How to repair my body

OUTPATIENT  surgery

We at Alamo Women's Health believe your time is very important.  Thankfully with advances in technology, medicines and surgical techniques, many conditions can now be treated using minimally invasive techniques that allow you go home the same day or stay " outpatient".  Below is a sampling of some of the inpatient procedures we offer. Click on the links below to learn more.  


HEAVY MENSTRUAL BLEEDING

We offer multiple techniques to help correct heavy menstrual bleeding without resorting to a hysterectomy.  We can offer standardized techniques such as endometrial rollerball ablation.  We also provide the latest technology called MINERVA system that provides the highest customer service and effectiveness.   


FIBROIDS

The ACESSA Procedure presents a new standard of care for patients suffering from uterine fibroids. With the ACESSA procedure, a woman’s symptoms are significantly reduced or eliminated while preserving a healthy uterus. This minimally invasive, laparoscopic outpatient procedure enables the patient to quickly return to a normal quality of life without the potential long-term complications or long recovery time associated with hysterectomy. Patients return home the same day and typically resume work and other normal daily activities in 3-5 days. Importantly, the procedure has an excellent safety profile with a less than 4% complication rate and a very low incidence of recurring symptoms or the need for additional intervention


URINARY INCONTINENCE SURGERIES

These procedures are designed to lift a fallen or prolapsed bladder that has started to cause symptoms such as pressure or incontinence.  It also helps to strengthen the pelvic floor to prevent leakage of urine especially the type caused by coughing, laughing sneezing or exercise.  

  • Procedures include transvaginal slings, transobturator, bladder suspensions and the gold standard, Burch Retropubic urethroplexy procedure. 
  • Tape procedures  involve a small incisions or incisions in the vagina, abdomen or inner thigh. 
  • Procedures usually take less than thirty minutes with little to no recovery time .
  • 9 out of 10 women report decreased incontinence after the procedure. 
  • Newer designs of mesh offer none of the complications reported with other types
  • Gynecare, AMS miniarc and Biodesign are some of the more commonly used safe mesh procedures.  
  • AMS miniarc procedure is a quicker procedure with less incisions to accomplish same benefit.  
  • Burch procedure can be performed robotically and has none of the problems reported with mesh products.  It is also the method by which all procedures are measured against. Its track record of safety dates back over several decades.  


LAPAROSCOPIC ADNEXAL SURGERY

Pelvic pain can sometimes be caused by ovarian or tubal masses or cysts.  Minimally invasive techniques using Laparoscopy  can remove the problem areas to alleviate pain and determine disease.  Small incisions allow use of camera and removal of the specimen.  

ENDOMETRIOSIS  / ADENOMYOSIS

Endometriosis is when tissue that is normally in the lining of the uterus grows outside the uterus. It can be found on the ovaries, fallopian tubes, bowel and possibly other places in the pelvic cavity. Sometimes it can even grow outside the pelvis.

This extra tissue may be referred to as "implants." During your period, the extra tissue swells with blood along with the normal tissue in your uterus. This swelling and blood can irritate nearby tissues, which can cause pain or cramps. Constant irritation may cause scar tissue known as “adhesions” to form. These adhesions can bind organs together and cause additional pain or discomfort. Adhesions may also make it difficult to get pregnant or maintain a pregnancy. In other words, adhesions caused by endometriosis can cause infertility.

 

Endometriosis is one of the most common health problems for women. Symptoms are usually experienced by women in their 30s and 40s, but can occur in anyone who has menstrual periods. The exact cause of endometriosis is unknown, although there are many theories. Unfortunately, there is no cure for endometriosis but there are several treatments for the pain and infertility it may cause.   We offer Laparoscopy and Robotically Assisted Laparoscopy approaches to remove this disease.  The addition of Firefly technology allows us better definition, more successful resection and a level of thoroughness not previously available. 

VAGINAL RECONSTRUCTIVE SURGERY

Vaginal childbirth and time can cause weakening of the vaginal tissues causing prolapse of one or more of the vaginal walls.  Prolapse can cause pressure, vaginal discomfort, pain with intercourse.  Reconstructive surgery aims to re-position the vaginal walls back into their proper anatomic position, relieve symptoms and improve overall patient satisfaction.  

  • Minimally invasive techniques help to return tissues to normal anatomical positions.  It minimizes tissue trauma, provide quicker recovery and minimize pain

  • Surgical mesh offers longer and stronger supports but may require staying in the hospital.  

  • Mild pain relievers usually minimize pain

  • Most patients resume normal activities within one week after the procedure.