Hamilton Health Sciences
Women's Reproductive Health

Our program

  • McMaster University Medical Centre offers leading edge, minimally invasive surgery for the majority of benign gynecological surgical procedures
  • More than 1,700 procedures are performed each year
  • Our focus is state-of-the-art, compassionate care


General Obstetrics and Gynecology: Dr. A. Hamaoudi and Dr. D. Campeau

Minimally Invasive Gynecology Surgery Program and Endometriosis Centre of Excellence

- Multidisciplinary care of complex endometriosis cases - Dr. N. Leyland

Urogynecology: Dr. C. Best

Guide to Recovery

Please click here to review Your Guide to Recovery: Information about Gynecology Surgery at Hamilton Health Sciences, a resource developed by Women's Reproductive Health and Patient Education.

To view the accompanying video to this resource, please click here.

Day Surgical Procedures:

To view the accompanying video to this resource, please click here.

Hysteroscopic Myomectomy (with our without an endometrial ablation) 

A myomectomy is surgery to remove a fibroid from inside your uterus. This procedure can be done through the vagina by hysteroscopy without incisions for fibroids accessible by the endometrial (uterine) cavity. Fibroids are growths in the muscle of the uterus. They can grow in many different parts of the uterus. The hormone estrogen makes them grow larger. Fibroids are only extremely rarely cancerous. Fibroids are often painless, but in some women may cause discomfort. Fibroids may also cause bleeding, infertility, and miscarriages. For more information about myomectomy care, please click here.

Other Hysteroscopic Procedures:

Hysteroscopic Endometrial Ablation

Hysteroscopic Lysis of Adhesions for Asherman's Syndrome

Hysteroscopic Metroplasty for Uterine Anomalies (e.g. Septate Uterus)

Tension-Free Vaginal Tape (TVT) or Trans Obturator Tape (TVT-O) (Surgery for Stress Urinary Incontinence)

Stress urinary incontinence is when you cannot control the flow of your urine. This may happen when you laugh, cough or exercise. If you have urinary incontinence, you may have a weak pelvic muscle or tissue, and cannot support the urethra in its correct position. The urethra is the tube that carries urine from the bladder. There are 2 types of surgery:

Tension-free vaginal tape surgery-TVT
In TVT surgery, tape is put through a small incision in your vagina and 2 small incisions above your pubic bone. The tape acts like a sling to support your bladder.

Tension-free vaginal tape-obturator route surgery, or TVT-O
In TVT-O surgery, tape is put through an incision in your vagina and 2 small incisions are made in your groin area, on both sides of your pubic bone. The tape acts like a sling to support your bladder.

For more information please click here.

Cone Biopsy

A cone biopsy removes a cone shaped wedge of tissue from your cervix. A cone biopsy is necessary if your doctor cannot see all the abnormal cells and he/she wants to check deeper into your cervix. This treatment is done in a hospital operating room, and you will be given a general anesthetic to put you to sleep.

To review our patient education material on cone biopsy, please click here.

Loop Excision

Loop excision uses a small wire loop to remove the abnormal cells (dysplasia) from your cervix. Your doctor will give you a local anesthetic in your cervix before your treatment. This anesthetic is the same as the dentist uses. This treatment takes about 5 minutes to do.

To review our patient education material on loop excision, please click here.


Outpatient Laparoscopic Procedures:

There are many gynaecological procedures that can now be accomplished by minimally invasive techniques. The following are some of these procedures.

Laser Laparoscopy for Severe Endometriosis

Laparoscopic Surgery for Pelvic Organ Prolapse

Laparoscopic Ovarian Cystectomy

Laparoscopic Myomectomy

Laparoscopic Total and Subtotal Hysterectomy

Laparoscopic Presacral Neurectomy

Laparoscopic Cervical Cerclage (for Cervical Incompetence)



Hamilton Health Sciences • Hamilton, Ontario • 905.521.2100

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