Complicated Gynecology

 

A number of non-malignant gynecologic conditions may require consultation with or management by a Gynecologic Oncologist.  

 

Occasionally, common benign gynecologic problems progress to involve nearby pelvic structures.  An example would be severe endometriosis that has extended to the colon or bladder.  In this situation, a Gynecologic Oncologist will often be consulted to aid in surgical management. Click here for examples.

 

Chronic, benign gynecologic diagnoses may require management input by a Gynecologic Oncologist.  For example, because of his/her knowledge in managing cancer-related pain syndromes, a Gynecologic Oncologist may be consulted in benign causes of chronic pelvic pain.

 

Some benign gynecologic diagnoses are uncommonly or rarely encountered and thus, may necessitate specialized care by a Gynecologic Oncologist.  Examples would by vesicovaginal and recto-vaginal fistulae (connections between the bladder or bowel and the vagina), Paget's disease of the vulva (microphotograph), and congenital malformations of the cervix and vagina.

 

Intra-operative consultation is often asked of a Gynecologic Oncologist when unexpected findings or life-threatening hemorrhage are encountered during a surgical procedure.