Cosmetic Gynecology

Dr. Yasemin TOKSOZ AESTHETIC joins the experience of top-notch professionals and caring personnel with the latest technology in a fully equipped facility to offer the quality of health care you deserve. We offer a variety of Cosmetic Gynecology techniques and procedures, and we will guide you through them depending on your anatomy, health conditions and desired outcome. From Vaginal Rejuvenation to Labiaplasty, our professional Gynecologists will work with you to find the perfect solution and make you feel more confident about your intimacy.

PROCEDURES

• DaVinci Robotic Procedures
  Labib Riachi is an innovative surgeon currently offering the DaVinci Robotic system to offer a less invasive surgical procedure using a state-of-the art system for a precise and more accurate technique. It is the least invasive surgery available today.
  For most women, daVinci Robotic Surgery offers numerous potential benefits over traditional surgical approaches, including:
  • Significantly less pain
  • Reduced blood loss and need for transfusion
  • Reduced risk of infection
  • Shorter hospital stay
  • Quicker recovery and return to normal activities
  • Small incisions for minimal scarring
  Better outcomes and patient satisfaction, in many cases.
• Urinary Incontinence
  What is urinary incontinence?
  Urinary incontinence (UI) is the involuntary loss of urine as a consequence of an impairment in bladder control.
  This condition is much common mostly with women because it is it is relative to childbirth. But not normally related to aging. Vaginal deliveries can stretch and tear the nerves and muscles that support and control bladder function. These injuries are mostly unnoticed until menopause when estrogen levels drop, and the tissues weaken even further.
  As a result, women experience unexpected and uncomfortable urine leaks, especially after increasing abdominal pressure through coughing or straining with constipation.
  Besides childbirth, there are many different causes for loss of bladder control. Thus, obtaining an accurate diagnosis is a critical step to provide you with an effective treatment.
  Various medications modulate the function of the urinary bladder. Thus, as a part of your evaluation and medical history, we will gather a list of all current prescription and over-the-counter medications you are currently taking.
  Stress Urinary Incontinence (SUI)
  It is a known fact that millions of women are suffering from stress urinary incontinence. It occurs urine loss whenever they cough, laugh, sneeze, lift an object or standing up from a chair.
  Stress urinary incontinence in women results from weakening or damage of the pelvic muscles and tissue surrounding the urethra, which is the canal that carries urine from the bladder.
  An estimated of 1 out of 3 women experience urinary incontinence. It is likely that you may know women who suffers from thiscondition. Their frustration is unimaginable when they experience it and preceded with enduring silence. Because of the fear and shame of discussing these issues and seeking medical advice.
  The majority of women with incontinence do not know their options and consider this a “taboo” topic. Thus, it becomes a lingering problem for years, and most do not seek medical treatment.
  So, do you suffer from incontinence? There is a way to know the answer by yourself by considering these questions:
• Do you leak urine unexpectedly?
  Do you currently wear pads on liners to protect you against unplanned leaks?
  Does the urine loss occur during coughing, sneezing, laughing, bending or lifting?
  Does the urine loss occur when you change from a sitting or lying position to a standing position?
  Do you leak urine continuously?
  Do you have trouble holding your urine as you hurry to the bathroom?
  Has this urine loss caused you to change your lifestyle?
  When planning a trip or outing, does the availability of restroom facilities affect your decision?

If you answered yes to any of the questions above, feel free to contact us for an appointment. Do not delay your diagnosis further and let us help you by confirming or denying a diagnosis of incontinence.

What is pelvic organ prolapse?
Pelvic organ prolapse is a very common condition, particularly among senior women. It’s estimated that half of women who went through labor will experience some form of prolapse in later life. However, the fact remains that many women do not seek help or ask their doctor. Thus, the real number of women affected by prolapse is unknown. Read on to learn about the different types of prolapse that can occur, and find information about causes, diagnosis, treatment options and prevention. You can also find out what you can do to help ease your symptoms.

It is also known as uterine prolapse, genital prolapse, uterovaginal prolapse, pelvic relaxation, pelvic floor dysfunction, urogenital prolapse or vaginal wall prolapse.
Heavy Periods (Ending Excessive Bleeding)
Millions of women suffer from heavy periods or excessive menstruation bleeding. This becomes a limiting factor that restrains women from enjoying life and participating in certain events and activities.
If you’re not entirely sure whether or not this is your case, there are several ways to determine if your bleeding is normal or excessive. Consider these questions to find it out by yourself:

1. Does your menstrual flow soak through one or more tampons (or napkins) for several consecutive hours?
2. Do you experience severe pain or cramping?
3. Do your periods last longer than seven days?
4. Does your menstrual flow include large blood clots?

If you answered yes to any of the questions above, feel free to contact us for an appointment and we will be glad to help you out.

