Services we offer

We offer a wide range of hysteroscopic procedures at our state of the art hysteroscopy suite within our office.  These procedures are performed under local anesthesia and light sedation, meaning a trip to the operating room can be avoided.  Patient safety and comfort are two of our main priorities.

 We take extra steps to minimize discomfort and ensure our patients are relaxed throughout the entire process.

These are some of the procedures we offer within our office:

Diagnostic hysteroscopy and sampling:  Sometimes based on a patients symptoms or ultrasound findings there can be concern for uterine cancer or pre-cancer.  Using a small camera we are able to visualize the entire inside lining of the uterus and sample tissue that looks abnormal.  Doing this under direct visualization has been shown to increase accuracy when compared to sampling the tissue blindly. 

Hysteroscopic polypectomy – In some patients, issues with abnormal spotting or bleeding can be caused by endometrial polyps.  These are growths that usually measure 1-2 cm and are found inside the uterine cavity.  By using a small camera and special instruments, we are able to remove these lesions in the office with minimal discomfort. 

Removal of retained objects – In a very small percentage of patients, there can be difficulty removing previously placed contraceptive intrauterine devices (IUDs).  This can be for a variety of reasons but the most common is that the strings that are usually used to extract it become displaced and are no longer accessible.  With the help of a small camera and instruments we are able to locate the device in the uterus and remove it under direct visualization.

This is a procedure with a high success rate commonly utilized to treat heavy periods.  After examining the inside of the uterus with a small camera, an ablation device is used to cauterize the inside lining of the uterus, thus decreasing or eliminating menstrual cycles.  The entire operation usually takes less than 10 minutes to complete.

Endometriosis affects approximately 10% of women. It is caused by pockets of cells or “endometriotic implants” that start growing in different locations around the abdomen and pelvis. They can be small or large, superficial or deep, and depending on their location, can cause a variety of issues, including infertility, chronic pelvic pain, bloating, painful sex, painful bowel movements and other ailments. Many of these symptoms can be severe and debilitating, which can impair a woman’s quality of life to a significant degree. 

Two of the most common ways of treating endometriosis are medical (with birth control pills or other hormonal drugs) and surgical. Medical management is not always effective; hence, surgery becomes the next step. Our high-volume surgical team is composed by gynecologic surgeons fellowship-trained in minimally invasive surgery and amply experienced in endometriosis EXCISION procedures. 

Using cutting-edge ultrasound equipment that combines 2D and real-time 3D imaging, along with our staff’s extensive expertise, we are able to provide imaging for endometriosis. This allows us to generate a risk assessment of how severe the disease is, which is essential when formulating a treatment plan.  Additionally, it helps identify deep endometriosis nodules that otherwise would not be found during regular laparoscopic surgery.  This allows us to perform targeted excision procedures.

Fibroid tumors are found in over 70% of patients. If they grow to a certain size or happen to be in a sensitive location, they can become severely symptomatic, causing debilitating pain, pelvic pressure heavy bleeding, bladder issues, and in some cases, difficulty getting pregnant. We offer a variety of minimally invasive treatments, including laparoscopic myomectomy (fibroid removal), hysteroscopic myomectomy and fibroid ablation (fibroid is cauterized from the inside). These procedures are best reserved for patients who wish to treat the fibroids while keeping their uterus in place.

With the advent of new technologies, including robotic assisted surgery, there is virtually no limit to what procedures can be performed via minimally invasive techniques. Our staff is highly experienced with cases that involve extremely large uteri with fibroids, severe scar tissue, prolapse, etc. 

The advantages of avoiding a large incision to remove a uterus are numerous and include decreased pain, decreased blood loss, faster recovery, and lower risk of postoperative complications such as infection, blood clots and hernias. The grand majority of our patients are discharged home the same day of the operation. Additionally, the small 3-to-8-millimeter incisions can be considered more cosmetic than the scar that is left after open surgery. We also perform single-site surgery in select patients.

We are experts in completing even the most complicated cases via a minimally invasive approach.  Consultations for second opinions are readily available. 

Peripheral nerve blocks are simple procedures performed either in the office or under light sedation in the operating room. They are used to treat a variety of conditions related to pelvic discomfort and vaginal pain. Treatments are tailored to each patient depending on the distribution of symptoms and suspected origin. A cocktail of local anesthetics and anti-inflammatory medications is injected around the target nerve every three weeks, for a total of three to four times (although this may vary depending on each individual situation). The most common conditions that are treated using this technique are pudendal neuralgia, obturator neuralgia and vulvodynia.

Over 15% of women of childbearing age in the United States suffer from chronic pelvic pain. This is a complex issue with multiple ramifications that can negatively affect all aspects of a woman’s day-to-day life. Many patients go years without finding a diagnosis or treatment that helps control the problem and often stop seeking help after not finding the answer. Our team of providers are experts in this field and use a variety of surgical and nonsurgical techniques to obtain a diagnosis and formulate an effective management plan.

Mesh has multiple applications in the field of gynecology and has been used safely and effectively for decades. However, in a small percentage of patients, problems may develop that sometimes require excision of this foreign object. We evaluate each case individually to determine if mesh excision is right for the patient, and if so, we use minimally invasive surgical techniques to excise the offending body.  Common types of mesh that are usually excised include bladder sling mesh and mesh placed vaginally for prolapse repair.

Patients who wish to achieve pregnancy after having their tubes tied can either undergo in-vitro fertilization techniques, which bypass the fallopian tubes, or undergo surgery to connect the segments of tube back together.  This procedure is possible if the remaining segments are long enough to be re-united.  We evaluate each case to determine if this procedure is right for the patient.

When an ovary is affected by large cysts or benign tumors that require removal in patients who desire future fertility, it is important to preserve as much of the normal tissue as possible.  Using advanced laparoscopic or robotic techniques, we are able to excise these abnormalities with utmost precision while sparing other structures.