Castle Connolly Names Dr. Kenneth A. Levey to “Top Doctors: New York Metro Area”

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NY Pelvic Pain and Minimally Invasive Gynecologic Surgery, P.C. announced Dr. Kenneth A. Levey has been recognized among the leading doctors in the region by Castle Connolly in their 17th edition of “Top Doctors: New York Metro Area.” Each year “Top Doctors: New York Metro Area” identifies the top 10 percent of primary care and specialty doctors in the metropolitan New York region.

Dr. Levey is a top minimally invasive gynecologic surgeon and specialist in endometriosis, chronic pelvic pain and uterine fibroids. He has been identified as a leader in daVinci robotic surgery and single site invisible incision surgery. Dr. Levey is an assistant clinical professor at the NYU Langone Medical Center. Dr. Levey serves as a proctor and educator to other gynecologists seeking to advance their skills in minimally invasive surgery and advanced endometriosis surgery. Surgeons travel from around the United States to come see him operate and learn from him at the NYU Langone Medical Center.

To learn more about Dr. Levey visit www.pelvicpainnewyork.com

Dr. Levey can be contacted directly at drlevey@pelvicpainnewyork.com


Single Incision Robotic Surgery is Here

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Dr. Levey is the first benign gynecologist in NYC to perform single incision robotic surgery.

In the past I have been required to perform complicated robotic surgery procedure through 4-5 incisions. Although the incisions are quite small (usually 8mm) they still produce a cosmetic defect. Now I am able to perform these procedures through a single incision. The incision is placed in the umbilicus (belly button) and once the surgery is completed the incision is essentially invisible. Rarely, it is necessary to add a second incision. If this does occur then there will be only one 8mm incision that is visible.

With my surgical colleague, Dr. Mark Reiner, I have been able to perform single incision robotic surgery on women who otherwise would have required a large abdominal incision or multiple small incisions.

We have performed all of these procedures on an outpatient basis – so you can go home on the same day. We have done them and will  continue to perform such procedures in a free standing ambulatory surgery center. Midtown Surgery Center is an international leader in outpatient robotic surgery. Midtown Surgery Center offer our patients a higher level of comfort, service, and individualized attention.

If you have a condition that requires surgery we recommend a consultation with Dr. Levey or Dr. Reiner so we can maximize your opportunity for a minimally invasive procedure with the optimal cosmetic outcome, comfort, safety, and individualized care.

 


Dr. Datta speaks at EndoWarriors launch event.

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On November 11th Dr. Datta was an invited speaker at the launch event for Endo
Warriors, a support organization for women with endometriosis. The group aims to
provide a network for support meetings and resources for medical treatment. The
well attended launch night included discussions of personal experiences as
endometriosis patients of all 3 founders and the process which lead them to
establish this group. Dr. Datta spoke on the multimodal and
multidisciplinary approach to treatment of endometriosis and chronic pelvic
pain. This approach to endometriosis includes addressing its effect on pain,
fertility, urinary, gastrointestinal and psychological symptoms.

Our practice provides expert care in the medical and surgical treatment as well as a
team approach with our medical colleagues for the comprehensive care so crucial
to endometriosis treatment.

#endowarriors


Webinar by Dr. Levey Was Well Attended

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On August 27, 2013 Dr. Levey presented a webinar on on endometriosis resection in women with chronic pelvic pain. He highlighted the use of indocyanine green. Dr. Levey is the first to have used this advance technology for diagnosing endometriosis intraoperatively. The webinar can be found on you tube by clicking here.

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Dr. Levey to Speak at UCLA Robotic Surgery Symposium

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Our director, Dr. Kenneth Levey will speak and present techniques is robotic surgery and endometriosis removal to an international audience at UCLA’s David Geffen School of Medicine. He will be presenting techiques in robotic hysterectomy as well as proper patient selection. He will also be presenting groungbreaking techiques in endometriosis resection using the daVinci robotic surgery platform. Click here for a link to the course brochure.


New Website Launched

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We are excited to announce the launch of our brand new website http://www.nycomprehensivewomens.com

The new website is designed to give patient essential information about our practice location @ 18 east 41st Street.

The new practice location is in a premier midtown location only 2 blocks from Grand Central Station. The office is just 1/2 block away from the NY Public Library.

Our new location will offer women the convenience of a great location and the straightforward hassle free service required fit your women’s health visit into your busy day. Patient will continue to be able to access our award winning patient portal in order to communicate with their physician, request prescriptions and schedule appointments.

Pur phone number is the same 646 290 9560 and you can still make appointments through our portal or via ZocDoc.


Endometriosis, Pelvic Pain and Surgery

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So, I have said this before and I will say it again and again and well, I guess again.

Endometriosis is a common disease. It causes infertility, inflammation, painful intercourse, painful periods, bladder problems, pelvic floor problems and bowel problems among others.  

I always have to ask the question – why, if so many women have endometriosis do they not all have pain?

That’s correct – not all women with endometriosis have pain. As a busy gynecologic surgeon I frequently see endometriosis (and prove it with a biopsy) in women who are having surgery for other problems such as fibroids and cysts. They may have no pain complaints but they definitely have endometriosis.

