Endometriosis and Advanced Pelvic Surgery Unit - CMC

Endometriosis and Advanced Pelvic Surgery Unit

Women with conditions needing advanced gynecologic surgery. We provide comprehensive care for women with conditions including uterine fibroids, adenomyosis, abnormal uterine bleeding, pelvic pain, endometriosis, pelvic organ prolapse, urinary incontinence, tubal and ovarian cysts – offering the latest minimally invasive options for these conditions.

We strive to provide a safer and more effective alternative to traditional open surgery by performing most of our procedures via robotic surgery, laparoscopic, hysteroscopy and vaginal surgery. We get referrals from other providers for complicated cases that would otherwise be performed via a large abdominal incision.

We are leaders in developing innovative minimally invasive procedures that offer our patients: Faster recovery, Less pain, smaller incisions, early return to normal daily activities and shorter hospital stay

Endometriosis and chronic pelvic pain:

We use a multidisciplinary team approach as the core model for managing patients with chronic pelvic pain and endometriosis. Chronic pelvic pain is debilitating to many women and can affect their quality of life. We manage refractory cases by finding the reason behind the pain and tailor treatment accordingly. We carry out complex endometriosis surgery for deeply infiltrative and advanced cases of endometriosis using our robotic and laparoscopic platforms. Rectal, bladder and ureteral endometriosis is a common manifestation of the disease that we treated endoscopically in conjunction with of our expert’s general and urologic surgeons.

Fibroids and abnormal uterine bleeding:

Fibroid management depends on many factors including age, desire for fertility and symptoms you are experiencing. Our consultants will guide you formulate a plan of action tailored for your own case. We perform fibroid surgery for advanced cases with multiple large fibroids using minimally invasive techniques like robotic, laparoscopic and hysteroscopic surgery. We make sure surgeries are done with minimal incisions in the safest way possible.

Pelvic organ prolapse and urinary incontinence:

Our experts in pelvic reconstructive surgery are here to help women with pelvic organ prolapse and urinary incontinence. They are highly trained in reconstruction of the pelvis using robotic, laparoscopic, and vaginal surgery. They also focus on sexual dysfunction, where women can benefit from the latest customized treatments, including pelvic floor stimulators and laser therapy. They bring as well, the latest techniques in cosmetic gynecologic surgery including labiaplasty, vaginoplasty, hoodectomy ect…

Robotic and laparoscopic surgery:

With the state of the art Da Vinci Xi robot platform and laparoscopic surgery we provide surgical treatment to most gynecologic problems affecting women including hysterectomy (removal of the uterus) , myomectomy (removal of fibroids), excision of endometriosis and ovarian masses and any pelvic surgery . Prevention of preterm birth by robotic or laparoscopic cervical cerclage in cases where traditional cerclages have failed. Repair of organ prolapse by Sacro colpopexy or uterosacral ligament suspension are also performed.

Hysteroscopic surgery:

We provide advanced operative hysteroscopy for treatment of intracavitary fibroids, uterine septum, large polyps, and hysteroscopic endometrial resection for abnormal uterine bleeding. Ashman’ s syndrome or intrauterine adhesions affect many women especially after dilation and curettage. We offer treatment with serial hysteroscopy and endometrial regeneration. One of the complications of repetitive cesarean section is isthmocele or outpouching of the scar causing infertility, abnormal uterine bleeding, and pelvic pain. We offer hysteroscopic and robotically assisted repair of the scar.

Vaginal surgery:

Being the most important part of minimally invasive surgery, our experts in vaginal surgery can perform anything from hysterectomy, prolapse repair, colocalizes (obliteration of vaginal vault), fistula repair, labiaplasty and vaginoplasty with no abdominal incisions. They are pioneers in V-Notes (natural orifice transvaginal endoscopic surgery), where they can access the pelvis and operate with a small camera through the vagina.