Gynecological Surgery

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Minimally invasive gynecologic surgery treats benign and malignant gynecological conditions.

Unlike traditional open surgery, in which the physician makes a long incision to access the anatomy, minimally invasive surgery uses small incisions, resulting in faster recovery and less pain for the patient.

Many gynecological procedures are performed laparoscopically. To see inside the abdomen, the surgeon inserts a small telescope into the abdomen through a small incision. Tiny surgical instruments inserted through other small incisions repair the problem.

Minimally invasive surgery may also be robotic-assisted. As a result of technological advancements in surgery, even the most complex benign and malignant gynecologic conditions can now be treated in a minimally invasive fashion. 

Watch our video to hear Dr. Scott Zuccala discuss the advantages of operating with a state-of-the-art robotic surgical system.

Pelvic Reconstructive Surgery

Pelvic reconstructive surgery is the surgical restoration of pelvic anatomy when normal support is compromised, also referred to as pelvic prolapse.

Prolapse (or falling) of pelvic organs (vagina, uterus, bladder or rectum) occurs when the supportive structures holding the organs in their natural positions are severely weakened. The weakening of the supportive tissues may be a result of age, childbirth, and strenuous physical labor. Women with pelvic organ prolapse typically experience difficulty with urination, bowel movement, and sexual function. 

Approaches to treat pelvic prolapse:

  • Laparoscopic and Vaginal Repair of Pelvic Prolapse
  • Sacrocolpopexy – Robotic-assisted

Hysterectomy

During a hysterectomy, the doctor removes the uterus and cervix and, for some conditions, the fallopian tubes and ovaries.

Hysterectomy is one of the most commonly performed surgical procedures in the United States. It is estimated that each year, 600,000 hysterectomies are performed in this country. However, the majority (65-70%) are still performed using outdated techniques through large abdominal incisions.

Hysterectomies that are performed in a minimally invasive way avoid large abdominal incisions, with faster recovery and less pain.

We offer:

  • Laparoscopic Supracervical Hysterectomy – Surgical removal of the uterus only
  • Total Laparoscopic Hysterectomy – Surgical removal of the uterus and the cervix
  • Hysterectomy – Robotic-assisted

During a laparoscopic hysterectomy, the surgeon uses specialized tools that are inserted through dime-sized incisions in the navel or abdomen. A small camera provides the surgeon with a view of the inside of the abdomen, allowing the surgeon to operate with small, laparoscopic instruments, removing tissue through the tiny incisions. As with vaginal hysterectomy, there is no large abdominal incision. This type of surgery leaves tiny abdominal scars that are about one-half inch each in length. Most patients spend one night in the hospital and resume normal activity in two to four weeks.

Click here to view our quality scores for hysterectomy.

Myomectomy

Myometcomy is a surgical procedure to remove uterine fibroids, also called leiomyomas. These are non-cancerous growths that appear in the uterus that can occur at any age.

We offer:

  • Laparoscopic Myomectomy
  • Hysteroscopic Myomectomy – Surgical removal of fibroids using an instrument inserted through the uterus
  • Myomectomy – Robotic-assisted

Tension-free Vaginal Tape

A surgical tape is inserted under the bladder to treat urinary incontinence.

Vesicovaginal Fistula Repair for Urinary Incontinence

Urinary incontinence in women can be caused by a variety of medical conditions. One condition called vesicovaginal fistula is caused by a tear in the wall separating the vagina and bladder. This condition can have a devastating psychological impact, especially in young women.

Often caused by surgical complications (more than 50% of these fistulas occur after hysterectomy), radiation treatment, or childbirth, vesicovaginal fistulas usually require surgery to repair the opening.

Endometrial Ablation

Endometrial ablation treats dysfunctional or abnormal uterine bleeding. The procedure destroys the inner lining of the uterus using an electrode that is placed in the cervix and that emits a short burst of radiofrequency energy, no longer than 90 seconds.

The entire procedure typically takes less than five minutes and is performed without any incisions. There is no need for general anesthesia and most women report little or no pain. Many return to their regular activities within a day.

Laparoscopic Resection of Endometriosis

This procedure removes tissue that normally lines the inside of your uterus and that has grown outside your uterus.

Reversal of Tubal Ligation

More than 650,000 women undergo tubal ligation in the United States annually, permanently ending their ability to have children. 

For patients who would like to restore their ability to have children, the da Vinci robotic tubal reversal procedure allows them to begin natural conception after a 7 to 10 day recovery period.

Click here for more information.

