Naples Women’s Center Gynecology

Davinci Minimally Invasive Surgery

Incontinence Davinic Hysterectomy

If you have a benign (non-cancerous) condition that affects your health and quality of life, your doctor may suggest surgery. Surgery to remove the uterus is called a hysterectomy. It can be done with open surgery through one large incision (cut). It can also be done with minimally invasive surgery through a few small incisions

 using traditional laparoscopy or da Vinci Surgery.

Why da Vinci Surgery? The da Vinci System is a robotic-assisted surgical device that your surgeon is 100% in control of at all times. The da Vinci System gives surgeons: 3D HD view inside your body Wristed instruments that bend and rotate far greater than the human hand Enhanced vision, precision and control da Vinci Hysterectomy offers the following potential benefits compared to traditional open surgery: Lower complication rate Shorter hospital stay Less blood loss and less chance for a transfusion Lower hospital readmission rate da Vinci Hysterectomy offers the following potential benefits compared to traditional laparoscopy: Lower complication rate Shorter hospital stay Less blood loss & less chance of blood transfusion Less chance of surgeon switching to open surgery da Vinci Hysterectomy offers the following potential benefits compared to vaginal surgery: Shorter hospital stay Less blood loss

In-Office Procedures

Hysteroscopy

Hysteroscopy has been done in the hospital, surgical centers and the office. It is best done when the endometrium is relatively thin, that is after a menstruation. Diagnostic can easily be done in an office or clinic setting on suitably selected patients. Local anesthesia can be used. Simple operative hysteroscopy can also be done in an office or clinic setting. Analgesics are not always necessary. A paracervical block may be used using a Lidocaine injection in the upper part of the cervix. The patient is in a lithotomy position during the procedure. Prophylactic antibiotics are not necessary.

Incontinence testing ( Urodynamics)

Urinary incontinence (UI), also known as involuntary urination, is any leakage of urine. It is a common and distressing problem, which may have a large impact on quality of life. It is twice as common in women as in men. Pregnancy, childbirth, and menopause are major risk factors. It has been identified as an important issue in geriatric health care. Urinary incontinence is often a result of an underlying medical condition but is under-reported to medical practitioners. Enuresis is often used to refer to urinary incontinence primarily in children, such as nocturnal enuresis (bed wetting).

There are four main types of incontinence:

  • Urge incontinence due to an overactive bladder
  • Stress incontinence due to poor closure of the bladder
  • Overflow incontinence due to either poor bladder contraction or blockage of the urethra
  • Functional incontinence due to medications or health problems making it difficult to reach the bathroom

LEEP procedure

Treatment of Cervical dysplasia that involves a local excision of the abnormal cells on the cervix that are pre-cancerous. The procedure is short and with minimal pain. Patients are back to work the next day and are cleared to all normal activities in 2-4 weeks.

Long Term Contraceptive Options

Interuterine Devices (IUD)

Mirena IUD’s Provide long lasting contraceptive for 5 years and reduced menstral bleeding. IUD’s ar a great choice for women who have already had one or more childen and are not looking to get pregnant for a few year or longer. One of the benefits of IUD’s in the hormonal delivery is localized to the uterus and provides very low systemic absorption.

Essure

Essure provides permanent sterilization by inplanting coils in both fallopian tubes via in office hysteroscopy. The benefts of the procedure is that is done the same day with no incisions and provides a permanent form of birth control. Essure is a non reversable sterilization procedure.