Women's Health
Uterine Fibroids
Uterine fibroids are the most common benign tumors in women of child bearing age. They produce symptoms of heavy or painful periods, bleeding between menstrual periods, the feeling of pressure in lower abdomen or pelvis, frequent urinating or the urge to urinate, painful sex and low back pain.
Over weight women and African American women are at greatest risk for developing fibroids. Fibroid are dependent on estrogen and tend to stop growing after menopause. Medications can help modestly with fibroids but they tend to grow back after you stop the medications.
Hysterectomy, that is removal of the uterus, is curative of fibroids and the symptoms that they produce. In women who still wish to have children, removal of the fibroids while preserving the uterus can be preformed.
Hysterectomy can be preformed by minimally invasive laparoscopic technique as an outpatient. This means the patient goes home or back to their hotel room the same day. Most patients are well enough to travel a day or two after surgery and return to normal daily activities within two weeks.
Adenomyosis
Adenomyosis is an abnormal growth of the lining of the uterus into the muscle of the uterus. It affects women between the ages of 35 and 50 and produces symptoms of painful and heavy menstrual periods which can produce blood clots and severe cramps. Adenomyosis is dependent on estrogen and may get better after menopause.
MRI is the best diagnostic modality for adenomyosis. Transvaginal ultrasound may also be useful.
Medications may be of some help in treating adenomyosis but hysterectomy is the only cure.
Endometriosis
Endometriosis is a debilitating condition where the glandular tissue that normally lines the uterus leaks through the fallopian tubes and grows outside of the uterus. Here the endometriosis may grow into the bowels causing severe symptoms of acute and chronic pelvic pain which is worst during menstrual periods.
While there is no cure for endometriosis menopause or hysterectomy will bring relief to most patients.
Richard M. Chudacoff, M.D. has recently affiliated
with No Insurance Surgery, Inc. Dr. Chudacoff trained in Obstetrics and Gynecology at
the National Naval Medical Center in Bethesda, MD, then
served his tour of duty at the Naval Hospital,Rota,
Spain before joining Baylor College of Medicine. He was a member
of the faculty at Baylor, in addition to being the medical
director of their out-patient medical group in Sugar
Land, TX: BaylorMedCare until 2000.
Dr. Chudacoff is an accomplished pelvic reconstructive, bladder and minimally invasive surgeon, qualified to operate on and teach the daVinci surgical robot. His progressive surgical techniques include the use of mesh graft material for vaginal hernia, urinary incontinence and vaginal prolapse repair. Accomplished in most minimally invasive techniques he believes that all patients benefit from surgery that will limit hospital stay and promote a rapid return to health and activities of daily living. He believes that patients rarely need large abdominal incisions with today’s advanced technologies. Click the clipboard below for an online consultation
