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Gynecological Surgery

Gynecological surgeryDo you have fibroids, irregular bleeding, or pelvic pain?

Dr. Furlin is the Director of the Center of Excellence in Minimally Invasive Gynecology (COEMIG), Westlake Hospital.

The COEMIG designation is available to surgeons and hospitals that provide minimally invasive gynecology surgery in a way that adopts high standards for patient care and safety. Some advantages of minimally invasive laparoscopic surgery versus traditional large open incisions is reduced blood loss, smaller incisions, reduced hospitalization time, and less pain and scarring. As the Director of COEMIG, for those women who need surgery, Dr. Furlin strongly promotes and specializes in surgery done in a minimally invasive way, allowing women to return to work, family, and exercise rapidly after surgery by avoiding large incisions.

UTERINE FIBROIDS sometimes cause heavy or irregular bleeding, anemia or pelvic pain. Please make an appointment to make sure all of your options have been explained to you before deciding on a hysterectomy.

Laparoscopic Myomectomy

An outpatient procedure offered by Dr. Furlin which can remove fibroids laparoscopically through several small incisions in the abdomen, most as small as 5mm, while preserving the uterus.

Laparoscopic Hysterectomy

For those who need or prefer hysterectomy, Dr. Furlin specializes in laparoscopic removal of the uterus with or without removal of the cervix. This is an outpatient procedure completed by utilizing small incisions in the abdomen. Even a large fibroid uterus can be removed using this technique. Post surgically, patients usually go home the same day or the day after surgery, and require minimal post surgical pain medicines. Often, patients are able to return to their normal routine in one to two weeks.

HEAVY OR IRREGULAR MENSTRUAL BLEEDING can sometimes be from hormonal imbalance. Hormonal therapy can sometimes be effective in controlling irregular or heavy periods, even in some women with fibroids. Please make an appointment to make sure all options have been explained to you.

In Office Hysteroscopy

In office hysteroscopy can be performed in the workup of heavy or irregular menses. Hysteroscopy allows direct visualization of the inside lining of the uterus and detects polyps, fibroids, and abnormal tissue that may be difficult to visualize from an ultrasound. Polyps can sometimes be removed during in office hysteroscopy.

Novasure Endometrial Ablation

Novasure is an effective, non-hormonal, permanent treatment for heavy periods. It is a 5 minute outpatient procedure that greatly reduces or completely stops periods in 90% of women. If you are suffering from heavy or long periods then this may be the procedure for you. No incisions are required and your uterus is preserved. A slender device is inserted into the uterus which destroys the internal lining of the uterus by delivering radiofrequency energy for about 90 seconds. The device is then removed from the uterus and the patient may return to normal activity.

PELVIC PAIN can sometimes be due to endometriosis. Endometriosis is a painful disorder in which tissue that normally lines the inside of you uterus grows outside your uterus sometimes involving the ovaries and bowel. Endometriosis can sometimes be treated hormonally. For those who need surgery, endometriosis can be treated by laser destruction of the lesions or by laparoscopic hysterectomy. Pelvic pain can also be due to ovarian cysts or inflammation of the fallopian tube and ovaries. Pelvic pain may also be musculoskeletal, gastrointestinal, or urinary tract related. Please make an appointment to discuss any symptoms you may be experiencing.

OVARIAN CYSTS can sometimes cause pelvic pain or bloating. Some cysts are functional in nature and may occur on a monthly basis due to ovulation. These often resolve with no treatment. Other cysts are inflammatory in nature such as endometriomas or pelvic inflammatory cysts. Other cysts may be tumor related. Please make an appointment to see what treatment options may be best for you.

ALTERNATIVES TO HYSTERECTOMY.

Please make an appointment to discuss all treatment options and alternatives to hysterectomy. Hormonal therapy, Thermachoice endometrial ablation, uterine artery embolization, and partial hysterectomy may be options.