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Conditions Treated & In-Office Procedures

LVMIS offers women several minimally invasive surgeries as alternatives to traditional open surgeries: (click on the service to see more information)

Pelvic organ prolapse

Pelvic organ prolapse refers to the drooping or prolapse of pelvic organs, including the bladder, uterus, vagina, small bowel, and rectum. It occurs when the muscles and tissues supporting the organs weaken, sometimes as a result of aging, pregnancy and childbirth, obesity, and chronic cough. Symptoms can include painful intercourse, lower backache, urinary leaking, a chronic urge to urinate, constipation, and hysterectomy.

Female urinary and fecal Incontinence

Stress urinary incontinence occurs when laughing, sneezing and coughing can all cause urine to escape involuntarily from the body. Because this problem is often embarrassing, patients may put off seeking help from their doctors in a timely manner.

Pelvic floor dysfunction including pelvic pain,vaginismus ,vulvodynia, dyspareunia

Dyspareunia is abnormal pain that occurs during or after intercourse in the genital, pelvic, or low back regions of the body.  Causes of dyspareunia can include muscle dysfunction within the vagina, poor lubrication and/or thinning of the vaginal wall, tissue adhesions, nerve irritation, and/or scarring of the perineal region. 


Pain located around the vulva without an identifiable cause is known as vulvodynia.  Vulvodynia is characterized by burning, searing, “knife-like” pain of varying degrees of intensity, with a highly variable description and location of symptoms.  Women with this condition often experience extreme pain during sexual intercourse, difficulties with (or inability to use) tampons, pain while riding bicycles, and fear of gynecological exams.


Vaginismus is characterized by an inability to experience complete vaginal penetration due to introital (vaginal opening) tightness resulting from muscle spasm.  Vaginismus causes significant pain and discomfort, as well as issues with vaginal penetration such as with sexual intercourse.

Painful Bladder Syndrome/Interstitial Cystitis

Interstitial cystitis (in-tur-STISH-ul sis-TI-tis) is a chronic condition characterized by a combination of uncomfortable bladder pressure, bladder pain and sometimes pain in your pelvis, which can range from mild burning or discomfort to severe pain.

Overactive bladder, voiding dysfunction

Behavioral treatments have been used for several decades to treat urinary incontinence, overactive bladder, and other lower urinary tract symptoms. The spectrum of behavioral treatments includes those that target voiding habits and life style, as well as those that train pelvic floor muscles to improve strength and control.


Menopause is time in a woman’s life when her periods (menstruation) eventually stop and the body goes through changes that no longer allow her to get pregnant. It is a natural event that normally occurs in women age 45 – 55.

Heavy menstrual cycle

All of us, from time to time, experience what we feel is unusually heavy bleeding during our menstrual periods. Fortunately, most often what we think is abnormal uterine bleeding is not excessive enough to be diagnosed as menorrhagia.

Interstim therapy

InterStim Therapy is a proven neuromodulation therapy that targets the communication problem between the brain and the nerves that control the bladder.

In-office hysteroscopy

A hysteroscopy is a test that uses sterile salt water and a tiny telescope to visualize the inside of your uterus. The test is able to detect scar tissue, polyps, fibroids, and any uterine abnormality such as a septate uterus,that may prevent an embryo from implanting properly.

Total Laparoscopic Hysterectomy (TLH)

Laparoscopic hysterectomy utilizes the latest, minimally invasive surgical techniques to remove the uterus through very small abdominal incisions. This procedure is indicated for heavy and irregular menstruation that is unresponsive to medical management, symptomatic fibroids, or pelvic pain from endometriosis.

Laparoscopic Supra-cervical Hysterectomy (LSH)

The Laparoscopic Supra-Cervical Hysterectomy is a procedure where tissue is removed from the body through a tiny incision of about 14 mm. The procedure doesn’t require the surgeon to suture and with no stitches required, the healing process for the patient is often easier. Patients seldom need pain medication after the laparoscopic supracervical hysterectomy because the procedure is so simple.

Laparoscopic Oophorectomy / Ovarian Cystectomy

Oophorectomy is the laparoscopic removal of the ovaries- the almond-shaped organs on each side of your uterus. Ovaries contain eggs and secrete the hormones that control your reproductive cycle. Removing the ovaries greatly reduces the amount of the hormones estrogen and progesterone circulating in your body. This can halt or slow breast cancers that need these hormones to grow.

Ovarian cystectomy removes only the cyst on the ovaries if the cysts are not in cancerous, leaving the ovaries in tact.

Laparoscopic Laser surgery for Endometriosis

Laparoscopy is the most common procedure used to diagnose and remove mild to moderate endometriosis, requiring minimal invasive surgery and typically performed while the patient is under general anesthesia. Any visible endometriosis implants and scar tissue that may be causing pain or infertility are likely to be removed.

The procedure is usually done at an outpatient facility, although the surgery occasionally requires a hospital stay of a day. Patients are able return to their normal activities in one to two weeks. In comparison to open abdominal surgery, laparoscopic surgery results in less tissue trauma and scarring, smaller incisions, and can be performed on an outpatient basis with a shorter recovery time.

Bladder Support Surgery (Sling)

Without post-op catherization Bladder suspension surgery is a procedure used to treat urine leakage that occurs when a person sneezes, laughs, or coughs — a condition called stress incontinence. Childbirth, as well as hormonal changes such as those brought on by menopause, can cause a woman to lose muscle tone along the pelvic floor. That can lead to stress incontinence and a need for bladder suspension surgery.

Pelvic Support Surgery (Correction of cystocele/rectocele)

Prolapse is an all-inclusive term, referring to a protrusion through the vagina that creates an uncomfortable feeling, pressure, or even pain. In addition to protrusion and pressure symptoms, a rectocele may cause difficulty with bowel movement, while a cystocele may result in difficulty urinating.

Laparoscopic surgery uses tiny incisions to correct prolapse, resulting in minimal pain and discomfort. It can be performed on an outpatient basis, and decreases the length of recovery time.

Alternatives to Hysterectomy

Alternatives to hysterectomy, including hysteroscopic endometrial ablation: is a highly-effective, alternate procedure to a hysterectomy-used to control heavy, prolonged menstrual bleeding when other treatment options have not been effective. The procedure involves use of a laser beam or other heat source, electricity, or freezing while the patient is under local or general anesthesia.

Endometrial ablation is typically done on an outpatient basis, with recovery requiring from a few days to two weeks. Younger women are less likely than older women to respond to endometrial ablation, and are more likely to continue to have periods and need a repeat procedure.

Essure (in-office) Tubal Ligation

Essure tubal ligation is an alternative method of birth control to Tubal Ligation, but with faster recovery time, and fewer risks and side effects. The procedure is less invasive than Tubal Ligation, involving no incisions, punctures, burning, or tying.

Typically, only local anesthesia is required, so that a soft, flexible micro-insert can be placed into each fallopian tube. The procedure can be performed in-office and in under an hour. Patients are able to quickly resume their regular schedules and normal sexual activity.