vNOTES Treatment in Atlanta, GA 

What if you could have less pain, a faster recovery, and no scars? 

WHAT IS vNOTES? 

You play an important role in your surgery and your recovery. Research shows that patients who are well informed about their treatment options enjoy a better outcome and are more satisfied with their results. 

vNOTES (vaginal natural orifice transluminal endoscopic surgery) is another option to consider for your hysterectomy. It is the next advancement in minimally invasive surgery and does not require abdominal skin incisions. 

In the vNOTES procedure, your doctor uses specialized instruments inserted through the vagina instead of creating visible abdominal incisions in the body. This allows your doctor to gain access to the uterus and/or fallopian tubes and ovaries without any visible scarring. 

vNOTES PROCEDURES 

• Hysterectomy 

• Bilateral Salpingectomy 

CONDITIONS TREATED BY vNOTES 

A vNOTES hysterectomy can treat the following conditions: 

• Abnormal uterine bleeding 

• Chronic pelvic pain 

• Fibroids 

• Prolapse of the uterus 

vNOTES adnexal surgery can be performed for the following indications: 

• Adnexal mass 

• Sterilization — incision-free sterilization 

• Prophylactic ovarian cancer prevention 

WHY vNOTES? 

vNOTES has been shown to provide the following benefits to patients compared to the laparoscopic approach: 

• Shorter hospital stays 

• Faster recovery time 

• Less postoperative pain 

• Less pain medication 

• Incision-free — no visible abdominal scars 

500,000 HYSTERECTOMIES are performed each year in the U.S. 

The average age a woman receives a hysterectomy is 40–45 years old 

WHAT SETS US APART 

At our clinic , we are proud to offer vNOTES — a truly incision-free approach to gynecologic surgery. Unlike traditional laparoscopic procedures, vNOTES leaves no abdominal scars and is performed entirely through the vagina. This means: 

• Incision-free hysterectomy 

• Incision-free sterilization 

• Incision-free prolapse repair 

• Less pain, faster recovery, and no visible scarring 

WHAT TO EXPECT WITH vNOTES 

BEFORE THE PROCEDURE 

Your doctor will advise you on any pre-surgical tests and give you guidelines for eating, drinking, and taking medications. 

DURING THE PROCEDURE 

• vNOTES is performed under general anesthesia, so you will be asleep throughout the procedure. 

• An incision is made in the vagina, and a specialized vNOTES device is placed to provide your doctor with access to the uterus and/or fallopian tubes and ovaries. 

• The abdomen is inflated with carbon dioxide gas (similar to traditional laparoscopic surgery) to give your doctor the necessary space to see and operate. 

• A high-definition camera and specialized instruments are inserted through the vNOTES device, allowing your doctor to operate with the utmost precision and visualization. 

• Once the surgery is complete, the vNOTES device is removed, the gas is evacuated, and all internal incisions are closed. 

AFTER THE PROCEDURE 

You may be discharged on the same day as your procedure. Your doctor will advise you on your recovery and schedule a follow-up appointment. 

SURGICAL SOCIETY RECOMMENDATIONS 

The following surgical societies have recommended vaginal hysterectomy, whenever feasible, as the approach of choice: 

• American College of Obstetricians and Gynecologists (ACOG) 

• American Association of Gynecologic Laparoscopists (AAGL) 

INCISION-FREE STERILIZATION 

vNOTES offers a modern, incision-free approach to sterilization. Rather than requiring abdominal incisions, this procedure is performed entirely through the vagina — with no visible scarring and a faster return to everyday life. 

INCISION-FREE PROLAPSE REPAIR 

For women experiencing pelvic organ prolapse, vNOTES provides an incision-free solution via uterosacral ligament suspension. This minimally invasive approach allows your surgeon to address prolapse without external incisions, while maintaining precise visualization throughout the procedure. 

TALKING WITH YOUR DOCTOR 

Only a trained doctor can determine whether you are eligible for a vNOTES procedure. All minimally invasive surgical procedures, including vNOTES, present risks to the patient, such as the potential for conversion to a traditional vaginal, laparoscopic, or abdominal approach. These specific risks may only be evaluated in consultation with a doctor experienced in vNOTES procedures. 

SURGERY STATISTICS 

Hysterectomy 

• In the U.S., about 500,000 hysterectomies are performed each year. 

• The average age a woman receives a hysterectomy is 40–45 years old. 

Adnexal Surgery 

• vNOTES provides better access to the fallopian tubes and ovaries compared to vaginal surgery. 

• As recent data points to the fallopian tube as the origin of most high-grade serous ovarian cancers, removal of the fallopian tubes can significantly reduce the risk of ovarian cancer. 

• Reports of successful adnexa removal by the traditional vaginal approach vary greatly, with failure rates ranging from 22 to 36%. 

• Compared to the traditional vaginal approach, vNOTES may facilitate the successful removal of the fallopian tubes due to the benefits of improved access and visualization. 

Pelvic Organ Prolapse Repair 

• While only 3–6% of women in the U.S. report symptoms associated with pelvic organ prolapse, data shows that up to 50% of women present with pelvic organ prolapse on examination. 

• vNOTES offers a minimally invasive way to address pelvic organ prolapse via uterosacral ligament suspension. 

• vNOTES allows the surgeon to visualize the ureter as they place suspensory sutures beneath the uterosacral ligament. This direct visualization can lead to decreased ureteral kinking during USLS when compared to a vaginal approach. 

Schedule an vNotes Consultation in Atlanta, GA 

Dr. Joye K. Lowman is board-certified in Obstetrics and Gynecology and is highly experienced in performing vNotes procedures. Contact our clinic today in Atlanta GA to schedule an appointment. Call us at (404) 963-1544.