Our physicians are highly skilled in minimally invasive surgical techniques and alternatives giving women many treatment options. Surgeries are performed at St. David’s North Austin Outpatient Surgery Center, St. David’s Surgical Hospital, St. David’s North Austin Medical Center and St. David’s Georgetown Hospital.
Surgery and procedures we perform include:
Minimally Invasive Laparoscopic Surgery Minimally invasive gynecologic surgery is the use of less invasive techniques, such as laparoscopy or hysteroscopy, to surgically treat gynecologic conditions. Minimally invasive techniques require no or only a few small incisions, rather than one large incision. Some of the procedures can be done on an outpatient basis; other may require a short hospital stay of one to two nights. We have specialized training and extensive expertise in techniques and technology such as robotic systems for minimally invasive gynecologic procedures. We treat complex conditions, such as large fibroids and advanced endometriosis.
Minimally invasive techniques offer a safer and effective alternative to traditional open surgery by avoiding a large abdominal incision. With minimally invasive gynecologic surgery, our patients can have:
- Smaller incisions
- Less blood loss
- Less pain
- Shorter hospital stays
- Faster recovery and return to daily activities
- Reduced scar tissue
- Less risk of infection or other complications
Laparoscopic Radiofrequency Ablation for Uterine Fibroids Women who suffer from heavy or prolonged menstrual bleeding, abdominal pain and pressure, frequent urination and low energy due to anemia, may have uterine fibroids. Uterine fibroids are very common. In fact, approximately 70% of women have fibroids by age 50.
A new technique called laparoscopic radiofrequency ablation allows us to treat uterine fibroids using minimally invasive surgery. During laparoscopic radiofrequency ablation, energy is applied to reduce the size of fibroids through a small needle on the tip of a special probe. This procedure is designed to maintain the integrity of the uterus by focusing treatment solely on the fibroid (vs. cutting into the uterus or removing it completely) and more importantly to relieve symptoms caused by fibroids. After the procedure, most patients are cleared to go home within two hours. Women typically feel ready to return to work and daily activities after 4-5 days.
Bioidentical Hormone Replacement Therapy (BHRT) We are committed to educating our patients about the benefits of Bioidentical Hormone Replacement Therapy and how hormone therapy can help women feel younger and happier.
Hormone Pellet Therapy uses hormones to replicate the body’s normal hormone levels. Implants placed just under the skin, release tiny and regular doses of hormones into the body, to maintain natural hormone levels. Other treatments, such as oral and transdermal therapy, produce higher levels of hormones at one time that rise and fall. Pellet therapy releases a constant flow of hormones into the body, avoiding the fluctuating levels of hormones.
Insertion of the pellet is an in-office procedure, with little to no pain. We apply a local anesthetic and make a tiny incision in the upper hip area. The pellet, which is slightly larger than a grain of rice, is then inserted under the skin. There are no stitches required.
Optimized hormones significantly reduce the risk of serious health problems, such as:
- Alzheimer’s Disease
- Heart Disease
Experience the benefits of Hormone Pellet Therapy:
- Reduce hot flashes
- Improve libido, sexual health
- Regain energy, muscle strength and greater ability to lose weight
- Increase mental clarity
- Feel younger and happier again
- Increase quality of life
Endometrial Ablation for Heavy Menstrual Bleeding Endometrial ablation is a procedure to treat a layer of tissue (endometrium) that lines the uterus. It is done to stop or reduce heavy menstrual bleeding, but it is only done on women who do not plan to have any children in the future. You will not have any cut (incision). A small probe the size of a pen is inserted in the vagina to reach your uterus.
Tension-free Vaginal Tape (TVT) for Pelvic Prolapse The Tension-free Vaginal Tape (TVT) procedure is designed to provide support for a sagging urethra so that when you cough or move vigorously or suddenly the urethra can remain closed with no accidental release of urine. Tension-free vaginal tape is used to correct stress incontinence caused by sagging of the urethra. In TVT surgery, a mesh tape is placed under your urethra like a sling or hammock to keep it in its normal position. The tape is inserted through tiny incisions in your abdomen and vaginal wall. No sutures are required to hold the tape in place. TVT surgery takes about 30 minutes and may be done under local anesthesia so you can cough at the surgeon's request to test the tape's support of your urethra.
Colposcopy Colposcopy is a medical diagnostic procedure to examine an illuminated, magnified view of the cervix as well as the vagina and vulva. Many pre-malignant lesions and malignant lesions in these areas have discernible characteristics that can be detected through the examination
Myomectomy Myomectomy is a surgical procedure to remove uterine fibroids — also called leiomyomas (lie-o-my-O-muhs). These common noncancerous growths appear in the uterus. Uterine fibroids usually develop during childbearing years, but they can occur at any age. Our goal during myomectomy is to take out symptom-causing fibroids and reconstruct the uterus. Unlike a hysterectomy, which removes your entire uterus, a myomectomy removes only the fibroids and leaves your uterus. Women who undergo myomectomy report improvement in fibroid symptoms, including decreased heavy menstrual bleeding and pelvic pressure.
Hysterectomy Women may need a hysterectomy for a variety of medical reasons including cancer of the uterus, ovaries, or cervix, chronic pelvic pain, endometriosis, uterine fibroids that cause pain and excessive bleeding, or uterine prolapse. Usually, a hysterectomy is considered after less invasive treatments have failed to bring relief. A hysterectomy can be done in different ways: through the vagina, through the abdomen, through tiny incisions laparoscopically or robotically.
Hysteroscopy Hysteroscopy is the inspection of the uterine cavity by endoscopy with access through the cervix. It allows for the diagnosis of intrauterine pathology and serves as a method for surgical intervention.
Oophorectomy An oophorectomy is a surgical procedure to remove one or both of your ovaries. When an oophorectomy involves removing both ovaries, it's called bilateral oophorectomy. When the surgery involves removing only one ovary, it’s called unilateral oophorectomy. An oophorectomy may be performed for:
- A tubo-ovarian abscess — a pus-filled pocket involving a fallopian tube and an ovary
- Ovarian cancer
- Noncancerous (benign) ovarian tumors or cysts
- Reducing the risk of ovarian cancer or breast cancer in those at increased risk
- Ovarian torsion — the twisting of an ovary
Ectopic Pregnancy Pregnancy begins with a fertilized egg. Normally, the fertilized egg attaches to the lining of the uterus. An ectopic pregnancy occurs when a fertilized egg implants and grows outside the main cavity of the uterus.
An ectopic pregnancy most often occurs in a fallopian tube, which carries eggs from the ovaries to the uterus. This type of ectopic pregnancy is called a tubal pregnancy. Sometimes, an ectopic pregnancy occurs in other areas of the body, such as the ovary, abdominal cavity or the lower part of the uterus (cervix), which connects to the vagina.
An ectopic pregnancy cannot proceed normally. Sadly, the fertilized egg cannot survive, and the growing tissue may cause life-threatening bleeding to the mother, if left untreated.
D&C Dilation and curettage refers to the dilation of the cervix and surgical sampling of part of the lining of the uterus and/or contents of the uterus by scraping and scooping. It is a diagnostic and therapeutic gynecological procedure used to evaluate abnormal bleeding, remove polyps, and treat incomplete miscarriages.
For questions regarding our services and treatment plans, please do not hesitate to contact our office at (512) 836-2536.