Question 1

Can Large Uterine Fibroids be Removed Using Minimally Invasive Techniques?

Accepted Answer

Yes, large or complex uterine fibroids can often be removed using minimally invasive techniques, such as  robotic-assisted myomectomy . While the feasibility depends on the size, number, and location of the fibroids, our advanced surgical expertise allows us to offer these options even to patients who may have been told they require traditional open surgery. 
 We utilize the following methods to address larger fibroids:

Robotic-Assisted Myomectomy:  Using the da Vinci surgical system, we achieve enhanced 3D visualization and greater precision. This technology is particularly effective for overcoming the technical challenges posed by larger or deeply embedded fibroids that conventional laparoscopy might not be able to address.

Laparoscopic Myomectomy:  This "keyhole" surgery is a safe and effective alternative for many candidates who might otherwise undergo open surgery, resulting in less pain and a faster return to daily life.

At our practice, we carefully evaluate each case through detailed pre-operative imaging—such as transvaginal ultrasound or MRI—to design a safe, personalized surgical plan. Our goal is to provide  Expert Attentive Care  while preserving the uterus and protecting your fertility. 
 Results may vary based on individual patient conditions and circumstances. Please consult a healthcare professional for personalised medical advice and diagnosis.

Question 2

What Specialized Training do Urogynecologists Receive for Pelvic Organ Prolapse?

Accepted Answer

A urogynecologist, also known as a specialist in  Female Pelvic Medicine and Reconstructive Surgery (FPMRS) , receives extensive training beyond that of a general gynecologist. This specialized pathway ensures they have the advanced expertise required to manage complex conditions like pelvic organ prolapse. 
 Our specialists undergo the following rigorous training:

Residency:  Completion of a four-year OB/GYN residency, which provides a foundation in pelvic anatomy and basic management.

Fellowship:  Completion of an additional three-year  FPMRS fellowship . This specialized period focuses exclusively on pelvic floor reconstruction, incontinence procedures, and advanced surgical techniques.

Surgical Expertise:  Specific training in complex reconstructive procedures such as  sacral colpopexy , sling procedures, and robot-assisted or minimally invasive surgery.

Because of this additional training, urogynecologists are uniquely qualified to handle moderate to severe (stage III/IV) prolapse, failed conservative treatments, and complex pelvic floor dysfunction. At our practice, we are committed to helping women restore their confidence by providing access to these highly trained experts right here in South Florida. 
  Results may vary based on individual patient conditions and circumstances. Please consult a healthcare professional for personalised medical advice and diagnosis.

Question 3

When should I See a Urogynecologist Instead of a General Ob-gyn?

Accepted Answer

Deciding between a urogynecologist and a general gynecologist usually depends on the severity and complexity of your symptoms. While general gynecologists manage routine women’s health and mild pelvic issues, a urogynecologist is a subspecialist with an additional three-year fellowship in  female pelvic medicine and reconstructive surgery . We recommend seeing a urogynecologist if you experience:

Moderate to severe pelvic organ prolapse:  This includes feeling a bulge or significant pressure in the pelvic area (Stage III or IV).

Complex or persistent incontinence:  If you have mixed symptoms, fecal incontinence, or if initial treatments for urinary leakage have not worked.

Advanced surgical needs:  If your condition requires specialized procedures like  sacral colpopexy , sling procedures, or vaginal reconstructive surgery.

Recurrent issues:  Such as chronic pelvic pain, recurrent UTIs, or complications from previous pelvic surgeries.

At our practice, we provide a wonderful blending of friendly and professional care, offering both general gynecological services and advanced  urogynecological treatments  under one roof. Because our specialists collaborate in-house, you can transition seamlessly from routine care to advanced surgical planning without needing external referrals.  
  Results may vary based on individual patient conditions and circumstances. Please consult a healthcare professional for personalised medical advice and diagnosis.

Question 4

What Screenings are Included in a Standard Well-woman Exam?

Accepted Answer

A standard well-woman exam at our practice is designed to protect your reproductive and overall health through every stage of life. During your visit, we provide  Expert Attentive Care  that includes several key components:

Pelvic Exam:  We evaluate the vagina, cervix, uterus, and ovaries to identify any abnormalities.

Pap Smear:  We collect cells from the cervix to screen for precancerous changes.

Cervical Cancer Screening:  For women 30 and older, we often combine the Pap smear with  HPV testing  for a more comprehensive assessment.

Clinical Breast Exam:  Our providers carefully feel for lumps or changes in the breast tissue.

General Wellness Assessment:  We measure your blood pressure, weight, and BMI to help identify cardiovascular or metabolic concerns early.

