Notes on Women's Health
Notes on Women's Health

Category: Uterine Fibroids

Uterine Fibroids: Your Questions Answered

This is the second in a series of five blogs about common conditions that can cause abnormal uterine bleeding.

uterine-fibroids-woman-painUterine Fibroids: A common condition

Of every 10 women who come into our practice, seven of them will have uterine fibroids at some point in their lives. Uterine fibroids are that common. But despite their frequency, many women have questions about fibroids, especially when the condition affects quality of life or causes health issues. Here are answers to some of the fibroid questions we’re asked most often at our practice. Read More

In the News: The Dangers of Power Morcellation for Uterine Fibroid Removal

The FDA speaks out

Earlier this month, the U.S. Food and Drug Administration issued a memorandum that discouraged surgeons from using a common procedure called power morcellation to remove uterine fibroids. Power morcellation uses a medical device to divide uterine fibroids into smaller pieces that can be removed through a small incision in the abdomen, such as during laparoscopic surgery.

Why was the FDA announcement necessary?

New data from the Center for Devices and Radiological Health show that power morcellation can spread undetected cancers more often than previously realized. According to the data, one in 350 women who undergo a hysterectomy to treat fibroids or who have fibroids removed have undiagnosed uterine sarcoma — a type of cancer that can be aggressive. If power morcellation is performed in women with this kind of uterine cancer, the procedure can spread the cancer around the abdomen and pelvis.

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Robotic Surgery as a Solution

Join me on Thursday, October 27 at 7:30 pm at Norwalk Hospital for a free educational seminar to discusss Minimally Invasive Surgery for the treatment of Pelvic Prolapse, Uterine Fibroids and Endometriosis.  To register call 1-866-NHB-WELL.

Dr. John Garofalo to Speak at Norwalk Hospital Educational Symposium

5th Annual Norwalk Hospital Medical Staff Educational Symposium

Marriott Hotel, Newport, RI

October 22 – 24, 2010

Sunday October 24, 2010 – 7:30 – 8:15 am:

Uterine Fibroids – How Should We Treat Them? – Steven Bernstein & John Garofalo

Objective: Understand the treatment options for uterine fibroids

da Vinci surgery and endometriosis

In the last few months I’ve blogged about several different surgery types that can be performed using the da Vinci Surgical System. (If you’re new to this blog, the da Vinci Surgical System uses five very small abdominal incisions and state-of-the-art remote control technology to convert my hand movements from a console a few feet away into precise movement of da Vinci surgical instruments.) Another condition that can be treated using the da Vinci Surgical System is endometriosis. Read More

da Vinci surgery, uterine fibroids and myomectomy

da Vinci myomectomy

da Vinci myomectomy

In my last blog I wrote about hysterectomy (surgical removal of the uterus) and how this surgery is well-suited for surgery using the da Vinci approach. One of the main reasons a woman might consider a hysterectomy is the presence of uterine fibroids, which are non-cancerous tumors that grow out from the muscle layer and connective tissue in the uterus. Uterine fibroids (also called leiomyomas or myomas) are very common, especially during a woman’s middle and later reproductive years: about 20-40% of women will be diagnosed with uterine fibroids at some point in their lives.

In most cases uterine fibroids are harmless. But sometimes they can cause heavy and painful menstruation, painful sexual intercourse, and urinary frequency and urgency. Uterine fibroids that are located inside the uterine cavity can make it difficult or impossible to conceive a child, and they can cause complications in pregnancy, including bleeding, miscarriage, premature labor, or interference with the position of the fetus.

If you or someone you know has problems with uterine fibroids, there are several options for treatment. Read More

da Vinci Surgery and Hysterectomy

In my last blog, I mentioned that da Vinci surgery provides precision that’s crucial when working in close proximity to delicate organs like the bladder. In addition, the camera technology provides a great deal of detail. If you’re facing the prospect of surgery and you think of the kind of surgery you’d prefer to have, hopefully words like detail and precision are ones that come to mind.

This combination of detail and precision makes da Vinci very well suited for a variety of surgery types and procedures, including several that I do regularly as part of my medical practice. For this blog I thought I’d talk about da Vinci surgery and hysterectomy. Read More

da Vinci surgery: your questions answered

As one of the first doctors in Fairfield County, Connecticut to be certified in da Vinci surgery, I’m asked a lot of questions about the technology and how it can be used to treat endometriosis, uterine fibroids, pelvic organ prolapse and other conditions. Since I’ve seen so much interest and heard so many questions about da Vinci surgery, I thought it would be helpful to use this blog to provide information to women who may be considering or facing surgery.

In the next few weeks, I’ll be posting a series of blogs about da Vinci surgery and how I use it in my own medical practice. If you have any experiences you’d like to share, please feel free to comment. Read More