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Procedures we perform

Hysterectomy Myomectomy Endometriosis Excision Ovarian Cystectomy Pelvic Adhesion Resection Hysteroscopic Surgery
Procedure 01Hysterectomy

A hysterectomy is a surgical procedure to remove the uterus. In some cases, it may also involve removing the cervix, ovaries, fallopian tubes, and surrounding structures. After a hysterectomy, menstruation stops and pregnancy is no longer possible.

Types of hysterectomy

  • Total hysterectomy β€” removal of the uterus and cervix.
  • Subtotal (partial) hysterectomy β€” removal of the uterus, leaving the cervix intact.
  • Radical hysterectomy β€” removal of the uterus, cervix, parts of the vagina, and surrounding tissues, most often in cancer cases.

Surgical approaches

  • Abdominal surgery
  • Vaginal approach
  • Laparoscopic or robotic-assisted (minimally invasive, faster recovery)

Frequently Asked

Will I go through menopause after a hysterectomy?

If your ovaries are removed, you will experience surgical menopause immediately. If your ovaries remain, they'll continue producing hormones until natural menopause occurs.

How long will I be out of work?

Most patients return to non-physical jobs within 2–3 weeks. Full recovery may take 4–6 weeks, depending on activity level.

Will this affect my sex life?

Most women report improved comfort and intimacy after surgery, especially if they had pain or bleeding beforehand. Every woman is different β€” your provider can address specific concerns.

Are there alternatives to hysterectomy?

Yes. Depending on your condition, options may include medication, hormone therapy, or procedures like uterine ablation or myomectomy. We explore all options before recommending surgery.

Do I still need Pap smears?

If your cervix remains, or if you had abnormal Pap results in the past, you may still need routine screening. Your provider will guide you.

Procedure 02Myomectomy

Myomectomy is a surgical procedure to remove uterine fibroids (myomas) while preserving the uterus. It's often recommended for women who have symptoms from fibroids but want to maintain fertility or avoid a hysterectomy.

Unlike hysterectomy, which removes the entire uterus, myomectomy targets only the fibroids β€” allowing many women to retain their ability to conceive and carry a pregnancy.

Types of myomectomy

  • Hysteroscopic myomectomy β€” fibroids removed through a hysteroscope, no incisions. Best for small, submucosal fibroids.
  • Laparoscopic or robotic myomectomy β€” minimally invasive, through small incisions. Best for fibroids on the outer wall or in the muscle.
  • Abdominal (open) myomectomy β€” traditional surgery with a larger incision, for very large or numerous fibroids.

After surgery

  • Hospital stay varies from outpatient to a few days depending on procedure type
  • Recovery time: 1–6 weeks depending on surgical approach
  • Mild to moderate pain and cramping are common; pain management provided
  • Follow-up visits to monitor healing and discuss future fertility plans

Frequently Asked

Will my fibroids grow back after myomectomy?

Fibroids can recur in some women, but many experience long-term symptom relief.

How long is recovery after myomectomy?

Hysteroscopic and laparoscopic: 1–2 weeks. Open surgery: 4–6 weeks.

Can I get pregnant after myomectomy?

Yes, many women conceive successfully after myomectomy. Your doctor will guide you on when it's safe to try.

What are the risks of myomectomy?

Risks include bleeding, infection, scar tissue formation, and rarely uterine rupture during future pregnancies.

Procedure 03Endometriosis Excision

Endometriosis occurs when tissue similar to the lining of the uterus grows outside the uterus. This misplaced tissue causes inflammation, pain, and scar tissue (adhesions) β€” most commonly on the ovaries, fallopian tubes, and pelvic lining.

Common symptoms

  • Chronic pelvic pain, especially during menstruation
  • Painful periods (dysmenorrhea)
  • Pain during intercourse
  • Pain with bowel movements or urination during periods
  • Heavy menstrual bleeding or spotting between periods
  • Infertility or difficulty conceiving
  • Fatigue, diarrhea, constipation, or bloating

Treatment options

  • Medications β€” progestins to reduce or stop menstruation and lesion growth
  • Surgical excision β€” laparoscopic removal of endometriotic tissue to relieve pain and improve fertility
  • Lifestyle support β€” diet, exercise, and stress management

Frequently Asked

Can endometriosis be cured?

There is currently no cure, but treatments can effectively manage symptoms and significantly improve quality of life.

Does endometriosis affect fertility?

