Common Urogynecology Procedures

Robotic/laparoscopic surgery has revolutionized the treatment of advanced pelvic organ prolapse. Robotics/laparoscopy has transformed a long operation with significant recovery into a relatively painless one with minimal recovery. Dr. Littman can perform many operations with the robot including a hysterectomy and sacral colpopexy.

Vaginal Hysterectomy

A vaginal hysterectomy is performed through a small vaginal incision. Postoperative recovery is improved when compared to a traditional abdominal hysterectomy. It is often performed concomitantly with a vaginal prolapse repair.

Cystoscopy is a test done to look at the inside of the bladder. It is performed with a flexible scope to ensure maximal patient comfort. While performing a cystoscopy, a biopsy may be taken to further investigate areas of concern.

Suburethral Sling

Surgery to correct prolapse has evolved to include the incorporation of vaginal mesh. The mesh serves to reinforce weakness in the vaginal wall in a manner similar to how general surgeons reinforce the abdominal wall when correcting a hernia. This surgery has not only increased success rates, but is also done in a relatively painless manner that is associated with a minimal recovery period.

Vaginal Mesh Insertion

Robotic/Laparoscopic Surgery

For those with urinary urgency/frequency with or without incontinence, there is now an outpatient procedure that can significantly change your life. Sacral neuromodulation is performed for patients who are unresponsive to traditional medical therapy, and it works by down-regulating the nerves going to and from the bladder.

Sacral Neuromodulation

Restorative Vaginal Reconstruction

There are many conditions of the vagina and vulvar that are bothersome to women. Many women may complain that intercourse “doesn’t feel right”, or that they feel a “pinching sensation on their underwear.”

After a thorough consultation these problems can be addressed with a variety of therapeutic options.

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