Gynecologic Surgery

NYC Health + Hospitals provides comprehensive gynecologic care for patients of all ages. We provide routine and specialized surgical services for many gynecologic concerns (fibroids, endometriosis, ovarian cysts, pelvic pain, prolapse, incontinence, and cancer). Learn more about our services below.

Common reasons for gynecologic surgery include:

Fibroids
Endometriosis (see Endometriosis & Pelvic Pain Program)
Pelvic pain
Adenomyosis
Family planning
Infertility
Abnormal uterine bleeding
Lesions of cervix
Prolapse of vagina and pelvic organs
Urinary incontinence
Cancer

Common gynecologic surgeries include:

Hysterectomy (removal of uterus)
Polypectomy, dilation & curettage (removal of polyps or tissue inside of uterus)
LEEP (removal of tissue from cervix)
Cystectomy (removal of ovarian cyst)
Hysteroscopy (looking inside uterus)
Myomectomy (removal of fibroids)
Salpingectomy (removal of fallopian tube/s)
Oophorectomy (removal of ovary)
Colporrhaphy (strengthening of vaginal walls)
Mid-urethral sling (strengthening of urethra)

The field of gynecology also includes subspecialties:

Minimally Invasive Gynecologic Surgery (MIGS)

Diagnosing and treating complex gynecologic conditions.
Utilizing minimally invasive techniques, if possible (see below).

Female Pelvic Medicine & Reconstructive Surgery (FPMRS/Urogynecology)

Diagnosing and treating prolapse and incontinence related to bladder, urethra, reproductive organs, and rectum.

Gynecologic Oncology

Diagnosing and treating cancer related to uterus, ovaries, cervix, fallopian tubes, vagina, and vulva.

Complex Family Planning (CFP)

Providing comprehensive services related to contraception, family planning, miscarriages, and abortions

Reproductive Endocrinology & Infertility (REI)

Diagnosing and treating conditions related to hormone dysfunction and infertility.
Assisted reproductive technologies (ie. in vitro fertilization) are not offered at HHC hospitals.

Enhanced Recovery After Surgery (ERAS) Program

The ERAS Program is a comprehensive protocol that aims to reduce the stress of surgery on your body, reduce complications, and speed up recovery.
The ERAS Program addresses the pre-operative, intra-operative, and post-operative phases of your surgical journey.
Every patient and surgery are different. We will personalize your care that fits your needs.
Our expert surgeons, anesthesiologists, primary care physicians, pharmacists, and nurses work together to give you a safe and smooth surgical experience.
The ERAS Program prioritizes patient education, participation, and communication to reduce anxieties and concerns related to surgery.

Minimally Invasive Gynecologic Surgery (MIGS)

A MIGS surgeon addresses complex varieties of fibroids, endometriosis, pelvic pain, ovarian cysts, adenomyosis, etc. Complex gynecologic conditions may require more skill and experience.
Minimally invasive surgery can be offered for most gynecologic conditions.
Minimally invasive surgery has better outcomes, less complications, and faster recovery.
Ask your doctor about minimally invasive surgery if you are being considered for surgical intervention.
Surgical modalities:

Laparoscopy (tiny incisions of the abdomen) is the most common method of minimally invasive surgery.
Robotic surgery is similar to laparoscopy and available depending on the patient’s clinical circumstances.
Hysteroscopy is surgery inside the uterus with the help of a camera.
Vaginal surgery can be performed for specific diagnoses and depending on the patient’s clinical circumstances.
Laparotomy (large incision of the abdomen) is performed if minimally invasive surgery is not possible

Endometriosis & Pelvic Pain Program (EP3)

The Endometriosis & Pelvic Pain Program is based in Bronx, NY.
The Program is run by MIGS surgeons and led by Dr. Palvia (Lincoln/Harlem) and Dr. Barraez (Jacobi/North Central Bronx).
Your gynecologist may refer you to the program if you have complex endometriosis or chronic pelvic pain.
Causes

Endometriosis is a chronic inflammatory condition that commonly causes chronic pelvic pain and infertility.
Endometriosis occurs when tissue inside the uterus escapes from the fallopian tubes and implants within the abdominopelvic cavity.
Non-gynecologic causes of chronic pelvic pain include problems with your bladder, intestines, pelvic floor muscles, and pelvic bones.
Chronic pelvic pain can also be caused by fibroids, ovarian cysts, pelvic infections, pelvic trauma, and abdominopelvic surgeries.

Management & Treatment

You will undergo a thorough physical exam, diagnostic imaging, and possible surgery to better understand the severity of disease.
The program works with other departments (Urology, Gastroenterology, Colorectal Surgery, Physical Therapy, Lifestyle Medicine, Mental Health) to provide comprehensive care.
Endometriosis and chronic pelvic pain can be managed thru a combination of conservative, medical, and surgical therapies.
The goal of therapy is to improve your quality of life.

