We are dedicated to continually improving and providing comprehensive surgical care for women. Our goal is to to provide care that greatly enhances the quality of life for our patients. We understand a gynecological issue can be frightening. We are here to provide the expertise and care you deserve so that you can enjoy life to the fullest.
When it comes gynecological surgery, we are proud to offer some of the most advanced, minimally invasive surgical techniques for treating a wide array of gynecological procedures. Compared to other surgical options, minimally invasive procedures typically result in less discomfort and a faster recovery. Some of the procedures we perform include:
- Surgery for pelvic pain
- Surgery for Endometriosis
- Surgery for heavy or irregular bleeding
Ultimately, our surgical treatments and procedures are designed to bring relief and a better quality of life for our patients. Some of the conditions we treat include:
- Heavy or irregular bleeding
- Pelvic Pain
With today’s medical advances the outlook for successful treatment of fibroids and polyps has never been better.
You don’t have to live with the discomfort and inconvenience of menorrhagia (prolonged or excessive bleeding) associated with endometrial polyps and uterine fibroids. And you don’t have to let fibroids interfere with your daily activities. If you are suffering from heavy or abnormal menstrual bleeding, call our Physician Referral Center.
Physician Referral Call Center: 855-869-8004
Hours: Monday through Sunday: 24/7
Locations of Fibroid and Polyp Growths Locations of Fibroid and Polyp Growths
A woman may have a single fibroid or multiple fibroids of any type. There are three different types of fibroids:
The most common type of fibroid, intramural fibroids can lead to heavier than usual menstrual bleeding, pelvic pain, back pain or generalized pressure.
This is the least common, but most problematic of the fibroids. Even very small growths can cause heavy bleeding and prolonged periods. They cannot be detected by clinical exam alone.
These fibroids typically do not affect menstrual flow, but they can cause significant pelvic and back pain, as well as generalized pressure. The most appropriate treatment of fibroids is determined by their location. Endometrial polyps grow from the lining of the uterus (the endometrium). The incidence increases with age, traditionally peaking between 40 and 50 years, before gradually declining after menopause. They can be single or multiple growths. Polyps typically present abnormal bleeding episodes, vaginal discharge, and even postmenopausal bleeding. In fact, it has been reported that 25% of all abnormal pre and postmenopausal bleeding is caused by endometrial polyps.
Polyp and Fibroid Disease
Growths within the uterus are known as endometrial polyps or uterine fibroids. Polyps typically cause irregular bleeding and fibroids commonly cause heavy bleeding.
Are growths extending from the lining of uterus, called the “endometrium”. Polyps cause irregular spotting or pre or postmenstrual staining. In rare cases, polyps can become cancerous. The risk for cancerous polyps does increase, only slightly, as a patient passes age 50.
Uterine fibroids (also called myomas or leiomyomas)
can grow in different parts of the uterus: inside the wall, inside the uterine cavity, and toward the outer surface of the uterus. They vary in size and quantity. It is estimated that 20% to 50% of women between ages 30 and 50 have fibroids and many women in their 20’s can also develop these growths. By the age of 40, approximately 40% to 70% of women may have them. Fibroids are more prevalent in African American women, who have a 3 to 5 times greater risk than Caucasian women of developing fibroids. Women who are overweight are also at a slightly higher risk. Fibroids are not typically associated with an increased risk of uterine cancer and almost never develop into cancer.
Traditional Surgical Treatment
Two kinds of surgeries most commonly performed to treat fibroids are the hysterectomy and myomectomy procedures. Hysterectomy is a surgical procedure that completely removes the uterus (and usually the cervix). As a patient, you should be aware that a hysterectomy eliminates all chances of pregnancy, and it can trigger the early onset of menopause. Myomectomy involves removing just the fibroids while preserving the uterus, making this a good option for women who want to have children. The location of the fibroid determines how the doctor performs the removal. The two minimally invasive, outpatient surgicalalternatives are the Hysteroscopic and Laparoscopic Myomectomy procedures. An open abdominal myomectomy is an option that is invasive and is considered major surgery, which requires hospitalization.
Uses a device called a resectoscope that enables the doctor to see and work inside a fluid-filled uterus. The fibroid is removed with an electrified wire loop inserted through the cervix.
Allows the doctor to operate through several small incisions in the abdomen. Through the use of various instruments the doctor can see and remove the fibroid(s) from the uterus.
Endometrial polyps can be treated with a range of surgical procedures. The most common, is a Dilation and Curettage (D&C) procedure. An instrument is placed through the cervix to scrape the growths from the uterine wall. A second approach is a Polypectomy (removal of the polyps) using a hysteroscope. A special grasping device is used to snag the polyps and remove them. A third approach to a polypectomy involves the use of an electrical loop to cut the growths out of the uterus.
Advancement in Hysteroscopic Myoectomy and Polypectomy Procedures: A minimally invasive alternative
The Smith and Nephew Operative Hysteroscopy System
The Smith & Nephew Operative Hysteroscopy System offers the doctor an option with increased safety for women suffering from submucosal fibroids or endometrial polyps. The procedure is performed on an outpatient basis with a hysteroscope and rapidly shaves away the growths. The system has been designed to avoid damage to the inner lining of the uterus (the endometrium) which helps preserve the chances of pregnancy at a future date. Use of this system can help reduce some of the common risks associated with existing hysteroscopic surgical procedures.
- Sodium (salt) imbalance from non-electrolyte fluids used to fill (distend) the uterus
- Distension fluid overload; a fluid absorption complication
- Thermal injuries from the use of electrical energy instruments to remove tissue
- The length of the procedure
The Smith & Nephew System allows the doctor to use saline (an electrolytic salt solution) to fill the uterus during the procedure. Saline solution is compatible with the body’s natural chemistry. Performing the procedure in an electrolytic solution reduces the dangers of salt imbalance that can occur with some procedures that use electrified wire loop instruments that function only in non-electrolyte solution. The Smith & Nephew Operative Hysteroscopy System incorporates patient safety measures into the procedure through enhanced fluid monitoring capabilities and a quick tissue removal process to minimize the procedure time. Reducing the procedure time helps reduce the risks of fluid overload condition as well as prolonged exposure to anesthesia. In addition, this system allows the doctor to remove the growth(s) quickly by using a safe mechanical process. The procedure does not require the use of electricity in the uterus and therefore eliminates the risk of thermal injury.