• Abnormal Pap Smear
  Cervical Biopsy
  If you went through a cervical biopsy and were found to have changes in the cells of your cervix, you will be reported with an abnormal cervical biopsy. Cervical cancer is one of the most common types of cancer in women in childbearing age, and cervical biopsy screening is implemented for early detection and treatment of these cases.
  The main goal in diagnosing and treating abnormal cervical biopsy results is reducing the incidence of cervical cancer and providing treatment when there are still many options and a good prognosis.
• Abnormal pap report
  Inflammation
  Papillomatous findings (HPV)
  Atypical glandular hyperplasia (AGCUS)
  Atypical squamous cells of unknown significance (ASCUS)
  Low grade squamous intraepithelial lesion (mild dysplasia)
  High grade squamous intraepithelial lesion (moderate, severe)
  Abnormal Cervical Biopsy
  Squamous metaplasia
  Inflammation/cervicitis
  Endocervical glandular hyperplasia without atypia
  Endocervical glandular hyperplasia with atypia
  Cervical intraepithelial neoplasia
  Mild dysplasia
  Moderate dysplasia
  Severe dysplasia
  Carcimona in-situ of cervix
  Invasive squamous cell carcinoma of cervix
  Invasive adenocarcinoma of cervix
  Invasive adenosquamous carcinoma of cervix
  Cervical lesions
  While performing your routine gynecologic exam, your doctor will be able to see the internal structure of the vaginal mucosa and your cervix. Cervical lesions are a common finding and they should be studied further for an accurate and prompt diagnosis.
  Among the cervical lesions your doctor may encounter, we can list the following:
• Developmental Anomalies
  Prenatal steroid exposure/DES related
  Polypoid lesions
  Endocervical polyps
  Endometrial polyps
  Prolapsed submucous fibroid
  Papilloma virus
  Inflammations, ulcerations and masses
  Eversion/ectropion
  Trauma
  Herpes
  Syphilis
  Squamous cell carcinoma of cervix
  Adenocarcinoma of cervix
  Adenosquamous carcinoma of cervix
  Cervical pregnancy
  Old lacerations
  Nabothian cysts
  Cervical discharge
  Sexually transmitted diseases are among the most common types of ailments in sexually active women.
  These problems are commonly associated with other ailments, such as cervicitis, and one of the main symptoms is a cervical discharge.
  Diagnosing a cervical discharge and whether or not it is caused by a sexually transmitted agent is fundamental to provide early treatment and prevent severe consequences that include infertility.
  Among the causes of cervical discharge your doctor may encounter, we can list the following:
  Gonorrhea
  Chlamydia
  Non-Specific Cervicitis
  Vaginal discharge and pruritus
  Vaginal discharge is a common problem in women, and the resulting pruritus and urinary symptoms are often a cause of discomfort in women of all ages.
  There are many types and causes of vaginal discharge, and it is important to identify which one is affecting you. Thus, your doctor will require a physical examination along with various tests to provide you with an effective treatment.
  Among the causes of vaginal discharge and pruritus your doctor may encounter, we can list the following:
  Physiologic discharge
  Non-specific bacterial vaginitis
  Trichomonas vaginitis
  Candida yeast vaginitis
  Atrophic vaginitis
  Foreign body vaginitis
  Prepubertal gonococcal vaginitis
  Allergic reaction
  Rectovaginal fistula
  Fibroids
• What Are Fibroids?
  Fibroids are the most common growths in a woman’s reproductive system. Many women with fibroids have no symptoms at all, while others have symptoms ranging from heavy bleeding and pain to incontinence or infertility.
  In this section you will understand what fibroids are, how they can affect your health and the most effective treatment options available for you. For more information on heavy bleeding or hysterectomy, visit our pages on these topics.
  Fibroids are tumors that grow in the uterus (womb). They are benign, which means they are not cancerous, and are made up of muscle fiber. Fibroids can be as small as a pea and can grow as large as a melon. It is estimated that 20-50% of women have, or will have, fibroids at some time of their lives. They are rare in women under the age of 20, most common in women in their 30s and 40s, and tend to shrink after menopause.
  Although the exact cause of fibroids is unknown, they seem to be influenced by estrogen. This would explain why they appear during a woman’s middle years (when estrogen levels are high) and stop growing after the menopause (when estrogen levels drop).
  According to US studies, fibroids occur up to nine times more often in black women than in white women, and tend to appear earlier. The reason for this is unclear. Also, women who weigh over 70kg may be more likely to have fibroids. This is thought to be due to higher levels of estrogen in heavier women.
  In the past, the contraceptive pill was thought to increase the risk of fibroids, but back in that time the pill contained higher levels of estrogen than it does today. Some studies suggest that the newer combined pill (estrogen and progestogen) and the mini pill (progestogen only) may actually help prevent or slow the growth of fibroids. * This information is based on studies involving black and African American women. The papers do not identify more specific ethnic backgrounds. We found no similar UK studies.
• Female Sexual Dysfunction
  The symptoms of female sexual dysfunction include: loss of sexual desire, impaired arousal, inability to achieve orgasm, or sexual pain. The diagnosis is made when symptoms are severe and result in personal distress. In many cases, female sexual dysfunction affects interpersonal relationships and even social relationships in the workplace. In North American culture, female sexual dysfunction is prevalent but often neglected in the health care nesting because women are unlikely to discuss it with their health care providers unless asked.
  Talking about sexual function with patients may elicit anxiety in both the physician and patient. There are many obstacles to discussing sexual health with female patients, including lack of confidence, few perceived treatment options, inadequate clinical time to obtain a sexual history, patients’ reluctance to initiate the conversation, and the underestimation of the prevalence of sexual dysfunction.
  The purpose of this section is to describe the basics of this disorder, including the physiology of the normal female sexual response, and outline the criteria for diagnosis as listed in the Diagnostic and Statistical Manual of Mental Disorders: DSM-IV-TR.