Hysterectomy, Incontinence Surgery & More | West Des Moines OBGYN

Outpatient​/Inpatient Procedures

The physicians and staff at West Des Moines Ob/Gyn always put your best interest first. After consulting with our physicians, it may be determined that surgery is your best option. We will work with you to determine the most appropriate procedure and approach.

Minimally Invasive Hysterectomy

We offer minimally invasive procedures and approaches to Hysterectomy at West Des Moines OB/GYN Associates. For more information go to www.acog.org

  • Laparoscopic Assisted Vaginal Hysterectomy (LAVH)

    LAVH is the laparoscopic detachment of the upper structures and ligaments to enable the surgeon to detach the uterus and/or tubes and ovaries and remove them vaginally.

  • Total Laparoscopic Hysterectomy (TLH)

    TLH is the laparoscopic removal of the uterus and cervix and closure of the vagina laparoscopically.

  • Laparoscopic Supracervical Hysterectomy (LSH)

    LSH is the removal of the body of the uterus using the laparoscope. The cervix is left intact. This is commonly done in combination with a sacrocolpopexy procedure.

  • Robotic Total Laparoscopic Hysterectomy

    Robotic TLH is the removal of the uterus and/or tubes and ovaries using a breakthrough surgical platform allowing the surgeon to operate in 3D, giving improved precision, dexterity, and control. We also offer single site robotic assisted hysterectomies in appropriate patients.

    For more information go to www.davincisurgery.com

Pelvic Organ Prolapse Surgeries

Pelvic prolapse includes cystocele, rectocele, enterocele, uterine prolapse, and vaginal vault prolapse. Repair of pelvic prolapse may be vaginal, abdominal, or laparoscopic. Surgical repairs may use mesh, suspension from intact ligaments, or repair of displaced or damaged tissues.

  • Uterosacral Suspension – After a hysterectomy the top of the vagina is stitched to the uterosacral ligaments to add apical support to the vagina. The approach can be done vaginally, abdominally and laparoscopically.
  • Sacrospinous Suspensions – The top of the vagina is stitched to the sacrospinous ligaments. This can be done bilaterally and unilaterally. The approach is done vaginally to add apical support to the vagina.
  • Anterior Pelvic Floor Repair – Weakened tissue over the bladder is stitched together using absorbable suture. This is done vaginally. Mesh can be used to add support to weakened tissue.
  • Posterior Pelvic Floor Repair – Weakened tissue over the rectum is stitched together using absorbable suture. This is done vaginally. Mesh can be used to add support to weakened tissue.
  • Sacrocolpopexy – After a total hysterectomy or supracervical hysterectomy a synthetic graft is attached to the vagina or the remaining cervix and is anchored just above the tailbone. This procedure is completed using the Davinci Robot or abdominally.

For more information about Robotic Assisted Laparoscopic Sacrocolpopexy, go to www.davincisurgery.com

Incontinence Surgeries

Mid-urethral Sling- A mid-urethral sling system is designed to provide a ribbon of support under the urethra to prevent it from dropping during exercise, coughing or other forms of stress. This support prevents or reduces urinary leakage. The approach may be via a Transobturator placement or a Retropubic approach.

Minor GYN Procedures

  • Dilation & Curettage (D&C)
  • Vaginal Biopsy

Tubal Ligation

During a tubal ligation, the fallopian tubes are cut or blocked to permanently prevent pregnancy.

  • Essure – a soft, flexible insert is placed into each of your fallopian tubes. Over the next three months, a barrier forms around the inserts preventing future pregnancy.
  • Laparoscopy – a laparoscope is inserted through a small incision made in or near the navel to close off or remove the fallopian tubes.

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