When medication and non-invasive procedures are unable to relieve symptoms, surgery remains the accepted and most effective treatment for a range of gynecologic conditions. These include, but are not limited to, cervical and uterine cancer, uterine fibroids, endometriosis, uterine prolapse and menorrhagia or excessive bleeding.
Real Stories Real Women Video
Traditional open gynecologic surgery, using a large incision for access to the uterus and surrounding anatomy, has for many years been the standard approach to many gynecologic procedures. Yet with open surgery can come significant pain, trauma, a long recovery process and threat to surrounding organs and nerves. For women facing gynecologic surgery, the period of pain, discomfort and extended time away from normal daily activities that usually follows traditional surgery can understandably cause significant anxiety.
Fortunately, less invasive options are available. Some gynecologic procedures enable surgeons to access the target anatomy using a vaginal approach, which may not require an external incision. But for complex hysterectomies and other gynecologic procedures, robotic assisted surgery with the da Vinci Surgical System may be the most effective, least invasive treatment option. Through tiny, 1-2 cm incisions, surgeons using the da Vinci ® System * can operate with greater precision and control, minimizing the pain and risk associated with large incisions while increasing the likelihood of a fast recovery and excellent clinical outcomes.
Two of the most common gynecologic symptoms that women experience are pain and excessive or irregular menstrual bleeding.1 Before a medical appointment, it is helpful to track and document your symptoms - the location, frequency, intensity, etc. The more specific you can be in describing your symptoms, the more helpful this will be for your doctor in diagnosing your condition. Bring this information to your appointment. It will help your doctor diagnose your gynecologic condition and offer you the most appropriate treatment options for your condition.
Peeling a grape with the da Vinci® Surgical System
Get a rich-media view of how da Vinci Surgery works and what your experience with it
may be like.
Pain can be described in many ways. Intensity of pain is commonly measured with a simple 0-10 point scale where 0 equals no pain and 10 is the worst pain imaginable. Describing your pain can help your doctor pinpoint the condition. Each of the following descriptions of pain may indicate a different gynecologic condition:
Painful urination and/or bowel movements
Pain during intercourse 2,4
Monthly menstrual bleeding (your period) is different for each woman. It is important to describe what is normal for you, how often you have your period, how long it usually lasts, and how heavy it usually is. Remember that bleeding patterns can be different before and after childbirth, with age, and with any medications you regularly take. Abnormal bleeding must be compared to what is normal for you. The following are examples of bleeding patterns that may be patterns of specific gynecologic conditions:
Excessively heavy or abnormal bleeding
Bleeding longer than 7 days
Periods more frequent than 21 days
Periods more than 35 days apart
Spotting/bleeding between periods
Spotting/bleeding after menopause
Passing blood clots
Bleeding after intercourse
Vaginal bleeding (vs. uterine bleeding)
Vaginal discharge tinged with blood 4
There are other symptoms that can stand alone or accompany pain and bleeding. They also need to be described, in order for your doctor to accurately diagnose your condition:
Difficulty with urination or bowel movements
Improper bowel/bladder function
Feeling of pressure on your bladder or rectum
Slipping or dropping of your vagina or uterus
Feeling heaviness or pressure in your pelvis
Constant abdominal pressure
Swelling or bloating
Urinary urgency (feeling the need to go)
Recurrent urinary tract infections
Pain while standing or walking 5
Talk to Your Doctor
If something doesn't seem right, see your doctor. The symptoms listed above can occur alone or in combination with each other. These symptoms may potentially indicate the presence of endometriosis / adenomyosis, uterine fibroids, uterine prolapse or, possibly, cancer.
You can learn more about each of those conditions here on this site. However, this information is not a substitute for your doctor's advice. Communicating your symptoms in detail with your doctor will help your doctor make an accurate diagnosis and provide you with the most appropriate treatment options for your condition.
Until recently, surgery for most gynecologic conditions was performed using a large abdominal incision. This is because while conventional laparoscopic surgery is effective for many routine procedures, the long-handled, rigid instruments used in laparoscopy are not usually considered effective for delicate or complex operations. Fortunately, there is a minimally invasive option for treating gynecologic conditions designed to overcome the limits of traditional open and laparoscopic surgery – da Vinci Surgery.
If your doctor recommends a hysterectomy to treat your condition, you may be a candidate for da Vinci Surgery. Using state-of-the-art
technology, a da Vinci® Hysterectomy requires only a few tiny incisions, so you can get back to your life faster.
The da Vinci System enables your doctor to perform a minimally invasive hysterectomy even for complex conditions — with enhanced vision, precision, dexterity and control. da Vinci Hysterectomy offers women many potential benefits over traditional surgery, including:
Less blood loss 3,4
Shorter hospital stay4
Low risk of wound infection5
Quicker recovery and return to normal activities6
The da Vinci System is a state-of-the-art surgical platform with 3D, high-definition vision and miniaturized, wristed surgical instruments designed to help doctors take surgery beyond the limits of the human hand. By helping doctors to overcome the challenges of traditional open and laparoscopic surgery, da Vinci is changing the experience of surgery for women around the world.
If you have been told you need a hysterectomy, it's time to ask your doctor about da Vinci Surgery. Learn why da Vinci Hysterectomy may be your best treatment option for a range of gynecologic conditions.
As with any surgery, these benefits cannot be guaranteed since surgery is specific to each patient, condition and procedure. It is important to talk to your doctor about all treatment options, including the risks and benefits. This information can help you to make the best decision for your situation.
Each year, roughly 65,000 myomectomies are performed in the U.S.1 The conventional approach to myomectomy is open surgery, through a large abdominal incision.2 After cutting around and removing each uterine fibroid, the surgeon must carefully repair the uterine wall to minimize potential uterine bleeding, infection and scarring. Proper repair is also critical to reducing the risk of uterine rupture during future pregnancies.
While myomectomy is also performed laparoscopically, this approach can be challenging for the surgeon, and may compromise results compared to open surgery. 3 Laparoscopic myomectomies often take longer than open abdominal myomectomies, and up to 28% are converted during surgery to an open abdominal incision.4 Myomectomy can be a uterine-preserving alternative to open abdominal hysterectomy.
da Vinci ® Myomectomy
A new category of minimally invasive myomectomy, da Vinci ® Myomectomy, combines the best of open and laparoscopic surgery. With the assistance of the da Vinci ® Surgical System - the latest evolution in robotics technology - surgeons may remove uterine fibroids through small incisions with unmatched precision and control. Among the potential benefits of da Vinci Myomectomy as compared to traditional open abdominal surgery are:
Opportunity for future pregnancy
Significantly less pain
Less blood loss
A shorter hospital stay
A faster return to normal daily activities
da Vinci ® Myomectomy is performed with the da Vinci ® Surgical System, which allows your surgeon to perform a minimally invasive, yet remarkably precise, comprehensive reconstruction of the uterine wall, regardless of the size or location of your fibroids. The unique level of control and precision provided by da Vinci ® can also help your surgeon provide the most precise and thorough reconstruction possible, helping to prevent possible uterine rupture (tearing) during future pregnancies.
As with any surgery, these benefits cannot be guaranteed, as surgery is both patient- and procedure-specific. While myomectomy performed using the da Vinci Surgical System is considered safe and effective, this procedure may not be appropriate for every individual. Always ask your doctor about all treatment options, as well as their risks and benefits.