The expert gynecologic surgeons at Pearl Women's Center specialize in minimally invasive approaches to a wide range of gynecologic problems, including abnormal uterine bleeding, pelvic pain, infertility, fibroids and urinary incontinence. The minimally invasive techniques we use when performing gynecologic surgery at our Portland center involve small incisions for reduced trauma and quicker recoveries. Pearl Women's Center physicians have completed thousands of minimally invasive procedures, making us one of the most experienced centers in the Pacific Northwest. Because of our high level of experience, we are able to achieve great outcomes with a complication rate that is fraction of the national average.
Choose the specialists at Pearl Women's Center for every stage of your life. Ask a question, book online, or call our office in Portland at (503) 771-1883. We serve patients from Oregon, Washington, Idaho, Northern California and Alaska.
Our doctors perform a variety of surgical procedures at the fully accredited Pearl SurgiCenter. Common gynecology procedures include:
- Hysterectomy removes the uterus. Drs. Rosenfield and Fogelson perform this procedure to correct a variety of conditions including endometriosis, uterine prolapse, fibroids and uterine pre-cancer. Learn more about this procedure on our hysterectomy page, and talk to your practitioner about the best options for hysterectomy. We perform both total laparoscopic hysterectomies and laparoscopic supracervical hysterectomies in the outpatient environment.
- Tubal Sterilization Reversal is an option for women who have previously been sterilized who are hoping to have more children. Our physicians offer laparoscopic reversal of sterilization for quick recovery and high success rates.
- Oophorectomy removes one or both ovaries. This procedure is often recommended in women whose ovaries appear abnormal or have a strong family history of cancer.
- Endometriosis treatment usually involves complete surgical removal of the diseased tissue from the pelvis. Removing the implants, referred to surgical excision, is more effective than the more common practice of fulgarating (also called burning or cauterizing) the endometriosis.
- Prolapse surgery corrects pelvic organ prolapse (including cystocele, rectocele and enterocele). Pelvic organ prolapse is a condition where the bladder, vagina or rectum bulge downward and can cause significant problems in the daily activities of patients. While first-line therapy might include physical therapy and pelvic floor exercises, surgical correction may be recommended. Many surgical approaches exist, including laparoscopic sacrocolpopexy and uterosacral ligament suspension. We base our approach on the individual needs of the patient. We are one of few practices in the world offering these corrective surgeries in a completely outpatient setting with discharge to HOME after the procedure.
- Incontinence surgery corrects urinary incontinence. After a thorough evaluation to determine the cause, surgical correction, such as a suburethral sling and cystoscopy, is available for patients who leak with exercise, when coughing or bearing down.
- Vaginal and pelvic floor reconstruction repairs these areas after trauma from a forceps delivery or episiotomy. Vaginal rejuvenation surgery can be included in this type of procedure.
- Hysteroscopy allows your doctor to view the inner cavity of the uterus using an endoscopic instrument. This procedure is helpful for management of fibroids, infertility or ruling out cancer as a cause of abnormal menstrual bleeding.
- Infertility surgery includes fallopian tube repair, removal of fibroids and diagnostic evaluation. See our Infertility page for more information about our services.
- Ovarian cyst removal. See our Ovarian Cysts page.
- Permanent contraception eliminates the need for birth control for patients who do not want to become pregnant. We offer tubal ligation and the no-incision Essure® procedure.
- Cosmetic gynecology surgery includes cosmetic labiaplasty and vaginal tightening for restoring and reshaping the female genitalia.
- Fibroid removal includes myomectomy and hysterectomy. Visit our Fibroids page for detailed information.
- Abnormal Pap smear treatments include colposcopy, cone biopsy and LEEP (loop electrosurgical excision procedure).
- Endometrial ablation reduces menstrual flow by removing the uterine lining, or endometrium, through a minimally invasive technique.
Many of these procedures can be combined for multiple improvements with a single recovery period.