Abdominal Surgery

Total Abdominal Hysterectomy

Removal of the entire uterus including the cervix with or without the tubes and ovaries through an abdominal incision. The removal of the uterus my be necessary when performing some BUT NOT ALL surgeries for pelvic organ prolapse.

Supracervical Hysterectomy

Removal of the uterus without the cervix through an abdominal incision. Leaving the cervix may act as a protective barrier when using graft material in surgeries performed in conjunction with the supracervical hysterectomy for pelvic organ prolapse.

Sacral Colpopexy

Attachment of the top of the vagina to the sacrum using a synthetic or biologic graft performed through an abdominal incision. Performing a supracervical hysterectomy may be necessary to perform this procedure if the uterus is present.

Paravaginal Repair

This procedure may be performed abdominally to support the lateral vaginal walls to fix a cystocele (dropped bladder).

Fecal Incontinence

Sacral Neuromodulation

Electrodes are inserted into the nerves that control the anal sphincter and pelvic floor muscles to treat to treat fecal incontinence. This procedure was initially used for the treatment of urinary incontinence but has been approved by the FDA for the treatment of fecal incontinence as well.

Sphincteroplasty

Reattach divided muscle edges around anus to correct fecal incontinence.

Laparoscopic & Robotic Surgery

Total Laparoscopic Hysterectomy

Removal of the uterus (including the cervix) and possibly the tubes and ovaries through small (about 1 cm) laparoscopic incisions. This procedure may be performed laparoscopically or robotically.

Supracervical Hysterectomy

Removal of the uterus without the cervix through small (about 1 cm) laparoscopic incisions. Leaving the cervix may act as a protective barrier when using graft material in surgeries performed in conjunction with the supracervical hysterectomy for pelvic organ prolapse. This procedure may be performed laparoscopically or robotically.

Sacral Colpopexy

Attachment of the top of the vagina to the sacrum using a synthetic or biologic graft performed through small (about 1 cm) laparoscopic incision. This procedure may be performed laparoscopically or robotically. Performing a supracervical hysterectomy may be necessary to perform this procedure if the uterus is present.

Paravaginal Repair

This procedure may be performed laparoscopically or robotically to support the lateral vaginal walls to fix a cystocele (dropped bladder).

Urinary Incontinence

Suburethral Sling

Placing a small piece of synthetic graft material under the urethra for support in preventing stress urinary incontinence.

Periurethral Injection

This is an in-office procedure which involves injection of a bulking agent at the base of the bladder to prevent stress urinary incontinence.

Burch Urethropexy

Placing permanent sutures laparoscopically or robotically to support and suspend the base of the bladder to a ligament on the pubic bone.

Neuromodulation

Electrodes are inserted into the nerves that control the bladder to treat urinary urgency, urinary frequency, urinary urge incontinence, and urinary retention.

Vaginal Surgery

Total Vaginal Hysterectomy

Removal of the entire uterus including the cervix with or without the tubes and ovaries vaginally. The removal of the uterus may be necessary when performing some BUT NOT ALL surgeries for pelvic organ prolapse.

Uterosacral Ligament Suspension

This procedure is performed vaginally to support the top of the vagina to the patient’s own uterosacral ligaments. A hysterectomy needs to be performed to perform this procedure adequately.

Sacrospinous Vaginal Vault Suspension

This procedure is performed vaginally to support the top of the vagina to the patient’s own sacrospinous ligaments in the pelvis.

Illiococcygeal Suspension

This procedure is performed vaginally to support the top of the vagina to the patient’s own fascial supportive tissue.

Total Colpectomy

This procedure is performed vaginally and completely closes the vagina after the correction of the pelvic organ prolapse. Vaginal penetration is not possible after this procedure therefore it is not recommended in sexually active women.

Leforte Colpocleisis

This procedure is performed vaginally and completely closes the vagina without removal of the uterus. Vaginal penetration is not possible after this procedure therefore it is not recommended in sexually active women.

Anterior Colporrhaphy

This is a vaginal procedure to reestablish the supports between the bladder and vagina to fix a cystocele (dropped bladder). It may be performed using a synthetic or biologic graft for a longer lasting repair.

Posterior Colporrhaphy (Rectocele repair)

This is a vaginal procedure to reestablish the supports between the rectum and vagina to fix a rectocele (rectum bulging into the back of vagina). It may be performed using a synthetic or biologic graft to achieve a longer lasting repair.

Paravaginal Repair

This procedure may be performed vaginally to support the lateral vaginal walls to fix a cystocele (dropped bladder).

Enterocele Repair

This is a procedure that may be performed vaginally to close the space between the vagina and rectum to prevent or treat the small bowel from pushing into the vagina.