It can β€” through inflammation, scarring, or blockage β€” but many women with endometriosis conceive naturally or with treatment.

Is surgery always necessary?

Not always. Many women manage symptoms with medication and lifestyle changes, but surgery can be beneficial for severe cases or infertility.

How is endometriosis different from adenomyosis?

Endometriosis involves tissue outside the uterus, while adenomyosis involves endometrial tissue growing within the uterine muscle itself.

Procedure 04Ovarian Cystectomy

An ovarian cystectomy is a surgical procedure used to remove a cyst from the ovary while preserving the healthy ovarian tissue. Ovarian cysts are fluid-filled sacs that commonly develop during a woman's reproductive years.

Most cysts are benign and may resolve on their own, but sometimes removal is necessary if the cyst is large or persistent, causing pain or pressure, suspected to be cancerous, or affecting fertility or hormone function.

At CCWH we perform minimally invasive laparoscopic ovarian cystectomy whenever possible β€” meaning smaller incisions, faster healing, and less discomfort.

Risks to be aware of

  • Bleeding or infection
  • Scar tissue formation (adhesions)
  • Recurrence of cysts
  • Damage to the ovary or, rarely, need for ovary removal

Most women return to normal activities within 1–2 weeks and report improved comfort and relief from symptoms.

Frequently Asked

Will I still have my ovary after surgery?

Yes, in most cases the ovary is preserved. Only the cyst is removed.

Does this affect fertility?

Not typically. In fact, for women trying to conceive, cyst removal may improve fertility if the cyst was causing hormonal imbalance or anatomical distortion.

Is this a major surgery?

No. Laparoscopic ovarian cystectomy is a minimally invasive outpatient procedure with a quick recovery.

How do I know if I need surgery or not?

Your provider will review your symptoms, imaging, history, and reproductive goals before recommending surgery.

Procedure 05Resection of Pelvic Adhesions

Resection of pelvic adhesions (adhesiolysis) is a surgical procedure to gently cut and remove bands of scar tissue, allowing pelvic organs to return to a more natural position and function. At CCWH, we specialize in minimally invasive laparoscopic adhesiolysis.

What are pelvic adhesions?

Pelvic adhesions are bands of scar tissue that can form between pelvic organs β€” the uterus, ovaries, fallopian tubes, and bladder β€” after surgery, infection, endometriosis, or inflammation. They can cause chronic pelvic pain, pain during intercourse, and fertility issues.

Who might benefit

  • Ongoing pelvic pain without another clear cause
  • History of prior pelvic surgery, endometriosis, or pelvic infections
  • Trouble conceiving, especially when imaging suggests adhesions
  • Pain with bowel movements, urination, or intercourse

Benefits

  • Relief from chronic pelvic pain
  • Improved fertility potential
  • Better organ mobility and function
  • Reduced risk of complications in future surgeries

Frequently Asked

Are pelvic adhesions common?

Yes. They're a common result of pelvic surgery, infection, or inflammation.

Can adhesions come back after surgery?

Recurrence is possible, but minimally invasive technique helps reduce that risk.

How long is recovery?

Most patients return to normal activity within 1–2 weeks.

Procedure 06Hysteroscopic Surgery

Hysteroscopic surgery uses a hysteroscope β€” a thin, lighted telescope-like instrument inserted through the vagina and cervix into the uterus. It allows the doctor to view the uterine cavity and perform surgery without any abdominal incisions.

Common uses

  • Diagnosis of abnormal uterine bleeding
  • Removal of uterine polyps and fibroids
  • Treatment of uterine adhesions
  • Correction of a uterine septum

Frequently Asked

Will I experience discomfort during the procedure?

You should not feel discomfort during the procedure due to anesthesia. Mild cramping or spotting may occur afterward.

How long does the procedure take?

Typically 15 to 60 minutes depending on complexity.

When can I resume normal activities?

Most women return to their daily routine within 1 to 3 days.

Are there any risks?

Risks are low but may include infection, bleeding, uterine perforation, or fluid overload. Your doctor will discuss these in detail beforehand.

Will this affect my fertility?

Hysteroscopic surgery often improves fertility by correcting uterine abnormalities.

How soon after surgery can I try to conceive?

Your doctor will recommend an appropriate waiting period, usually a few menstrual cycles, to allow the uterus to heal.

Questions about a procedure?

Dr. Rizk personally reviews every surgical case. Book a consultation or send us a question.

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