Urogynecology & Reconstructive Pelvic Surgery (URPS)

A Urogynecologist is an OB/GYN that specializes in treatment of pelvic organ prolapse and bladder or bowel leakage.
Treatment options will vary depending on how bothered you are feeling but can include: not doing anything, medical therapy, or surgery
Urogynecologists Treat the Following Conditions

Stress Urinary Incontinence
Overactive Bladder/Urgency Urinary Incontinence
Pelvic Organ Prolapse
Fistulas (Rectovaginal, Vesicovaginal, Urethrovaginal)
Urethral Diverticulum
Accidental Bowel Leakage (Fecal Incontinence)
Microscopic Hematuria
Labia Minora Elongation (Labial Hypertrophy)

Surgical and Non Surgical Options may include:

Medical Management
Pessary
Cystoscopy
Midurethral Slings
Urethral Bulking
Fascial Slings
Chemodenervation of the Bladder (Botox)
Sacroneuromodulation
Vaginal Hysterectomy
Vaginal Prolapse Repair with Sutures
Minimally Invasive Sacrocolpopexy (Mesh Repair for Prolapse)
Fistula Repair
Urethral Diverticulum Excision
Labia Minora Reduction (Labiaplasty)

The majority of these conditions are non-life threatening but can be bothersome. If you find that you are bothered by symptoms of prolapse or incontinence (leaking) ask your doctor to refer you to a Urogynecologist.

Establish Care with NYC Health + Hospitals

The hospital locations below are patient care sites that offer obstetrics and gynecology services (including the number to call for appointments). You can also use our doctor search to find care and explore additional health insurance information.

Bronx

NYC Health + Hospitals/Jacobi
1400 Pelham Parkway South
Building 8, 3rd Floor
Bronx, NY 10461
Call for appointment: 718-918-5700

NYC Health + Hospitals/Lincoln
Women’s Health Center
234 East 149th Street, First Floor, A2
Bronx, NY 10451
Call for appointment: 718-579-4900

NYC Health + Hospitals/North Central Bronx
Women’s Health Center
3424 Kossuth Avenue
Suite 2D-01
Bronx, NY 10467
Call for appointment: 718-519-3310

NYC Health + Hospitals/Gotham Health, Belvis
545 East 142nd Street
Bronx, NY 10454
Call for appointment: 718-579-1795

NYC Health + Hospitals/Gotham Health, Morrisania
1225 Gerard Avenue, 3rd Floor
Bronx, NY 10452
Call for appointment: 718-960-2781 or 718-960-2616

Brooklyn

NYC Health + Hospitals/Kings County
451 Clarkson Avenue
E-Building, 4th Floor and 6th Floor
Brooklyn, NY 11203
Call for appointment: 718-388-5889

NYC Health + Hospitals/South Brooklyn Health
2601 Ocean Parkway
Brooklyn, NY 11235
Call for appointment: 1-844-872-6639

NYC Health + Hospitals/Woodhull
The Women’s Health Pavilion
760 Broadway, 8th Floor 300 Block
Brooklyn, NY 11206
Call for appointment: 718-388-5889

NYC Health + Hospitals/Gotham Health, Cumberland
100 North Portland Avenue, 2nd Floor
Brooklyn, NY 11205
Call for appointment: 718-388-5889

NYC Health + Hospitals/Gotham Health, East New York
2094 Pitkin Avenue
Brooklyn, NY 11207
Call for appointment: 718-388-5889

Manhattan

NYC Health + Hospitals/Bellevue
462 First Avenue
New York, NY 10016
Call for appointment: 212-562-5555

NYC Health + Hospitals/Harlem
Ronald H. Brown Building
Women’s Health Services
137th Street, 2nd Floor
506 Lenox Avenue
New York, NY 10037
Call for appointment: 212-939-8400

NYC Health + Hospitals/Metropolitan
Women’s Health Center
1901 First Avenue, OPD Building, 4th Floor
New York, NY 10029
Call for appointment: 212-423-7000

NYC Health + Hospitals/Gotham Health, Gouverneur
227 Madison Street, 3rd Floor
New York, NY 10002
Call for appointment: 212-238-7897

NYC Health + Hospitals/Gotham Health, Sydenham
264 West 118th Street, First Floor
New York, NY 10026
Call for appointment: 212-932-6500

Queens

NYC Health + Hospitals/Elmhurst
The Women’s Pavilion
78-20 41st Avenue
Elmhurst, NY 11373
Call for appointment: 718-334-5346

NYC Health + Hospitals/Queens
82-68 164th Street
Jamaica, NY 11432
Call for appointment: 718-883-3131

Staten Island

NYC Health + Hospitals/Gotham Health, Vanderbilt
165 Vanderbilt Avenue
Staten Island, NY 10304
Call for appointment: 844-692-4692