Gynecologic conditions such as endometriosis, pelvic pain, fibroids, and abnormal uterine bleeding can affect patient's lives in many ways. In some cases, these conditions are best treated with gynecologic surgery.
Gynecologic surgery includes procedures involving the organs and structures of the female pelvic region: the uterus, ovaries, cervix, fallopian tubes, vagina, and vulva.
Our gynecologic surgeons have subspecialty expertise in endometriosis, fibroids, pelvic reconstructive surgery, and minimally invasive gynecologic surgery. This includes laparoscopic and robotic gynecologic surgery, pediatric and adolescent gynecology, and LGBTQ+ and transgender health.
What is Gynecologic Surgery?
Gynecologic surgery is the treatment or repair of a medical condition affecting the female reproductive system that requires an incision to access the affected organ or structure. The experienced gynecologic surgeons at NewYork-Presbyterian choose from various approaches, depending on the patient's condition and general health.
These approaches may include traditional open surgery, which may involve a larger incision, or minimally invasive gynecologic surgery, where the surgeon uses a small camera or imaging techniques and miniaturized instruments to complete the surgery through one or more small incisions. Examples of common gynecologic surgery include:
- Hysterectomy - removal of the uterus and, in some cases, the fallopian tubes and ovaries
- Myomectomy to remove uterine fibroids
- Tumor resection (removal) in gynecologic cancers of the breast, uterus, ovaries, cervix, and vagina
- Laparoscopic (minimally invasive) or open cystectomy for ovarian cysts
- Repair of pelvic organ prolapse
- Endometrial ablation to address abnormal bleeding
- Cesarean section delivery
About our Program
Minimally invasive gynecologic surgery (MIGS) permits surgeons to treat certain conditions without the need for larger incisions required during traditional open surgeries. A variety of advances allow the gynecologic surgeon to address the affected part of the anatomy through one or two small incisions. These advances include guided imagery, the laparoscope (an instrument with a camera attached), robotic technology, and smaller surgical instruments.
Compared with traditional or "open" surgery, minimally invasive surgery results in significantly less pain, less blood loss, fewer and smaller incisions, less risk of infection, a shorter hospital stay, and a faster recovery and return to normal activities.
Common types of minimally invasive gynecologic surgeries include diagnostic procedures, as well as:
- Ovarian Cystectomy
- Excision of endometriosis
- Tubal sterilization
- Endometrial ablation
The gynecologic surgery teams of NewYork-Presbyterian/Columbia University Irving Medical Center and NewYork-Presbyterian/Weill Cornell Medical Center provide unmatched excellence in expertise and innovative approaches to the most complex and challenging gynecologic conditions. Our teams include fellowship-trained gynecologic surgeons, including those who pioneered state-of-the-art robotics technology for advanced pelvic surgery.
With well over 50 years of combined robotics experience, our gynecologic surgeons have treated the most complex and challenging endometriosis cases, uterine fibroids, and pelvic masses. The team is dedicated to providing patients with the least invasive but most effective treatment options, including surgical and non-surgical approaches. When surgery is deemed necessary, we use small incisions and achieve outstanding results.
Our Cutting-Edge Technologies
At NewYork-Presbyterian, our gynecologic surgeons are continually committed to incorporating the latest evidence-based treatment technologies into patient care:
- The Acessa Procedure®, laparoscopic-guided radiofrequency ablation for the treatment of fibroids
- The Sonata System®, incision-less radiofrequency ablation for the treatment of fibroids
- Fertility-sparing and fertility-enhancing robotic surgery, including robotic myomectomy
- Single-port laparoscopic surgery to perform various procedures, such as hysterectomy, through a single entry point in the navel, leaving only a single scar
- Minilaparotomy, which combines the simplicity of traditional open hysterectomy with physical appearance and recovery similar to laparoscopy
- Laparoscopic abdominal cerclage for women with cervical insufficiency in pregnancy
Our Gynecologic Surgical Services
At NewYork-Presbyterian, care is available for the full range of gynecologic conditions with access to the complete spectrum of surgical options, including minimally invasive surgery techniques. In every case, the patient's overall health and treatment goals are weighed carefully in determining the most effective and safest course of treatment.
The endometriosis treatment programs at NewYork-Presbyterian help patients navigate endometriosis's complex issues. Our fellowship-trained surgeons specialize in diagnosing and managing complex endometriosis pathology using advanced minimally invasive surgical techniques for optimal results.
