Gynecologic Problems

Our providers evaluate and treat a variety of gynecologic problems. These may include:

  • Stress Urinary Incontinence
  • Pelvic Pain
  • Endometriosis
  • PMS / PMDD
  • Prolapse
  • Painful menses

You may have symptoms not listed here and we invite you to discuss those with us so that we can address your concerns.

Endometrial Ablation –  When he lining of the uterus— or the endometrium— is shed by bleeding each month during your menses. Some women have heavy bleeding or bleeding that lasts longer than normal. For them, endometrial ablation may be a good treatment option. This procedure treats the lining of the uterus to control or stop bleeding. It does not involve removal of the uterus and it does not affect a woman’s hormone levels. Recovery is typically one day and can be done in the office.

Incontinence – Women may lose urine when they hear the sound of running water or when their hands are in water. Some women feel the urge to urinate and cannot control it. Others leak urine only while they are pregnant. When leaks become frequent or severe enough of a problem, it is called urinary incontinence, or loss of bladder control. This condition often can be treated with simple surgical procedures, physical therapy or medicines. Swan Mountain Women’s Center tests women with very sophisticated computer systems to assist in correctly diagnosing and treating incontinence.

Surgery – The decision to have surgery can be a stressful time in a woman’s life. Swan Mountain Women’s Center believes that surgery is an excellent choice in the right circumstances. We will always review your surgical and nonsurgical options. We offer all minimally invasive procedures as well as traditional surgeries on-site. The physicians at SMWC are dedicated to practicing world-class medicine in Summit County.

Hysterectomy – A hysterectomy is the surgical removal of all or part of the uterus, or womb. The doctors at Swan Mountain Women’s Center may also remove the fallopian tubes, ovaries and/or the cervix during the same surgery. Our doctors may use one of the following terms to help describe the organs removed during surgery:

  • A supracervical hysterectomy removes the uterus but leaves the cervix in place, which some research suggests may reduce the risk of pelvic organ prolapse and preserve sexual function. This is sometimes referred to as “partial hysterectomy.”
  • Total or “traditional” hysterectomy removes the uterus and cervix.
  • A radical hysterectomy may remove all of these organs (the uterus, cervix, fallopian tubes, ovaries), plus the pelvic lymph nodes.

There are 3 Different Ways to Perform Hysterectomies:

  1. Abdominal (also known as open) – This hysterectomy method requires a 4- to 8- inch horizontal incision below the belly button to remove the uterus and cervix and, in some cases, other organs. The most invasive kind of hysterectomy, this type is performed under general anesthesia, with a typical hospital stay of 3-6 days and up to 6 weeks of recovery time.
  2. Vaginal – This hysterectomy method uses a smaller incision inside the vagina to remove the uterus and other organs, as determined by your doctor. This incision is not visible externally. Vaginal hysterectomies usually require a 1-3 day hospital stay and up to 4 weeks’ recovery time.
  3. Laparoscopic – With this hysterectomy method, a thin, lighted, telescope-like instrument called a laparoscope along with small surgical instruments are inserted through 3 to 4 tiny incisions in the navel and abdomen to detach and remove the uterus.

There are different types of laparoscopic hysterectomies. Based upon your clinical need, your doctor might perform a laparoscopic supracervical hysterectomy (LSH), allowing you to keep your cervix, or a total laparoscopic hysterectomy (TLH). Unlike more traditional methods, laparoscopic hysterectomy usually requires only one day or less in the hospital and only six days of recovery time. Patients also experience less scarring and pain compared to other hysterectomy methods.

Know Your Hysterectomy Options

ABDOMINAL HYSTERECTOMY

  • What it is: Uterus, cervix and sometimes other organs are removed via a 4- to 8- inch horizontal incision below the belly button
  • Hospital Stay: 3-6 days 
Recovery
  • Time: 4-6 weeks
  • Pain and Scarring: Possibility of severe pain and scarring

VAGINAL HYSTERECTOMY

  • What it is: Uterus, cervix and sometimes other organs are removed via a smaller incision inside the vagina
  • Hospital Stay: 1-3 days
  • Recovery Time: 4 weeks
  • 
Pain and Scarring: No visible scarring; can be painful during recovery

TOTAL LAPAROSCOPIC HYSTERECTOMY (TLH)

  • What it is: A device called a laparoscope is inserted through 3-4 tiny incisions in the abdomen to detach and remove the uterus
  • Hospital Stay: 1 day or less
  • Recovery Time: 6 days
  • Pain and Scarring: Minimal recovery, pain and scarring

LAPAROSCOPIC SUPRACERVICAL HYSTERECTOMY (LSH)

  • What it is: A specific type of laparoscopic hysterectomy in which the cervix is left in place
  • 
Hospital Stay: 1 day or less
  • Recovery Time: 6 days
  • Pain and Scarring: Minimal recovery, pain and scarring; retaining the cervix may help pelvic floor support and preserve sexual function