Clinical and surgical activity

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My main clinical interests are mini-invasive and robotic gynecologic surgery, gynecologic oncology surgery, pelvic floor reconstructive surgery and gynecologic and reproductive endocrinology.

I have dedicated myself to mini-invasive techniques in gynecologic surgery. These techniques decrease the impact of major surgical procedures on the patient, reducing pain, functional limitation and scars. I use laparoscopy to perform highly complex procedures, such as the surgical treatment of uterine, ovarian and cervical cancers, pelvic and lombo-aortic lymphadenectomy, to remove very large uteri, to perform complex miomectomies, advanced and deeply invasive endometriosis and for the reconstruction of complex pelvic organ prolapses. I also have a large experience with traditional “open” surgery applied to gynecologic diseases and particularly to the treatment of advanced stage ovarian cancer. I am an expert in vaginal and vulvar surgery, both for benign as well as for oncological applications, with a broad personal experience in reconstructive and plastic surgical techniques applied to complex pelvic floor defects or to the complex vulvar cancer surgical applications. I have experience in complex and rare surgical techniques, such as the treatment of complex Mullerian anomalies including the creation of artificial neovaginas. I have performed more than 10.000 high-complexity surgical procedures.

I have a great passion for robotic surgery, which provides enormous advantages in terms of precision and surgical accuracy in highly complex situations, allowing to extend the limits of applications of the mini-invasive approach. I am one of the most experienced Italian surgeons in robotic benign and oncologic gynecologic surgery. I am the first Italian surgeon and one of the few in the World to apply this innovative technology to the reconstruction of complex pelvic floor defects.

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I lead one of the main Italian centers for the diagnosis and treatment of pelvic organ prolapse and female incontinence and pelvic floor diseases. The center uses a multidisciplinary approach for the workup and treatment of these complex and invalidating female diseases. I am an expert in all the transvaginal surgical reconstructive techniques for pelvic organ prolapse and urinary incontinence, both with native tissues and as well as with meshes. I also dedicate myself to integrated uro-gynecologic and proctologic surgery for the management of multi-compartmental pelvic floor defects.

I have a broad interest in gynecologic and reproductive endocrinology and for menopausal medicine, and i belong to the governing Boards of the main Scientific Societies in this area.

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