These include uterine fibroids, endometriosis, uterine prolapse, and abnormal or heavy bleeding. With the use of robotic surgery, Dr. Yamaki has been able to convert more complex gynecologic surgeries through large abdominal incisions into surgeries through small 1-2 cm incisions. This minimizes the risks and pain associated with large incisions while increasing the likelihood of a fast recovery and excellent clinical outcomes.
Laparoscopy is much less stressful, both physically and psychologically, for the patient, and usually involves lower costs and fewer complications, than traditional open surgery. Laparoscopy is as an outpatient surgical procedure.
Endometrial ablation removes or destroys the uterine lining, or endometrium, while leaving the ovaries and uterus intact. The endometrium heals by scarring, which reduces or stops future uterine bleeding.
Approximately 10-20% of patients require a second procedure or hysterectomy if symptoms reappear after a re-growth of the endometrium. Because endometrial ablation destroys the lining of the uterus, the procedure is not for women who still wish to become pregnant.
- Feeling of pelvic heaviness or fullness, or as though something is falling out of the vagina
- pulling or aching feeling in the lower abdomen or pelvis
- Leakage of urine or problems having a bowel movement
A cystocele, sometimes called anterior wall prolapse, occurs when the bladder drops from its normal place into the vagina. Some cystoceles cause urine to leak when you cough, sneeze, lift objects or walk.
When the rectum bulges into or out of the vagina, it is called a rectocele (or posterior wall prolapse). A large rectocele may make it difficult to have a bowel movement.
Sometimes after hysterectomy, the top of the vagina loses its support and drops. This is called vaginal vault prolapse. Women with this condition may have problems with bladder and bowel function.
When the uterus drops down into the vagina, it is call uterine prolapse. This sometimes causes discomfort or problems with sex.