Robotic Surgery and Urogynecology
TENSION FREE VAGINAL TAPE PLACEMENT
Midurethral synthetic sling procedures are the treatment of stress urinary incontinence (SUI) are gaining increased attention from surgeons specializing in female pelvic reconstructive techniques seeking successful patient outcomes through reproducible simplicity.
PELVIC FLOOR REHABILITATION (BIOFEEDBACK TREATMENT THERAPY)
Pelvic floor physiotherapy (PFPT) is considered to be a salient component of the conservative management of women with urogenital dysfunction including urinary incontinence and pelvic organ prolapse (POP). PFPT is an important adjunct to the management of female pelvic and sexual pain disorders which are often associated with bothersome bladder symptoms. These are variety of treatment methods which include a behavioral therapy, exercise instructions, manual therapy, biofeedback and electrical stimulation.
SACROCOLPOPEXY
Sacrocolpopexy is a surgical procedure that can be used to correct vaginal prolapse. During the procedure, a piece of mesh is attached to the top of the vagina and the other end is attached to the sacral promontory that is located at the back of the pelvic floor and lower part of the spine. Surgeons use specially designed instruments to lift the prolapsed organs back to their correct anatomical position and attach them with permanent sutures.
ANTERIOR VAGINAL REPAIR
Anterior repair is used to tighten the front (anterior) wall of the vagina. It is used when the bladder drops out of its normal position and bulges into the front of the vagina, causing the front wall of the vagina to sag. This condition is known as anterior wall prolapse, cystocele or dropped bladder.
POSTERIOR VAGINAL REPAIR
Posterior repair is used to tighten the back (posterior) wall of the vagina. It is used when the rectum drops out of its normal position and bulges into the back of the vagina, causing the back wall of the vagina to sag, which may result in bowel dysfunction. This condition is known as posterior wall prolapse, rectocele or fallen rectum.
URODYNAMICS
Posterior repair is used to tighten the back (posterior) wall of the vagina. It is used when the rectum drops out of its normal position and bulges into the back of the vagina, causing the back wall of the vagina to sag, which may result in bowel dysfunction. This condition is known as posterior wall prolapse, rectocele or fallen rectum.
VAGINAL PESSARY
A vaginal pessary is a removable device placed into the vagina. It is designed to support areas of pelvic organ prolapse. A variety of pessaries are available, including the inflatable, doughnut, and Gellhorn.
MINIMALLY INVASIVE HYSTERECTOMY - LAPAROSCOPIC AND ROBOTIC HYSTERECTOMY
Hysterectomy is the surgical removal of a woman’s uterus. This surgery can be done through small incisions using a thin, lighted scope with a camera on the end (a laparoscope). This is called a laparoscopic hysterectomy.
In robotic-assisted laparoscopic hysterectomy, the surgeon uses a computer to control the surgical instruments. The computer station is in the operating room. The surgeon is able to control the robot’s movements steadily and precisely. This lets him or her get into tiny spaces more easily and has a better view of the operation than with conventional laparoscopic surgery.
AESTHETIC GYNECOLOGY
Aesthetic Gynecology involves advanced procedures that will enhance the appearance, sensation, and function of the female’s vulvovaginal anatomy. This sub-specialty in gynecology is as important as any because it tackles issues related to women’s genital changes that occur over time which affect their quality of life.