Hysterectomy and Myomectomy | Board Certified OBGYN | Rockville Silver Spring Montgomery County
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Hysterectomy and Myomectomy

Surgery

As gynecologists we are able to evaluate all female problems and concerns. Depending upon the severity of your symptoms, sometimes a few simple lifestyle modifications are all that you may need. Some women may require medications to improve their symptoms, while others may need simple procedures or even surgery. We will be able to guide you through that process and will continue to care for you even long after your recovery.
Board Certified OBGYN Rockville MD Silver Spring MDAside from being Board-Certified Obstetricians we also perform minimally invasive surgery using the latest advances and techniques that enable us to treat common female problems and concerns. We perform advanced laparoscopic, da Vinci Robotic, hysteroscopic, and vaginal surgery for the treatment of abnormal bleeding, endometriosis, fibroids, pelvic pain, incontinence and prolapse. Using these minimally invasive techniques most patients are able to go home the same day of their surgery and are able to return to their normal daily activities faster when compared to conventional open surgical techniques.

If you have symptoms or questions about symptoms that are concerning to you, please call to schedule a consultation so that we can discuss all possible options. Some of our surgical services are listed below.


Hysterectomy

A hysterectomy is the surgical removal of the uterus or womb. Depending upon your risk factors, sometimes a hysterectomy may also include removal of the ovaries and cervix. This is the second most common procedure for women in the US and is performed over 600,000 times each year. This surgery is usually performed when more conservative treatment measures are unsuccessful.

Some of the reasons for a hysterectomy include:

  • Uterine fibroids
  • Endometriosis
  • Uterine prolapse
  • Pelvic adhesions
  • Persistent pain or bleeding
  • Cancer

Hysterectomies can be performed through several different methods, depending on the initial reason and preferences of the patient. Most hysterectomies can now be performed laparoscopically, which utilizes very small incisions. An open abdominal hysterectomy uses larger incisions which will increase hospital stay and recovery time. A vaginal hysterectomy is one completely through the vagina and has no abdominal incisions. It is often used for women suffering from prolapse or relaxation of the vaginal or pelvic organs.

A hysterectomy is also classified by how much of the reproductive area is removed. A total hysterectomy removes the uterus and cervix, and may remove the ovaries and fallopian tubes as well. A subtotal hysterectomy or supracervical hysterectomy, removes the uterus but leaves the cervix, which may decrease potential risks, may help retain natural pelvic support and may play a role in sexual functioning. A radical hysterectomy removes the uterus, cervix, tubes, ovaries and the pelvic lymph nodes. This is usually done for patients with suspected cancer. Your doctor will help you decide which option is ideal for you.

Removal of your uterus will not cause you to go in to menopause as long as your ovaries are left in place. You may no longer have menstrual periods, but as long as your ovaries are retained they are still producing estrogen in your body. You are still at risk for ovarian cancer so you will still require regular annual exams. If your cervix is left in place, you may experience cyclical spotting but this is very rare. You may still need regular pap smears to screen for cervical cancer depending upon your age and risk factors.

While a hysterectomy is generally considered safe, there are certain risks involved as with any other surgical procedure. Some risks of a hysterectomy include blood loss, need for blood transfusion, bowel or bladder injuries, infections, or problems with anesthesia. Your doctor can help you decide which option is best for you and if you may benefit from this surgery.


Myomectomy

As many as 40-60% of women have fibroids, which are benign growths of the uterus. Of those women who have them, only a small percentage may have symptoms.  If your symptoms do not respond to conservative measures and they begin to affect your quality of life or pose a medical risk to you, you may need a myomectomy.  Myomectomy is a procedure that surgically removes fibroids and repairs the uterus for women who plan to bear children or want to keep their uterus.

This procedure can be done in a few different ways depending on the type and size of the fibroids. Laparotomy uses an abdominal incision and allows the surgeon to visually inspect the uterus and feel for fibroids. It may require a short hospital stay and most patients go back to work within a few weeks. Hysteroscopic myomectomy uses a tool called a resectoscope to enter through the vagina, release a liquid to expand the uterus and then shave away the fibroid pieces. Hysteroscopic myomectomy is an outpatient procedure and patients go home within a few hours of the surgery. Laparoscopic and da Vinci robotic myomectomy is performed through small incisions made in the abdomen. Patients who undergo laparoscopic or da Vinci robotic surgery are usually released the same day and are able to go back to regular activities much faster than with traditional open myomectomy. Only your doctor can help you decide which option is best for you.

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