"Attention to health is life's greatest hindrance." ~ Plato
"Water, air, and cleanness are the chief articles in my pharmacy." ~ Napoleon Bonaparte
Aram Bonni, MD, FACS, FACOG
What advantages does robotic surgery have over traditional surgeries? S.M.
This is a very general question and depending on the condition in question the answers may vary. Overall, robotic surgery provides a much improved visualization of the anatomy with high definition screens and specific cameras. It also provides smart tools and instrumentations that will mimic a human hand inside the body and in tight locations and uncomfortable angles where surgery needs to be conducted. In those conditions where robotic surgery can be conducted, it may decrease intra-operative blood loss, decrease the rate of complications, provide more precise treatment choices and decrease post-operative pain and recovery time.
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Aram Bonni, MD is Board certified by the American Board of Obstetrics and Gynecology. He is the only surgeon with approved fellowship trainings in both Urogynecology- Pelvic Surgery and Cosmetic Surgery. His background and training provide a unique expertise under one roof. His scope of practice extends from gynecology, female bladder matters, urinary incontinence, and pelvic floor disorders to advanced and minimally invasive surgeries including robotic surgery. He also offers many state-of-the-art cosmetic gynecological surgeries and procedures.
Q: What is the worst that can happen if a cycstocele and a rectocele are left untreated? They already seem to be at their worst phase but I am reluctant to have a medical procedure. (T.G)
A: Cycstocele and rectocele are displacement and sagging of the bladder and rectum respectively. They usually show themselves with symptoms such as incomplete emptying and urinary retention, protruding of a soft bulge through the birth canal, difficulty and pain during intercourse or even at rest, vaginal bleeding and ulcerations of the protruding bulge, sensation of incomplete defecation and the need to digitally reduce the bulges to be able to urinate or to move bowel. As mentioned previously if left untreated, life threatening complications are relatively rare but there is significant decrease in the quality of life. Many different office and out patients procedures could be offered to treat these conditions after proper work up is conducted. These are often times minimally invasive and short in duration. Recovery is usually fast and overall they are very safe procedures in expert hands.
"The groundwork of all happiness is health." ~ Leigh Hunt
"I will recommend Dr. Bonni to my friends to come and see you. Dr. Bonni was very helpful and understanding and you listened to my situation. I am very happy that I met you today. Thank you." ~ Ms. Noriega, patient review at Vitals.com
"Health is the soul that animates all the enjoyments of life, which fade and are tasteless without it." ~ Lucius Annaeus Seneca
Aram Bonni, MD, FACS, FACOG
My mother is 74 years old. She was diagnosed with cycstocele and they said there was no chance for her to recover. I was wondering if surgery would help to eliminate her pain and if surgery would be a major procedure for her? (S.L)
It is difficult to comment without proper examination and evaluation. Overall I would not evaluate the situation as” no chance to recover”. In general cycstocelegeneral cycstocele repairs are minimally invasive procedures that could be done as an outpatient and would take care of herniation or down fall of the bladder. Often times there maybe other issues related to the problem that may need to be attended to. Most important factor in this scenario in my opinion is to make sure that one completely understands the relationship between the described pain and the cycstocele. It is not that uncommon for pain to exist for other reasons and as a matter of fact a pure cycstocele and prolapsed bladderprolapsed bladder is not all that painful. It usually presents itself with other symptoms and signs.
* * *
Aram Bonni, MD is Board certified by the American Board of Obstetrics and Gynecology. He is the only surgeon with approved fellowship trainings in both Urogynecology - Pelvic Surgery and Cosmetic Surgery. His background and training provide a unique expertise under one roof. His scope of practice extends from gynecology, female bladder matters, urinary incontinence, and pelvic floor disorders to advanced and minimally invasive surgeries including robotic surgery. He also offers many state-of-the-art cosmetic gynecological surgeries and procedures.
"I do not think about being beautiful. What I devote most of my time to is being healthy." ~ Ann Bancroft