Gynecological Oncology

As women age, their bodies change and they sometimes they encounter situations that require special attention. Your physician may recommend a gynecological procedure or surgery to further evaluate or treat a gynecologic condition. The gynecologic surgery program at Texas Health Center for Diagnostics & Surgery has been recognized by several leading organizations, including Healthgrades, for outstanding quality, outcomes and patient satisfaction. Minimally invasive, robotic surgery has been used to treat many kinds of gynecologic conditions.

Patients undergoing minimally invasive surgery often experience faster recovery and shorter hospitalization than with traditional open surgery. Many gynecologic surgeries can also be performed as robot-assisted, using the da Vinci® Surgical System.

Common gynecologic surgical procedures performed at Texas Health Center for Diagnostics & Surgery include:

Myomectomy

Myomectomy is a surgical procedure to remove symptom-causing fibroids (such as heavy menstrual bleeding) in the uterus. The procedure may be performed via open surgery (traditional surgery – surgical instruments are inserted through a large incision), laparoscopic surgery (surgical instruments are inserted through a smaller incision with a laparoscope) or robot-assisted (da Vinci Surgical System – surgeon operates with the assistance of a 3D high-definition vision system where smaller incisions are made).

Endometrial Ablation

This procedure destroys the endometrium – the lining of the uterus. This procedure is done when heavy menstrual flow occurs. Your physician will insert a device through the cervix to apply heat to destroy the endometrium.

Pelvic Organ Prolapse

Pelvic organ prolapse occurs when the muscles and ligaments supporting a woman’s pelvic organs weaken and cause the pelvic organs to slip out of place. There are several surgical strategies to repair the organs. Talk with your surgeon about which option is right for you.

Cystocele (Bladder Prolapse) Surgery

Bladder prolapse is a condition in which the supportive pelvic floor muscles and ligaments weaken and allow the back of the bladder to sag into the vagina. Your physician may order surgical intervention if the condition cannot be managed with other treatments.

Dilation and Curettage (D&C)

A Dilation and Curettage, also known as a “D&C”, is a common surgical procedure used to diagnose or treat abnormal uterine bleeding, such as heavy or prolonged menstruation, unexplained bleeding between periods or to remove the uterine lining after a miscarriage.

Hysterectomy

A hysterectomy is a surgical procedure that involves removing some, most or all of the reproductive organs including the cervix, fallopian tubes, ovaries and uterus. How much is removed depends upon the reason for the hysterectomy. This can be performed using robotic surgical techniques, through the vaginal opening or laparoscopically. 

  • Supracervical or subtotal hysterectomy: Removal of the upper part of the uterus, keeping the cervix in place.
  • Total hysterectomy: Removal of the entire uterus and cervix.
  • Radical hysterectomy: Removal of the entire uterus, tissue on the sides of the uterus, the cervix and the top part of the vagina. Radical hysterectomy is generally only performed when cancer is present.

Oophorectomy

A oophorectomy is the surgical removal of an ovary or both ovaries. 

Hysteroscopy

A hysteroscopy is a procedure that allows your physician to look inside your uterus in order to diagnose and treat causes of abnormal bleeding. The procedure is done using a hysteroscope, a thin, lighted tube that allows examination of the inside of the cervix and the uterus. It may be done in conjunction with other procedures, such as a dilation and curettage (D&C).

LEEP Procedure (Loop Electrosurgical Excision Procedure)

“LEEP” (Loop electrosurgical excision procedure) is used to diagnose and treat abnormal cervical cells. The procedure allows your physician to remove the abnormal tissue and test it for cancer. 

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