OB GYN Surgical Procedures

woman

Surgery

Combining surgical expertise with advanced technology

By embracing the latest in medical technology, our physicians have attained expertise in the treatment of issues that relate to women's’ healthcare. Our doctors use the latest technology and the most innovative, advanced therapies to increase the chances of a successful treatment and the best possible outcome. The ultimate goal of Obstetrics & Gynecologic Associates of Flint is to deliver the highest standard of care and personal attention to each and every patient seeking our help.

Minimally Invasive Gynecologic Surgery

Less is better

Less pain, less recovery time, less scarring, and less time away from your busy life. Our skilled surgeons at Obstetrics & Gynecologic Associates of Flint specialize in advanced gynecological surgical procedures which can be performed using minimally invasive techniques. We aim to provide patients with the least invasive options with the fastest recovery time and best outcomes. Minimally invasive surgery can be performed in a variety of ways: via laparoscopy, hysteroscopy or da Vinci® robotic surgery. We provide the following laparoscopic procedures: hysterectomy, myomectomy, excision of endometriosis, excision of benign ovarian tumors, removal of dilated fallopian tubes (hydrosalpinx), tubal ligation, and prophylactic removal of tubes and ovaries. We also offer minimally invasive operative hysteroscopic procedures: endometrial ablation, myomectomy and permanent birth control (tubal occlusion) with Essure™ or Adiana®. Call 810-239-9444 today for an appointment to discuss your options with one of our four gynecologists.

Hysteroscopy

No scars, less pain, faster recovery

Hysteroscopic surgery means no scars, less pain, and less time away from your busy life. Hysteroscopy is a common minimally invasive procedure in gynecology that is used to diagnose the cause of irregular or heavy bleeding or to confirm findings from an examination or ultrasound. The surgeon can see inside the uterus by using an instrument called a hysteroscope, which is inserted through the vagina. Common hysteroscopic procedures include the removal of fibroids, the Essure Procedure or Adiana Permanent Contraception (permanent birth control procedure), ablations, and infertility workups. While no one looks forward to surgery, the hysteroscopic surgery means no scars and accelerated healing time. Make an appointment with one of our trained gyn surgeons to learn more about hysteroscopy surgeries by calling 810-239-9444.

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Implantable Contraception

Long acting, reversible, estrogen free, discreet

Implanon® is more than 99% effective at preventing pregnancy, lasts up to 3 years, and doesn’t require daily or weekly dosing. Implanon is inserted discreetly under your arm during an in-office procedure. Implanon must be removed by the end of the third year and may be replaced with a new Implanon at the time of removal, if continued contraceptive protection is desired. One of our 4 physicians can discuss whether Implanon is the right contraception option for you. Call the office for appointment at 810-239-9444.

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Intrauterine Device Insertion (IUD)

Birth control you don't have to think about

An IUD is birth control that is convenient, flexible, reversible, effective, and you don’t have to think about everyday. If this sounds good to you than maybe an IUD is the right birth control option for you. Mirena® and ParaGard® offer effective birth control for today’s busy woman who may want more children. Either type of IUD can be inserted by one of our gynecologists in our office. The IUD can be removed by one of our doctors at any time, and you can try to get pregnant immediately. Mirena is also effective in the treatment of heavy periods. Both are effective for years - Mirena lasts up to 5 years before it needs to be replaced and ParaGard is effective for up to 10 years before it needs to be replaced. Make an appointment with one of our four doctors at 810-239-9444 to discuss a birth control option that fits your active life.

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Laparoscopic Surgery

Virtually no scars and accelerated healing time

Laparoscopic surgery is a common procedure in gynecology that is used to evaluate pelvic pain, diagnose and treat endometriosis, or remove ovarian cysts. It is also used for advanced procedures such as total laparoscopic hysterectomy (uterus and cervix are removed) or laparoscopic supracervical hysterectomy (uterus only is removed). The surgeon inserts a camera through the belly button and makes several other small incisions (less than 1 cm) in order to operate inside the pelvis. Our patients appreciate the faster recovery and less scaring with this minimally invasive procedure. Together, you and your physician will decide which approach is best for you and your condition. Call the office at 810 239-044 to make an appointment with one of our specially trained surgeons. Remember our goal is to deliver the highest standard of care and personal attention to each and every patient seeking our help.

