NERMAS Surgery

We provide comprehensive surgical care for our clientele, you.  There are many methods used to achieve certain surgical goals, and depending on a long list of factors one or another may be best suited for you, your medical issues, previous surgeries, and your gynecologic concerns.  We are happy to evaluate these issues with you and help you decide on which is the most appropriate for you, or if avoiding surgery is the most appropriate course of action.


A wide variety of problems may need surgical attention, and all have more than one approach available to accomplish whatever needs to happen surgically.  The problems commonly leading to a decision to proceed with surgery include (but are not limited to):

  • Abnormal Bleeding Patterns
  • Endometrial Polyps
  • Leimyoma (Fibroids)
  • Adenomyosis
  • Endometriosis
  • Ovarian Cysts/Masses
  • Adnexal Cysts/Masses
  • Adhesions
  • Pregnancy Problems
  • Uterine Anomaly/Septum
  • Hymen Problems
  • Pain with Periods (Dysmenorrhea)
  • Pain with Intercourse (Dyspareunia)
  • Pain with Urination (Dysuria)
  • Pain with Defecation (Dyschezia)
  • Sudden Severe Pelvic Pain
  • Fallopian Tube Problems
  • Infertility
  • Ectopic Pregnancy
  • Vaginal Septum
  • Bartholin’s Gland Problems


The Surgical Approach Can Vary

Depending on a number of factors the various surgical approaches may or may not apply to you and your situation.  This is why that initial evaluation is so important.  Dr. Clark is the areas most experienced Gynecologic surgeon, and provides a  comprehensive set of options for all these procedures.  The approach(es) may include any one of the following types:

No Surgery:

At times the best option may be to not perform surgery.  Dr. Clark and the team will be happy to discuss this in detail with you so that you can make an informed decision about how best to proceed.


This is a method of doing surgery, which requires no incision.  A small telescope is placed through the vagina, and then through the cervix into the uterus (the womb).  It allows visualization of the inside of the uterus (with the help of a fluid to open up the cavity for viewing).  It can be coupled with several techniques to help with a number of uterine problems.  Dr. Clark and the team will discuss this option and how it might apply to you when you come into the office for that consultative visit.


This method of surgery also utilizes a telescope, but it placed into the abdominal cavity through a small incision, and the cavity is opened up with a gas rather than a fluid.  It allows for a wide variety of potential surgeries to be done (often utilizing additional small incisions), ranging from diagnostic evaluations to hysterectomy.  This technique is used in some from for the majority of the surgeries that Dr. Clark performs, and leaves very small scars.  Dr. Clark and the team will discuss this option and how it might apply to you when you come into the office for that initial (or subsequent) visit.


This is a type of laparoscopy, and utilizes a Robot (the DaVinci system, used in our local hospitals) to assist in the surgery.  Dr. Clark is very experienced in using this tool.  Dr. Clark and his team will be happy to discuss this approach, and how it may or may not be the best choice for your issues and circumstances.

No Scope or Open Surgery:  Sometimes there is not a real way to use a telescope in a surgery (a mass just under the skin for example) or the surgery is better done via a larger incision for some reason.  Through this type of approach virtually any Gynecologic Surgery can be done, and Dr. Clark and the team will also discuss with you the merits of this approach for your situation.

Minimally Invasive Gynecologic and Reproductive Surgery

Our philosophy is to consider the minimally invasive approaches for virtually all that we do in the abdomen or in the uterus because recovery for you is substantially less, allowing you to get back to being a person instead of a recovering patient as soon as is possible!

However, safety will always be our number one priority, and should you need a more aggressive or bigger surgery from a safety point of view for any reason then we will use that approach, even at the cost of greater recovery time.


We provide a full gamut of Gynecologic and Reproductive Surgeries, and do it most often in a minimally invasive approach.  Here is a list of commonly done procedures by Dr. Clark, although this list is not exhaustive:

  • Sampling of the Endometrium, Dilation and Curettage
  • Removal of a Vaginal lesion (for instance a Septum or Cyst)
  • Removal of a Vulvar lesion
  • Removal of Cervical Lesion
  • Colposcopy, with or without Biopsy of Cervix
  • Hysteroscopy, Diagnostic (just to see)
  • Hysteroscopy, Surgical (Myomectomy, Polypectomy, Endometrial Ablation, Removal of Septum, Lysis of Adhesions)
  • Laparoscopy, Diagnostic (just to see)
  • Laparoscopy, Surgical (Cysts/Masses, Evaluate Tubes, Adhesions, Endometriosis, Myomectomy, Hysterectomy, Appendectomy if needed)
  • Robotic, Laparoscopy (Cysts/Masses, Evaluate Tubes, Adhesions, Endometriosis, Myomectomy, Hysterectomy, Appendectomy if needed)
  • Open Abdominal Surgery (Cysts/Masses, Evaluate Tubes, Adhesions, Endometriosis, Myomectomy, Hysterectomy, Appendectomy if needed)

Come In for Consultation Today

Call or contact us to make an appointment now, and we can get started helping you deal with your ongoing issues.