The general answer to the question is that different people have different thresholds for pain. Pain in and of itself is a complex disease. We are just beginning to scratch the surface in our understanding of pain as a disease. So, rather than focus on endometriosis, when present,as the sole disease in a women with pelvic pain I believe it is important to treat endometriosis as a critical pain generator in such patients.

This way of thinking allows me to treat endometriosis and at the same time consider underlying pain mechanisms in a patient in whom not all pain may be accounted for by endometriosis. This way of thinking allows me to manage women with much more complex pain problems than simply managing endometriosis would allow.  Further, it guides my understanding of the best way to intially manage endometriosis.

If endometriosis is thought of as a pain generator that over a long period of time can effect the way the central nervous system (brain and spinal cord) views and handles pain signals then one must come to the conclusion that the best way to manage such a pain generator is to remove it. A poor way to manage such a pain generator is to put a hormonal band aid (such as lupron) on it and expect great long term results.

So, in my practice I have become a nationally recognized expert at removing endometriosis. I call the procedure a fertility sparing (for women who wish to retain their fertility) radical resection of endometriosis. During this procedure I remove all visible areas of endometriosis. In doing so, I go all the way to the root of the endometriosis lesions. I sometimes have to remove endometriosis from the ureter and sometimes from the bowel and areas in between the vagina and rectum. Sometimes the endometriosis is so severe that I call in a colorectal surgeon to remove a portion of bowel.

Having said all of that here’s my advice in choosing an expert to manage your endometriosis and pelvic pain:

1. Choose someone who has advanced skills in laparoscopic and robotic laparoscopic surgery. Generally, people who focus on gynecology and gynecologic surgery only may be qualified. Ask your surgeon is he or she is able to perform the surgery as described above.

2. Choose someone who understands and can manage all the aspects of pain associated with endometriosis. If your surgeon says, “I only do removal of endometriosis” then it is likely he will miss other pain issues that will crop up later. This single modality approach almost never works for long term relief.

3. Choose a doctor who isn’t afraid to explore the possibilities and work with doctors in other specialties. Pain is a problem that can effect your entire body and multiple systems. Just because you have endometriosis  – this does not have to be your only problem. To treat patients with endometriosis as if it the only problem is too narrow and poor practice of medicine.

4. Choose someone who takes your insurance. There are several qualified surgeons across the NY area who can manage these problems effectively. There is no reason to shell out more than $20,000 when you can do it for a $15 copay. Arguably, the surgeons such as myself who do take insurance carry a higher level of ethics (because we are not in it for the big money) and are more experience because we see more patients.

I wish you the best of luck in your search for relief from your pain. Please feel free to visit our website -

www.pelvicpainnewyork.com. You can always reach me directly drlevey@pelvicpainnewyork.com


Dr. Levey to Speak at CHR Grand Rounds

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Dr. Levey will be presenting an innovative and cutting edge lecture on the management of complicated cases of chronic pelvic and endometriosis. The lecture will take place on May 8th, 2012.

Click Here to  Learn More


New study into a drug used to treat anemia associated with fibroids.

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Watson commences Esmya Phase 3 trial in women with anemia linked to uterine leiomyomas


Fibroids… Whats the danger?

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As a very busy surgeon who sees a high volume of women with fibroids I often get referrals for women in their late 40′s who have completed childbearing with large fibroids. Many of these patients, the patients I am specifically referring  to in this post,  have completed childbearing and expressly no longer desire to have additional children by either natural or assisted reproductivetechnologies. A lot of these patients present requesting to have a myomectomy.

A myomectomy is a procedure performed for the removal of fibroids. This is a procedure that in most cases can be performed laparoscopically with advanced robotic technology. This sounds simple doesn’t it? So, why do I find myself in my office counseling most of these patients that the best and safest surgery for them is a hysterectomy (remember – a hysterectomy does not mean removing the ovaries)?

I have no desire to remove a woman’s uterus if it is not necessary. I have built my practice on allowing my patients to choose from a menu of options. It is not about money because I certainly do not get paid more to do a hysterectomy. And it is certainly not about my enjoyment of surgery because a difficult myomectomy is far more interesting to me than a hysterectomy. So, what’s the story?

This all comes down to one very important concept in surgery and surgical decision making – RISK VERSUS BENEFIT.

In performing a myomectomy on a large uterus with multiple fibroids (evenif it is done with an open technique) there can be very large amounts of blood loss. Is it really worth the risk of massive blood transfusion, possible transfusion reaction, hypovolemic shock, blood transfusion associated infections, possible need for an intensive care unit stay just to perform a procedure that saves an organ with no future value (ie childbearing)? I don’t think so and I think most of my patients agree.

In performing a myomectomy on a large uterus with multiple fibroids there can be at least double the infection risk for post-operative infections versus a hysterectomy. Is it really worth the risk to have to possibly go back to the operating room for repeat surgery, abscess drainage, prolonged hospital stay, prolonged IV antibiotics and possible need for hysterectomy to treat the infection? I don’t think so.

So, when we are counseling you to have a hysterectomy instead of a myomectomy and you have no desire to have children in the future – it is for your safety and benefit.

Please feel free to email me with any questions – drlevey@pelvicpainnewyork.com. I am happy to review your imaging and set up a phone / video consultation or see you in the office to find the best way to manage your fibroids.