Personalized Counseling:  We review your personal and family medical history and offer guidance on contraception, sexual health, menopause, and lifestyle choices.

Depending on your age, medical history, and individual risk factors, we may also recommend additional lab work or hormone testing. We are here for you to ensure your preventive care is tailored to your unique needs. 
  Results may vary based on individual patient conditions and circumstances. Please consult a healthcare professional for personalised medical advice and diagnosis.

Question 5

How Often should a Woman in her 30s Schedule a Gynecologic Wellness Visit?

Accepted Answer

For women in their 30s, we recommend a  well-woman exam  every year as the cornerstone of preventive gynecologic care. This annual checkup is essential for safeguarding your health through every stage of life and allowing us to monitor your general wellness, including blood pressure, weight, and BMI. 
 During your visit, we provide  Expert Attentive Care  that includes several key screenings tailored to your age and risk factors:

Cervical Cancer Screening:  For women 30 and older, we typically combine the  Pap smear  with  HPV testing . This provides a more comprehensive screening than a Pap smear alone.

Pelvic Exam:  We perform a thorough evaluation of the vagina, cervix, uterus, and ovaries to check for any abnormalities.

Clinical Breast Exam:  Our providers carefully check for lumps or changes in breast tissue.

Personalized Counseling:  We offer a wonderful blending of friendly and professional guidance on contraception, sexual health, and lifestyle choices.

We are here for you to develop a plan that fits your specific needs. Please note that individual treatment outcomes depend on patient factors and clinical circumstances; results may vary based on individual patient conditions. Please consult a healthcare professional for personalised medical advice and diagnosis.

Question 6

What are the Benefits of Minimally Invasive Gynecologic Surgery over Traditional Methods?

Accepted Answer

Choosing  minimally invasive gynecologic surgery  offers several significant clinical advantages over traditional open surgical methods. By utilizing advanced robotic-assisted and laparoscopic techniques, we are able to perform complex procedures through small, precise incisions rather than the large abdominal openings required by traditional surgery. 
 The primary benefits you may experience include:

Faster Recovery Times:  Most patients are able to return to their daily activities and work much sooner than with traditional surgery.

Reduced Post-Operative Pain:  Smaller incisions typically result in significantly less discomfort during the healing process.

Smaller Scars:  The use of tiny, delicate incisions leads to minimal scarring compared to large abdominal incisions.

Shorter Hospital Stays:  Many of these procedures allow for a quicker discharge, letting you recover in the comfort of your own home.

We provide these advanced options for various conditions, including  robotic-assisted laparoscopic hysterectomy  and  uterine fibroids minimally invasive treatment . Our team is committed to helping women restore their confidence through these gentler surgical options. We are here for you to provide  Expert Attentive Care  and a wonderful blending of friendly and professional service at our Miramar, Weston, and Pembroke Pines locations. 
  Please consult a healthcare professional for personalised medical advice and diagnosis. Individual treatment outcomes depend on patient factors and clinical circumstances, and results may vary based on individual patient conditions and circumstances.

Question 7

Is Robotic-assisted Surgery Available for Gynecologic Conditions in South Florida?

Accepted Answer

Yes, we offer advanced  robotic-assisted surgery  for a variety of gynecologic conditions at our South Florida locations in  Miramar ,  Weston , and  Pembroke Pines . Led by Dr. Laviniu Anghel, who is dual board-certified in the US and EU, our practice specializes in high-tech, minimally invasive techniques designed to offer shorter recovery times and less postoperative discomfort. 
 Our robotic-assisted and laparoscopic procedures include:

Robotic-Assisted Laparoscopic Hysterectomy:  A precise option for women requiring uterine removal due to fibroids or abnormal bleeding.

Robotic-Assisted Myomectomy:  A specialized  uterine fibroids minimally invasive treatment  that removes fibroids while carefully preserving the uterus.

Laparoscopic Endometriosis Excision:  The gold standard for diagnosing and treating chronic pelvic pain while supporting fertility preservation.

Diagnostic Laparoscopy:  A minimally invasive method to examine pelvic organs and clarify the source of unexplained pain.

We provide a wonderful blending of friendly and professional care, and we are  committed to helping women restore their confidence  through these modern surgical approaches. Please note that individual treatment outcomes depend on patient factors and clinical circumstances, and results may vary based on individual conditions. We recommend scheduling an initial consultation so we can develop a personalized treatment plan that is right for you.  We are here for you  to provide the  Expert Attentive Care  you deserve.

First Class OBGYN

OB-GYN located in Florida

About Practice

FAQs