Our Surgeons Offer:
- Alternatives to Traditional Hysterectomy
- Minimally Invasive Surgery
- Advanced Laparoscopic Techniques
- Treatment of Pelvic Prolapse
- Certified in InterStim® Therapy
Patients who are scheduled for surgery meet with Premier OB/GYN’s knowledgeable Patient Liaison. She will answer any additional questions you may have, check on insurance benefits, and provide you with the appropriate educational materials.
“Nothing but positive things to say about this place and the staff. They are friendly, professional and stay on top of everything. I see Dr. Sudbury and would highly recommend him!”
– Lindsay C.
What Are the Surgical Alternatives to a Traditional Hysterectomy?
Every year over 650,000 American women have a traditional hysterectomy, a surgery that removes the uterus through a relatively large incision in the abdomen. Traditional hysterectomies have been found to be inappropriate or unnecessary in up to 16 percent of those cases.
- Various approaches to myomectomy — Removal of fibroids while leaving the uterus intact, allowing for future childbearing
- Endometrial ablation — Removal of the uterine lining
- Laparoscopy or robot-assisted laparoscopy — Minimally invasive procedure that involves inserting a small device with a camera into the abdomen through a small incision to perform a hysterectomy or myomectomy
- Hysterectomy — Removal of the uterus.
How Is Minimally Invasive Surgery Performed?
Minimally invasive gynecologic surgery refers to surgical techniques performed with a digital camera connected to a telescope that is inserted either into your abdomen (laparoscopy) or through your cervix into the uterine cavity (hysteroscopy). Our Premier OB/GYN surgeons use a lighted camera, as well as a variety of small instruments created especially for these procedures, to perform these surgeries. The camera provides the visuals without the need for large incisions. The images are projected on high definition digital video monitors located throughout the operating room. Robotic surgery is a form of minimally invasive surgery.
What Are the Advantages of Using Minimally Invasive Gynecologic Surgery Methods?
- Reduced pain during recovery
- Lower risk of infection
- Decreased blood loss and fewer blood transfusions
- Minimal scarring
- Shorter hospital stays or ability to be outpatient procedures
- Faster return to normal activities and work
What Is Pelvic Prolapse Surgery?
There are many kinds of surgery that can be used for pelvic organ prolapse. The method will be dictated by which organs are prolapsed.
- Vaginal vault prolapse surgery — Repair of the vaginal wall
- Cystocele surgery — Repair of the bladder
- Urethrocele surgery — Repair of the urethra
- Rectocele surgery — Repair of the rectum
- Enterocele surgery — Repair of the small bowel
- Vaginal obliteration — Surgery to close the vagina.
- Hysterectomy — Removal of the uterus
During surgery for bladder, urethra, rectum, and small bowel prolapse, an incision is made in the wall of the vagina. Your Premier OB/GYN surgeon then pulls together the loose or torn tissue in the area of the prolapsed organ and strengthens the wall of the vagina to prevent a recurrence.
In vaginal vault prolapse, the top of the vagina is attached to the wall of the lower belly, to the spine in the lower back, or to the ligaments of the pelvis.
During a vaginal obliteration, your surgeon removes most of the vaginal lining and then sews the vagina shut. If the uterus is still in place, a small opening is left to allow fluid to drain from the uterus.
How Long Is Recovery After These Pelvic Prolapse Procedures?
These are not easy recoveries. It will be about 6 weeks before you can return to normal activities. For the first 3 months after your surgery, you’ll need to avoid any heavy lifting or long periods of standing. You’ll need to take it easy, as straining can cause your prolapse to return.
What Is Interstim Therapy?
InterStim™ therapy is a reversible therapy used to treat urinary incontinence, frequency, and incomplete bladder emptying. In this therapy, a device is implanted and it sends mild electrical pulses to the sacral nerves. Located near the tailbone, the sacral nerves control the bladder and the muscles related to urinary function. If the brain and sacral nerves don’t communicate correctly, the nerves can’t tell the bladder to function properly. InterStim™ therapy can overcome these communication problems.
How Effective Is Interstim Therapy?
InterStim™ therapy has been used for over 20 years. Studies of patients followed for one year after having the InterStim™ therapy system implanted found that seven out of every 10 patients experienced at least a 50 percent reduction in weekly accidents compared with accidents before they started with InterStim™ therapy.
Are There Any Risks Associated With Interstim Therapy?
Risks with these procedures are minimal, as the electric pulses are of a low level. Risks include:
- Transient electrical shocks
- Continued bladder problems