Robotic Surgery

Is the da Vinci Surgical System right for you?

Robotic surgery affords the benefits of minimally invasive surgery to patients, as well as the benefits of three-dimensional vision and intuitive "wrist-like” movements for the surgeon. Through tiny, 1-2 cm incisions, surgeons using the da Vinci Surgical System can operate with greater precision and control, minimizing the pain and risk associated with large incisions while increasing the likelihood of a fast recovery and excellent clinical outcomes. If your doctor recommends a hysterectomy to treat your condition, you may be a candidate for da Vinci Surgery. Using state-of-the-art technology, a da Vinci Hysterectomy requires only a few tiny incisions. If you have been told you need a hysterectomy, it's time to ask your doctor about da Vinci Surgery. Call the office at 810-239-9444 to see if the da Vinci Surgical System is right for you.

Special Procedures

Cervical Dysplasia

Early diagnosis and prompt treatment cure nearly all cases of cervical dysplasia.

Cervical dysplasia is a precancerous condition in which abnormal cell growth occurs on the surface lining of the cervix, the opening between the uterus and the vagina. Strongly associated with sexually transmitted human papillomavirus (HPV) infection, cervical dysplasia is most common in women under age 30, but can develop at any age. Early diagnosis and prompt treatment cure nearly all cases of cervical dysplasia. A Pap smear that shows abnormal cells or cervical dysplasia needs further testing. Our physician will use a colposcopy directed biopsy to confirm the diagnosis.

Surgical treatment options include cryosurgery, laser vaporization, LEEP, or a cone biopsy. Moderate-to-severe cervical dysplasia usually requires treatment to remove the abnormal cells and reduce the risk of cervical cancer. Our gynecologists are specially trained in the treatment for cervical dysplasia and will discuss with you the best option for you. Call the office to discuss your treatment options at 810-239-9444.

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Hysterectomy

We want to help women make the best decision possible.

A hysterectomy is an operation to remove a woman's uterus. A woman may have a hysterectomy for various reasons including uterine fibroids that are causing problems, uterine prolapse, endometriosis, abnormal bleeding, chronic pelvic pain, or cancer of the uterus, cervix, or ovaries. A hysterectomy is performed only after all other options are explored. There are times when a hysterectomy may be the best alternative and medically appropriate. Each patient and her situation are unique. Our obgyns want to help women make the best decision possible - one that is based on knowledge. A hysterectomy is a surgical procedure that has both advantages and disadvantages. There are many situations in which less extensive surgery may be preferable.

Using a minimally invasive approach to remove the uterus offers a number of benefits when compared to the more traditional open surgery used for an abdominal hysterectomy. In general, a minimally invasive procedure allows for faster recovery, shorter hospital stays, less pain and scarring, and a lower chance of infection than does an abdominal hysterectomy. The minimally invasive procedure can be done with a laparoscope or the daVinci Robot. The ovaries may also be removed at the same time as a hysterectomy, in a procedure called oophorectomy. For more information or a second opinion, make an appointment with one of our gynecologic surgeons to discuss your options at 810-239-9444.

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Hysterectomy Alternatives

Explore your options.

Before choosing a hysterectomy, you should carefully explore available hysterectomy alternatives, so that you can make an informed decision about what is best for you. Many times your obgyn can suggest alternatives to a hysterectomy that include less invasive surgeries, pharmacological treatments, and observation. We want to help women make the best decision possible - one that is based on knowledge and fact rather than on myth and misinformation. Call the office 810-239-8444 to discuss what is best for you.

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Laparoscopic Surgery

Minimally Invasive Procedures

Pregnancy Related Surgeries

Permanent Birth Control

Birth control for when you are sure

Women have many choices now in birth control. Tubal implants/ tubal ligation are permanent forms of birth control for when you are sure your family is complete. The Essure Procedure or the Adiana Permanent Contraception are considered tubal implants.

The Essure Procedure offers worry free birth control and is hormone free. One of our Essure-certified doctor slides the small, soft inserts through the natural pathways of your vagina and cervix into your fallopian tubes. No incision is required. After three months, it’s time for your Essure Confirmation Test. During this simple test, a special dye is introduced into your uterus and viewed on an x-ray, so your doctor can confirm that your fallopian tubes are completely blocked and the inserts are in place. Once you receive this verification, you can rely on Essure for permanent birth control, so you should be sure you do not want to get pregnant in the future.