The fibroid treatment programs at NewYork-Presbyterian provide comprehensive, advanced treatment for women with uterine fibroids. Our patients have access to the latest fibroid treatments, including novel therapeutics, hormonal management, myomectomy and hysterectomy, and laparoscopic-guided radiofrequency fibroid ablation.
Urogynecology & pelvic floor disorders
Our fellowship-trained female pelvic medicine and reconstructive surgeons provide a full range of evidence-based surgical and non-surgical options to patients with pelvic floor disorders.
Menstrual disorders such as cramps or heavy or prolonged bleeding may be caused by gynecologic conditions such as fibroids and endometriosis. We provide a range of treatment options for menstrual disorders, including hormonal or non-hormonal medications or minimally invasive surgery.
Complex gynecologic surgery
Our surgeons have extensive experience treating gynecologic conditions, including endometriosis, uterine fibroids, and pelvic masses. We make every effort to use minimally invasive surgical approaches whenever possible, but will use an open surgery approach if deemed necessary.
Congenital reproductive anomalies
Our skilled surgeons address congenital anomalies such as Mullerian uterus anomalies that develop during embryonic life. They closely collaborate with reproductive endocrinologists to provide treatment that enables patients to achieve their personal and reproductive goals.
Pediatric & adolescent gynecology
NewYork-Presbyterian offers a hybridized pediatric gynecology program that provides seamless, coordinated care for children as they move from childhood to adolescence.
NewYork-Presbyterian is one of the few centers in the U.S. that provides innovative fertility-sparing and fertility-enhancing surgery. Our gynecologic surgeons collaborate with specialists in maternal-fetal medicine and reproductive endocrinology to help patients achieve their fertility goals.
LGBTQ+ & transgender health
Our gynecologic surgeons provide consultation and surgical care for people who are LGBTQ+ — lesbian, bisexual, transgender, and queer (or questioning).
Other conditions we treat that can cause pelvic pain include interstitial cystitis or painful bladder syndrome, myofascial abdominal wall pain, and pelvic floor tension myalgia. Our physicians have expertise in these areas and routinely collaborate to identify all possible pelvic pain sources to ensure the best outcome for each patient.
Our Approach to Care
At NewYork-Presbyterian, our dedicated physicians and staff seek to deliver the best medical care possible and respond to the emotional, ethical, spiritual, and physical needs of every patient.
Following diagnosis, the medical team designs a targeted treatment plan that considers the patient's symptoms, goals, and reproductive plans. We offer a variety of innovative, state-of-the-art approaches, including minimally invasive surgical procedures that help preserve fertility. .
NewYork-Presbyterian's extensive resources, facilities, and multi-dimensional care platforms address every aspect of 'women's health care. Our gynecologic surgeons collaborate closely with subspecialists in obstetrics and gynecology, such as maternal-fetal medicine, reproductive endocrinology, infertility, and other physician-specialists to provide seamless, comprehensive care.
Moreover, individuals who undergo surgery at NewYork-Presbyterian also have access to our vast patient support services for care that addresses their emotional, social, and physical needs, such as:
- Medical advice on lifestyle, exercise, diet, and nutrition
- Psychological counseling and support groups
- Consultation on pain management and integrative medicine
- Patient web portals offering easy access to test results, appointments, and follow-up care
We understand that managing a gynecologic condition can be an overwhelming or isolating process. Our team is here for you through every phase of care.
Why Choose Us
Multispecialty Management for Continuity of Care
Our unique approach to women's health care combines doctors' expertise across multiple specialties to address gynecologic issues for patients at every stage of life. Given the complex nature of many gynecologic and related pelvic pain conditions, we have a multidisciplinary team comprised of surgical subspecialists who are leaders in state-of-the-art minimally invasive surgical techniques.
We collaborate with medical subspecialists from a wide range of disciplines, including reproductive endocrinology, to provide the absolute best health care with superb outcomes, even for the most complicated cases. We also work closely with specialists in pain management, integrative medicine, and urogynecology to treat all aspects of health and well-being affected by the gynecologic condition and pelvic pain, including other conditions that commonly occur together.
Convenient and Superior Care, Closer to Home
Across our New York City and Westchester locations, we provide superior care with renovated operating rooms and state-of-the-art technology, including the Da Vinci Xi robotic platform, in an intimate and convenient setting.
Virtual visits are also available for most new and follow-up visits.
NewYork-Presbyterian offers gynecologic care through our convenient locations in Manhattan, Brooklyn, Queens, and Westchester. Please click on the links provided to access information on reaching our offices.
NewYork-Presbyterian/Weill Cornell Medical Center
Weill Cornell OB/Gyn Faculty Practice
Iris Cantor Women’s Health Center