations are used to place numbing medications into the bladder for temporary pain relief due to interstitial cystitis.  This procedure may also be performed to test for bladder mucosal sensitivity. First the urethra is cleaned with betadine soap.  A small catheter is placed in the bladder. Through this catheter a mixture of anesthetic medications is placed.   The entire procedure is done in the office setting.

  • Abdominal Myomectomy

    The size and location of the incision will depend on the size and number of fibroids you have.  The abdominal approach is usually reserved for patients with a large number of fibroids, or very large fibroids.  The advantages of the Abdominal myomectomy in this setting is that it allows the surgeon the ability to actually feel the uterus and allows the surgeon to find fibroids deep inside the uterus that may not be visible just by looking.  The disadvantages are a longer hospital stay, longer recovery period,greater risk of blood loss, and pain.  Patents typically require a 48 to 72 hour hospital stay.