Cervical Cerclage (Cervical Stitch) Surgery

  • Laparoscopic
  • Robotic-assisted

Cervical cerclage is usually performed on women who have suffered one or more miscarriages in the second trimester because their cervix does not remain closed throughout the pregnancy. The cervix is stitched shut at the beginning of the second trimester and reopened towards the end of the pregnancy when the greatest risk of miscarriage has passed.

Locations

Kenmore Mercy Hospital
2950 Elmwood Avenue
Kenmore, NY 14217

M. Steven Piver M.D. Center for Women's Health & Wellness
2121 Main Street
Seton Professional Building
Suite 100
Buffalo, NY 14214

Mercy Hospital of Buffalo
565 Abbott Road
Buffalo, NY 14220

Sisters of Charity Hospital
2157 Main Street
Buffalo, NY 14214

St. Joseph Campus
2605 Harlem Road
Cheektowaga, NY 14225

Physicians & Providers

Lynn M Aronica, MD
Lynn M Aronica, MD
Gynecological Surgery, Gynecology, Obstetrics
Female
Currently accepting new patients
Carola E Bagnarello, MD
Carola E Bagnarello, MD
Gynecological Surgery, Gynecology, Obstetrics
Female
Currently accepting new patients
Trudy R Baker, MD
Trudy R Baker, MD
Gynecological Surgery, Gynecology
Female
Currently accepting new patients
Edward K Bartels, MD
Edward K Bartels, MD
Gynecological Surgery, Gynecology, Obstetrics
Male
Currently accepting new patients
August Bruno Jr, MD
August Bruno Jr, MD
Gynecological Surgery, Gynecology, Obstetrics
Male
Currently accepting new patients
Adel E Chouchani, MD
Adel E Chouchani, MD
Gynecological Surgery, Gynecology, Obstetrics
Male
Currently accepting new patients
Christian P Chouchani, DO
Christian P Chouchani, DO
Gynecological Surgery, Gynecology, Obstetrics
Male
Currently accepting new patients
Gabriel E Chouchani, MD
Gabriel E Chouchani, MD
Gynecological Surgery, Gynecology, Obstetrics
Male
Currently accepting new patients
Marisilia M Cloud, MD
Marisilia M Cloud, MD
Gynecological Surgery, Gynecology, Obstetrics
Female
Currently accepting new patients
Jeffrey C Constantine, MD
Jeffrey C Constantine, MD
Gynecological Surgery, Gynecology, Obstetrics
Male
Currently accepting new patients
Nicholas L Cromwell, MD
Nicholas L Cromwell, MD
Gynecological Surgery, Gynecology, Obstetrics
Male
Currently accepting new patients
Judine C Davis, MD
Judine C Davis, MD
Gynecological Surgery, Gynecology, Obstetrics
Female
Currently accepting new patients
Catherine Falkner, MD
Catherine Falkner, MD
Gynecological Surgery, Gynecology, Obstetrics
Female
Currently accepting new patients
Michele H Frech, DO
Michele H Frech, DO
Gynecological Surgery, Gynecology, Obstetrics
Female
Currently accepting new patients
Julie A Gavin, MD
Julie A Gavin, MD
Gynecological Surgery, Gynecology, Obstetrics
Female
Currently accepting new patients
Lisa A Gelman Koessler, MD
Lisa A Gelman Koessler, MD
Gynecological Surgery, Gynecology, Obstetrics
Female
Currently accepting new patients
Tiffany B Genewick, MD
Tiffany B Genewick, MD
Gynecological Surgery, Gynecology
Female
Currently accepting new patients
Ali Ghomi, MD
Ali Ghomi, MD
Gynecological Surgery, Gynecology, Pelvic Surgery, Urogynecology
Male
Currently accepting new patients
Douglas D Hage, MD
Douglas D Hage, MD
Gynecological Surgery, Gynecology, Obstetrics
Male
Currently accepting new patients
John C Hellriegel Jr, MD
John C Hellriegel Jr, MD
Gynecological Surgery, Gynecology, Obstetrics
Male
Currently accepting new patients
Dalip K Khurana, MD
Dalip K Khurana, MD
Gynecological Surgery, Gynecology, Obstetrics
Male
Currently accepting new patients
Jane D Kraft, MD
Jane D Kraft, MD
Gynecological Surgery, Gynecology, Obstetrics
Female
Rosann L Lana, MD
Rosann L Lana, MD
Gynecological Surgery, Gynecology, Obstetrics
