Ronald M Tuttelman MD PA
Leading the way in Obstetric & Gynecological Care


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DaVinci Surgery

When medication and non-invasive procedures are unable to relieve symptoms, surgery remains the accepted and most effective treatment for a range of gynecologic conditions. Traditional open gynecologic surgery, using a large incision for access to the uterus and surrounding anatomy, has for many years been the standard approach to many gynecologic procedures. Yet with open surgery can come significant pain, trauma, a long recovery process and threat to surrounding organs and nerves. For women facing gynecologic surgery, the period of pain, discomfort and extended time away from normal daily activities that usually follows traditional surgery can understandably cause significant anxiety.

Fortunately, less invasive options are available. Some gynecologic procedures enable surgeons to access the target anatomy using a vaginal approach, which may not require an external incision. But for complex hysterectomies and other gynecologic procedures, robot-assisted surgery with the da Vinci Surgical System may be the most effective, least invasive treatment option. Through tiny, 1-2 cm incisions, surgeons using the da Vinci System* can operate with greater precision and control, minimizing the pain and risk associated with large incisions while increasing the likelihood of a fast recovery and excellent clinical outcomes.


Treatment of Heavy or Abnormal Bleeding

Abnormal heavy menstrual bleeding is a significant problem for many women. It can cause pain, inconvenience, loss of wages, and be a strain on relationships. Endometrial ablation is a medical procedure that is used to remove (ablate) or destroy the endometrial lining of the uterus, offering an alternative for women who suffer from excessive or prolonged bleeding during their menstrual cycle but can not or do not wish to undergo a hysterectomy. The procedure can usually be performed on an outpatient basis, using a light anesthetic and involving no incisions. It is not suitable for patients who would like to have more children.

The Next Generation Endometrial Ablation uses precisely measured energy to remove the endometrial lining. It provides a safe, rapid, and cost-effective alternative to hysterectomy. For more information please visit the Novasure™ website.


Endometriosis and Pelvic Pain

Endometriosis is a disorder where the endometrium, which normally lines the uterus, grows in other places as well, causing pelvic pain and other problems. Modern diagnostic techniques and a greater understanding of the sources of pain, allow the cause of pain to be addressed directly, resolving this problem through a minimally invasive outpatient surgery, and sometimes medical therapy.


Ovarian Cysts

Many women have ovarian cysts at some time during their lives. Most ovarian cysts present little or no discomfort and are harmless. While the majority of ovarian cysts disappear without treatment within a few months, some can produce serious symptoms and need to be treated. Now, with advances in surgery and laparoscopic techniques, women of all ages can have their ovarian surgery, as well as other gynecological procedures performed in an outpatient setting, and with a fraction of the recuperation time required after traditional surgery.


Tubal Ligation

Tubal Ligation, commonly called “getting your tubes tied,” is a surgical sterilization technique for women. This procedure closes the fallopian tubes, and stops the egg from traveling from the ovary to the uterus, preventing fertilization. It is a relatively simple out-patient surgery which can be performed in a clinic, doctor's office, or hospital. It can be performed under local or general anesthesia.

Patients may undergo most, if not all, of these surgeries as outpatient procedures,
requiring a fraction of the recuperation time of traditional surgery.


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Ronald M. Tuttelman MD PA, 1880 E Commercial Boulevard, Suite 4, Fort Lauderdale, FL 33308-3747
Phone: (954) 776-4395