Pelvic Laparoscopy
Laparoscopy is a type of surgery done using very small incisions. This type of surgery is possible because of the laparoscope (a long, slender tool with a camera and light). It lets your surgeon see inside the abdomen. To perform the surgery, special instruments are inserted into the abdomen through the small incisions. Laparoscopy is often used to diagnose and treat the causes of pelvic problems, such as pain and infertility. Laparoscopy often involves:

  • A short hospital stay. (You can most likely go home the same day.)
  • A quick recovery.
  • Minimal anesthesia.
  • Small external scars.
  • Mild to moderate postoperative pain.
Laparoscopy gives your doctor a direct view of the reproductive organs. This can help your doctor find out what’s causing problems such as pain, bleeding, or difficulty getting pregnant. Depending on the cause, treatment is sometimes part of the same surgery.

A Hysterectomy is an operation to remove a woman’s uterus. In many cases, hysterectomy is suggested only after other treatments have failed.

Why You May Need a Hysterectomy
The most common reasons for having a hysterectomy include:
  • Fibroid tumors: These growths in the uterus can cause pain and bleeding.
  • Endometriosis: Tissue that should line only the uterus grows on nearby tissues and organs. Pain and bleeding may result.
  • Pelvic relaxation: Weak muscles allow the uterus or bladder to press against the vagina. You may feel pressure or leak urine.
  • Cancer: Tumors may grow in the uterus or ovaries. Left uncontrolled, cancer can threaten your life.


A safety alert has been issued by the FDA on the use of the MORCELLATOR for hysterectomies. “In general, the procedure should not be performed,” Dr. William Maisel, deputy director for science and chief scientist the FDA’s Center for Devices and Radiological Health, said at a media briefing.

I have seen many patients who have had a hysterectomy by the use of the MORCELLATOR complaining of irregular bleeding. You may have been one of those who the gynecologist attempted to convince that it was better for you to leave the cervix. What they failed to tell you was that they could not remove the cervix by the use of the MORCELLATOR because the uterus will be cut off at the level of the uterine arteries. The resultant effect is irregular bleeding because only half of the uterus is removed. No attention has been given to pelvic outlet relaxation.

Often times what I find is that the patient needs to have the cervix removed and in addition to repair the vagina because of prolapse of the bladder. If you have had the unfortunate experience of having the MORCELLATOR procedure please contact my office for consultation regarding a vaginal rejuvenation surgical procedure.

What Is Removed?
Once you know why a hysterectomy has been suggested, find out what needs to be removed:
  • Subtotal hysterectomy: Only the uterus is removed.
  • Total hysterectomy: The uterus, including the cervix, is removed.
  • In some cases, one or both of the ovaries and fallopian tubes may also be removed. If both ovaries are to be taken out, talk with your healthcare provider. Signs of menopause may appear right after surgery.
Cone Biopsy
A cone biopsy is a quick outpatient surgery used to find and treat a problem in the cervix. Your doctor may do a cone biopsy if one or more Pap tests and colposcopy (microscope) exam showed abnormal cells on your cervix. During a cone biopsy, tissue is removed from the cervix and sent to the lab to be studied. Cutting away the tissue also removes the abnormal cells. The tissue that grows back is likely to be normal. Then no more treatment is needed. A cone biopsy takes less than an hour, and you’ll be able to go home the same day.

Pelvic Organ Prolapse
One or more of the organs inside the pelvis can fall from their normal positions. This problem is called pelvic organ prolapse. Vaginal Rejuvenation Surgery is the main cure for prolapsed pelvic organs. Other options can be discussed with your healthcare provider. When it occurs, you may have any of these symptoms:
  • A feeling of fullness or pressure in your pelvis
  • A sense that a “ball” or lump is protruding from the vagina
  • Problems passing urine or having a bowel movement
  • Urine leakage when you cough or sneeze
  • Pain or pressure in your low back
Pelvic organ prolapsed may be caused by one or more of the following:
  • Vaginal childbirth
  • Hormonal changes that occur with menopause
  • Constant coughing (such as with bronchitis or smoking)
  • Heavy lifting
  • Chronic straining
Pelvic Rejuvination Surgery
I have been at Huguley Hospital for nearly 34 years. During that time I have seen many women whose main complaint is decreased libido. What I have discovered is that this symptom is frequently associated with a significant pelvic floor relaxation. Although no guarantees can be given that your complaint of decrease sexual desire will be alleviated with surgical REJUVENATION of the pelvic floor, most have noticed a significant improvement in their marital relationship.

As we have been made aware through the news media, mesh may cause unwanted complications, therefore, I use your pubococcygeal fascia to form an autologous sling; the pubocervical vaginal fascia to repair the cystocele; and the rectovaginal fascia to repair the rectocele. An enterocele is plicated as high as possible to insure against recurrence. These can be illustrated as follows:


(Illustrations from Krames Pelvic Organ Prolapse)


If you believe that you may benefit from pelvic REJUVENATION, I would be most happy to evaluate you.

Vaginal Rejuvenation Surgery
Vaginal Rejuvenation Surgery will effectively enhance vaginal muscle tone, strength, and control. It will also effectively decrease the internal and external vaginal diameters as well as build up and strengthen the perineal body. In vaginal relaxation, the muscles are relaxed and have poor tone, strength, and control. The internal and external diameters increase. The muscles of the perineum are weak and poorly supported. Under these circumstances, the vagina is no longer at its optimum physiological state. As a result, the sensual side of sexual gratification is diminished. Vaginal Rejuvenation Surgery was designed to enhance sexual gratification for women, who for whatever reason lack an overall optimum architectural integrity of the vagina.