Female
Currently accepting new patients
Ji Young Lee, MD
Ji Young Lee, MD
Gynecological Surgery, Gynecology, Obstetrics
Female
Currently accepting new patients
David L Marchetti, MD
David L Marchetti, MD
Gynecological Surgery, Gynecology Oncology
Male
Currently accepting new patients
Eddie E Mas, MD
Eddie E Mas, MD
Gynecological Surgery, Gynecology, Obstetrics
Male
Currently accepting new patients
Julia D Melanson, MD
Julia D Melanson, MD
Gynecological Surgery, Gynecology, Obstetrics
Female
Emmekunla K Nylander, MD
Emmekunla K Nylander, MD
Gynecological Surgery, Gynecology, Obstetrics
Female
Currently accepting new patients
Jaime Obst, DO
Jaime Obst, DO
Gynecological Surgery, Gynecology, Obstetrics
Female
Currently accepting new patients
Judith A Ortman-Nabi, MD
Judith A Ortman-Nabi, MD
Gynecological Surgery, Gynecology, Obstetrics
Female
Currently accepting new patients
Magda G Osman, MD
Magda G Osman, MD
Gynecological Surgery, Gynecology, Obstetrics
Female
Currently accepting new patients
Anthony Pivarunas, DO
Anthony Pivarunas, DO
Gynecological Surgery, Gynecology, Obstetrics
Male
Currently accepting new patients
M Steven Piver, MD
M Steven Piver, MD
Gynecological Surgery, Gynecology Oncology
Male
Currently accepting new patients
Robert J Powalski, MD
Robert J Powalski, MD
Gynecological Surgery, Gynecology, Obstetrics
Male
Currently accepting new patients
Jennifer L Rojek, MD
Jennifer L Rojek, MD
Gynecological Surgery, Gynecology, Obstetrics
Female
Currently accepting new patients
Afshan Samad, MD
Afshan Samad, MD
Gynecological Surgery, Gynecology, Obstetrics
Female
Currently accepting new patients
Dilara E Samadi, MD
Dilara E Samadi, MD
Gynecological Surgery, Gynecology, Obstetrics
Female
Currently accepting new patients
Diane Sanfilippo, MD
Diane Sanfilippo, MD
Gynecological Surgery, Gynecology, Obstetrics
Female
Carlos A Santos, MD
Carlos A Santos, MD
Gynecological Surgery, Gynecology, Obstetrics
Male
Currently accepting new patients
Magdi E Sayegh, MD
Magdi E Sayegh, MD
Gynecological Surgery, Gynecology, Obstetrics
Male
Currently accepting new patients
Ashwina G Sheth, MD
Ashwina G Sheth, MD
Gynecological Surgery, Gynecology, Obstetrics
Female
Currently accepting new patients
Pankaj K Singhal, MD
Pankaj K Singhal, MD
Gynecological Surgery, Gynecology Oncology
Male
Currently accepting new patients
Brian G Smith, MD
Brian G Smith, MD
Gynecological Surgery, Gynecology, Obstetrics
Male
Currently accepting new patients
Kristen L Smyers, MD
Kristen L Smyers, MD
Gynecological Surgery, Gynecology, Obstetrics
Female
Currently accepting new patients
Karen A Snell-Garus, MD
Karen A Snell-Garus, MD
Gynecological Surgery, Gynecology, Obstetrics
Female
Currently accepting new patients
Chad A Strittmatter, MD
Chad A Strittmatter, MD
Gynecological Surgery, Gynecology, Obstetrics
Male
Currently accepting new patients
Martina A Taylor, MD
Martina A Taylor, MD
Gynecological Surgery, Gynecology, Obstetrics
Female
Currently accepting new patients
Carmen M Todoro, MD
Carmen M Todoro, MD
Gynecological Surgery, Gynecology, Obstetrics
Male
Currently accepting new patients
Faraj Touchan, MD
Faraj Touchan, MD
Gynecological Surgery, Gynecology, Obstetrics
Male
Mark A Weissman, MD
Mark A Weissman, MD
Gynecological Surgery, Gynecology, Obstetrics
Male
Currently accepting new patients
Emily  F Williams, MD
Emily F Williams, MD
Gynecological Surgery, Gynecology, Obstetrics
Female
Currently accepting new patients
Paul J Wopperer, MD
Paul J Wopperer, MD
Gynecological Surgery, Gynecology, Obstetrics
Male
Currently accepting new patients
Scott J Zuccala, DO
Scott J Zuccala, DO
Gynecological Surgery, Gynecology
Male
Currently accepting new patients