Treatment Options

Cryotherapy is a procedure that uses freezing to destroy cells. The doctor uses a special instrument that delivers a dose of extreme cold precisely to the targeted abnormal cells on the cervix or endometrial cells in the uterus (endometrial cryoablation), effectively killing these cells in 95% of cases.
Cystectomy is the surgical removal of a cyst. Usually a laparoscopic cystectomy can be done on an outpatient basis (you leave the hospital the same day) and normal activities can be resumed in a week or two.
D&C stands for "dilatation and curettage", a procedure in which your doctor dilates or opens the cervix and scrapes the lining of the uterus. A D&C is often performed in cases of heavy, abnormal uterine bleeding, only for diagnostic and not for therapeutic purposes.
Endometrial Ablation
Women with menorrhagia who do not wish to have children and for whom medical therapy has not provided relief from their heavy bleeding may be candidates for a procedure called endometrial ablation, which stops or reduces heavy bleeding by destroying the lining of the uterus.
Fibroid Treatments
Discusses a number of minimally invasive surgical options that can be used to treat fibroids.
Hysterectomy is a surgical procedure that removes the uterus. The term is based on the Greek word for uterus - "hyster" - plus the suffix that means removal - "ectomy." In everyday usage, hysterectomy may refer to removal of not only the uterus, but also the cervix, but does not necessarily mean removal of the ovaries.
Hysteroscopy is a technique for visually examining the cavity of the uterus using a long, thin telescope-like instrument (hysteroscope) that is inserted through the vagina and cervix. A small video camera attached to the end of the telescope gives the doctor a magnified view on a video monitor.
Incontinence Treatments
Overactive bladder andurge incontinence (OAB/UI) are not treated surgically, although there are some medications available to help. For long-term management, non-surgical approaches include lifestyle and dietary changes, bladder training, pelvic floor muscle exercises, and electrical stimulation.
Laparoscopic Surgery
Laparoscopic surgery is a minimally invasive, video-guided technique that has revolutionized the field of surgery. Instead of making a large incision through the skin and underlying muscles (laparotomy), a laparoscopic surgeon makes just a few tiny incisions, one for a long, narrow telescope with a camera attached, and two or three others for the instruments needed.
Laparoscopy, the inspection of the pelvic organs through a tiny telescopic camera that projects a magnified view on a video monitor, can be used to diagnose abdominal and pelvic disorders and in some cases to treat them as well.
Laparotomy is open abdominal surgery performed under either general or epidural anesthesia. It involves a 2 to 6 inch incision that is made either vertically, between the navel and the pubic bone, or horizontally, the so-called “bikini” incision just above the pubic bone. It requires a hospital stay and takes four to six weeks for complete healing.
Laser Surgery
Laser surgery is sometimes used to destroy cervical cancer cells. Its high-energy light beam can target and cut out abnormal cells from the skin of the cervix with high precision. Laser surgery is used as a treatment for pre-invasive cervical cancer only. A laser may also be used as a cutting instrument in laparoscopic surgery.
LEEP (Loop Electrosurgical Excision Precedure)
LEEP or loop electrosurgical excision procedure is an in-office technique for removing abnormal cervical cells that are suspected of being or becomingcancer.
Oophorectomy means surgical removal of an ovary. A bilateral oophorectomy means removal of both ovaries.
Operative Hysteroscopy
Operative hysteroscopy allows many procedures that once required hospitalization to be performed in the doctor’s office with minimal discomfort and quick recovery. Patients are usually ready to resume normal activities after a day or two. Some of these procedures replace the need forhysterectomy.
Ovarian Vein Embolization
Ovarian vein embolization is a procedure in which a damaged, varicose vein to the ovary is closed off, thereby alleviating the pain associated with pelvic congestion syndrome.
Pelvic Organ Prolapse (POP) Treatment
Discusses treatment options for dealing with pelvic organ prolapse, or the weakening of the pelvic floor muscles resulting in the displacement of the pelvic organs through the vagina.
Polypectomy is the medical word for removing polyps, small finger-like growths that arise from the uterine lining and protrude into the uterine cavity.
Presacral Neurectomy
Presacral neurectomy is a surgical treatment that may be used for rare cases of severe dysmenorrhea that cannot be resolved by medications or other means. Essentially it involves cutting the nerves that transmit the signal of pain from the uterus to the brain.
Sterilization procedures can provide permanent birth control to women who no longer wish to become pregnant. Several options are available, including minimally invasive techniques. They all have the effect of blocking the Fallopian tubes so that sperm and egg cannot meet and, therefore, fertilization cannot occur.
Transcervical Resection of The Endometrium
Transcervical resection of the endometrium or TCRE, like hysteroscopic endometrial ablation was the treatment of choice for menorrhagia before the advent of newer endometrial ablation techniques. TCRE is operative hysteroscopy using a hysteroscope with a heated wire loop, called a resectoscope, to remove the endometrium.
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Last updated on Sep 29, 2023