Pelvic Surgery

We are committed to providing world-class minimally invasive surgical care to women with benign gynecologic conditions.

  • Conditions requiring hysterectomy (Fibroids)
  • Stress Urinary Incontinence
  • Relaxed Vaginal Vault (Prolapse)
  • Sterilization procedures
  • Ovarian cysts
  • Pelvic Pain

What minimally invasive procedures do we offer?

  • Vaginal Hysterectomy - Removal of a diseased uterus vaginally (without any abdominal incisions)
  • Laparoscopic Assisted Vaginal Hysterectomy
  • Laparoscopic Examination and Treatment for Pelvic Pain
  • No Mesh Treatment for Stress Incontinence and Pelvic Prolapse
  • Uterine Ablation for excessive menstrual bleeding
  • Permanent Sterilization

What is minimally invasive surgery?

Minimally invasive surgery is an alternative to opening the abdomen to get access to the pelvic organs. Minimally invasive surgery is performed with specialized techniques that allow access to the pelvic organs through the vagina or through small incisions in the abdomen.

What are the benefits?

  • No incision or small incisions
  • Faster recovery times
  • Reduced blood loss
  • Reduced incidence of infection
  • Shorter hospitalization
  • Earlier return to normal activities
  • Improved cosmetic results

What is Hysteroscopy

Hysteroscopy is a procedure where a thin fiber optic scope is inserted through the cervix into the uterus. Hysteroscopy is most often used to help determine and treat the cause for abnormal bleeding or infertility.  Operative hysteroscopy can be used to repair the inside of the uterus, for instance removing a fibroid or a polyp.

Dr. Tyuluman is experienced in doing complex operative hysteroscopy and, as a rule, performs them in a operating room setting with an anesthesiologist.

Laparoscopy vs robotic surgery

Laparoscopy allows the inside of the abdomen to be examined.  A single incision is made just under or above the belly button with two additional puncture sites allowing the introduction of instruments that can perform very complex surgery.  This often makes an abdominal incision unnecessary.  However, when it is required reconstruct the uterus during myomectomy, abdominal circlage, or reconstruct the bowel, ureters, or bladder during cancer surgery,  an incision or a robotic assisted laparoscopic surgery should be performed.

Robotic surgery has recently been marketed extensively but it has been shown not to shorten hospital stay, decrease blood loss, or reduce post operative recovery time for most gynecologic surgery.  Robotic surgery more expensive, requires more abdominal punctures (5) than laparoscopy (2-3) or vaginal surgery (0) and has an increased complication rate.  The following link is the opinion of the American College of Obstetrics and Gynecology – Robotic Surgery for Hysterectomy.