Adiana Permanent Contraception is simple, safe, minimally invasive procedure that permanently prevents pregnancy. Permanent, effective, hormone free, simple, quick. . It works by stimulating your body's own tissue to grow in and around tiny, soft inserts that are placed inside your fallopian tubes. In three months, you have a test to confirm your tubes are blocked. During this simple test, a special dye is introduced into your uterus and viewed on an x-ray, so your doctor can confirm that your fallopian tubes are completely blocked. Once you receive this verification, you can rely on Adiana for permanent birth control, so you should be sure you do not want to get pregnant in the future.

Tubal ligation, often referred to as "having your tubes tied,” is a surgical procedure in which fallopian tubes are blocked, tied, or cut. Tubal ligation can be done post-delivery by one of our obstetricians through a small incision in the abdomen, or it can be done at other times as a minimally invasive procedure through the laparoscope. As with any procedure, you will want to fully discuss your options with one of our gynecologists at 810-239-9444.

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Urogynecology and Pelvic Floor Disorders

There are solutions.

Incontinence is not inevitable with age. It is treatable and often curable at all ages. If you experience incontinence, it may help you to remember that there are solutions. The three major categories of incontinence treatment are: behavioral, pharmacological, and surgical. Since women are individuals, the best treatment is a decision that needs to be made between a woman and her surgeon. Surgery is the most effective treatment for stress incontinence. So if other treatments (like pelvic floor muscle exercises and medication) haven't worked to control your incontinence, make an appointment with one of our surgeons.

Prolapse surgery for a cystocele repair (fallen bladder surgery) can be done by making an incision through the vagina and strengthening the vagina by using stitches to tighten the tissue surrounding it. Cystocele repair surgery is often done in conjunction with urologists who treat urinary incontinence. Call one of our skilled gynecologic surgeons to discuss your options at 810-239-9444.

What is pelvic organ prolapse? Pelvic organ prolapse (POP) occurs when the muscles and ligaments supporting a woman's pelvic organs weaken, causing the pelvic organs to slip out of place (prolapse). This can happen when the muscles that hold your pelvic organs in place become weak or stretched from childbirth or surgery. Symptoms of POP include:

  • Feeling pressure from pelvic organs pressing against the sides of your vagina.
  • Feeling very full in your lower belly.
  • Feeling as if something is falling out of your vagina or feeling something in your vagina when you wipe after using the bathroom.
  • Feeling a pull or stretch in your groin area or pain in your lower back.
  • Releasing urine without meaning to (incontinence), or needing to urinate a lot.
  • Having pain during sex.
  • Having problems with your bladder or bowels, such as constipation or problems emptying your bladder.

Organs that can be involved when you have pelvic prolapse include the Bladder (the most common), Urethra, Uterus, Vagina or the Rectum.

In addition to surgery, solutions for POP include pessaries. One of our gynecologists can fit you in the office with a device called a pessary to help with the pain and pressure of pelvic organ prolapse. Pessaries are removable medical-grade plastic devices that come in a variety of shapes and sizes and are placed in the vagina to provide support to the pelvic organs. . A successful pessary is one that is comfortable and relieves prolapse symptoms by providing support of the displaced organ(s). Many women can control their symptoms for years by using a pessary.

However, at times pelvic organ prolapse does require surgery. Surgery may be an option, if the prolapse is causing pain, if you are having problems with your bladder and bowels, or if the prolapse is making it hard for you to do activities you enjoy, and other treatments have not helped.

Our four surgeons all have extensive experience with prolapse surgery, including minimally invasive techniques that require only small incisions, which may result in a shorter hospital stay and faster recovery. The most common prolapse surgery is for a cystocele, or fallen bladder surgery. This can be done by making an incision through the vagina and strengthening the vagina wall. Other types include: a urethrocele (a prolapse of the urethra into the vagina); a uterine prolapse; a vaginal prolapse (also known as a vaginal vault prolapse or prolapsed vagina); an enterocele (or prolapse of the small bowel); a rectocele (or prolapse of the rectum into the vagina); and a cervical prolapse. Have further questions? Call our office at 810-239-9444 to make an appointment with one of our surgeons to discuss what treatment is best for you.

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