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Urogynecologic Surgery

Baystate's multidisciplinary urogynecology teams work closely to ensure the best possible care, and offer a variety of treatments to optimize each patient's results and restore normal function of the pelvic floor.

If surgery is necessary it can be performed vaginally with and without mesh insertion, abdominally, or robotically, depending on the particular patient and the type and severity of the problem.

Minimally Invasive and Robotic Gynecologic Surgery

Patients who elect to have minimally invasive surgery:

  • Have smaller scars
  • Avoid infection
  • Experience less bleeding, requiring few blood transfusions
  • Suffer less pain and trauma
  • Heal faster and leave the hospital up to two days sooner
  • Recover and resume normal activity up to four weeks sooner than patients who opt for traditional surgery.

Minimally invasive techniques include:

Vaginal Hysterectomy

Vaginal hysterectomy (a surgery to remove a woman's uterus) is the safest, most cost-effective way to perform a hysterectomy. Unlike abdominal or laparoscopic surgery, with vaginal surgery there is no incision at all. Patients have an overnight stay in the hospital with less pain and with just a short time away from normal activities.

At Baystate, vaginal hysterectomy is one of our areas of expertise. As skilled vaginal surgeons, we are able to perform successful vaginal hysterectomies in cases of enlarged uterus (say, from fibroids) and other cases that can be considered difficult.

Robotic Hysterectomy

Robotic hysterectomy using the da Vinci robotic surgery system offers numerous potential benefits over traditional approaches, including:

  • Significantly less pain
  • Minimal blood loss and less need for blood transfusion
  • Fewer complications
  • Shorter hospital stay
  • Quicker recovery and return to normal activities
  • Small incisions for minimal scarring
  • Better outcomes and patient satisfaction, in many cases

This procedure is performed using the da Vinci Surgical System, a breakthrough surgical platform which enables gynecologists to operate with unmatched precision, dexterity and control. By overcoming the limitations of both traditional open and laparoscopic surgery, da Vinci is revolutionizing gynecologic surgery for women. Learn more about how da Vinci Surgery enables gynecologists to perform the most precise, minimally invasive hysterectomy available today - da Vinci Hysterectomy.

Minimally Invasive Sling Procedure

Stress Urinary Incontinence (SUI)

If you leak urine during exercise, you are not alone; you likely have stress urinary incontinence (SUI). Women with SUI also lose urine when coughing, sneezing, and laughing. It is a common problem affecting one in three women, many of them after childbirth. Fortunately, SUI is a curable problem.

Minimally Invasive Treatment

There is no need to limit your lifestyle when safe and effective treatment with immediate results and fast return to normal activities is available. The minimally invasive slings procedure combines the use of a safe material – polypropylene mesh tape – with a traditional incontinence treatment called the "sling" procedure to support the urethra.

The procedure takes about thirty minutes and only requires tiny and discrete incisions, and patients go home within hours afterwards. Most patients are continent immediately following the procedure and can resume normal, non-strenuous activity within a few days.

Are you a candidate?

The minimally invasive sling procedure is appropriate for most women, even those who are overweight, elderly, and have undergone previous operations for urine loss. However, this treatment is not recommended for women who plan a future pregnancy. 

What are the success rates?

Approximately 85% of women become completely dry after surgery, while about 10% experience significant improvement. In one study, over 90% of women surveyed were still benefiting from the procedure eleven years later.

What are the risks?

Difficult urination and urinary catheterization, which were not unusual after the older more extensive continence procedures, have been reduced remarkably with this minimally invasive procedure.

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