Expert Minimally Invasive Gynecologic Surgery at China's Premier Women's Hospital
The Department of Minimally Invasive Gynecology at Fudan University Obstetrics and Gynecology Hospital (Red House Hospital / 红房子医院) — affiliated with Fudan University — is one of China's most distinguished minimally invasive gynecology centers, with a national reputation for excellence in robotic and laparoscopic surgery for uterine fibroids, endometriosis, adenomyosis, hysteroscopic surgery, and the management of complex benign gynecologic conditions. With one of China's highest-volume robotic gynecologic surgery programs, the department combines outstanding surgical expertise with a world-class research program, offering international patients access to some of China's most eminent minimally invasive gynecologic surgeons. China Medical Concierge Shanghai (CMCS) provides seamless end-to-end coordination for international patients throughout their gynecologic surgical care journey.
About the Department
The minimally invasive gynecology department is a national key clinical specialty operating dedicated gynecologic surgery wards, multiple robotic and laparoscopic operating theaters (da Vinci Xi), a hysteroscopy suite, an endometriosis center, a uterine fibroid program, an Asherman's syndrome program, and works in close collaboration with reproductive medicine, maternal-fetal medicine, gynecologic oncology, and urogynecology through a fully integrated multidisciplinary team.
Uterine Fibroids (Leiomyoma)
Medical Management
- GnRH Agonists — Leuprolide; goserelin; triptorelin; pre-operative downsizing; add-back therapy for long-term use; menorrhagia control
- GnRH Antagonists — Elagolix + estradiol/norethindrone acetate (Oriahnn) for heavy menstrual bleeding; relugolix + estradiol/norethindrone acetate (Myfembree); oral; no flare effect; rapid onset
- Ulipristal Acetate — Selective progesterone receptor modulator; pre-operative treatment; intermittent long-term treatment
- Tranexamic Acid — For heavy menstrual bleeding; non-hormonal; cycle-only use
- LNG-IUD — For menorrhagia with small fibroids; Mirena; reduces bleeding without affecting fibroid size
Surgical Management
- Robotic Myomectomy — da Vinci Xi robotic-assisted myomectomy; for large, multiple, or deep intramural fibroids; superior suturing capability vs. laparoscopic; one of China's highest-volume robotic myomectomy programs; fertility-preserving; uterine reconstruction
- Laparoscopic Myomectomy — For subserosal and intramural fibroids; multi-layer closure; morcellation in contained bag; one of China's highest-volume laparoscopic myomectomy programs
- Hysteroscopic Myomectomy — For submucosal fibroids (FIGO type 0, 1, 2); bipolar resectoscope; morcellator (MyoSure, TruClear); one of China's most experienced hysteroscopic myomectomy programs
- Robotic/Laparoscopic Hysterectomy — Total and subtotal laparoscopic hysterectomy; robotic hysterectomy; for completed family or failed conservative treatment; one of China's highest-volume minimally invasive hysterectomy programs
- Uterine Artery Embolization (UAE) — Coordination with interventional radiology; for symptomatic fibroids in women not desiring surgery; bilateral UAE; PVA particles; tris-acryl gelatin microspheres
- MR-Guided Focused Ultrasound (MRgFUS) — Non-invasive fibroid ablation; ExAblate; for selected symptomatic fibroids; no incision; outpatient procedure
Endometriosis
Fudan University OB/GYN Hospital's endometriosis program is one of China's most comprehensive:
Medical Management
- Hormonal Suppression — Combined oral contraceptives; progestins (dienogest — Visanne; norethindrone; medroxyprogesterone); LNG-IUD; GnRH agonists + add-back; GnRH antagonists (elagolix — Orilissa; relugolix; linzagolix)
- Pain Management — NSAIDs; COX-2 inhibitors; gabapentin; pregabalin; amitriptyline; multidisciplinary pain management
Surgical Management
- Laparoscopic Excision — Complete excision of endometriotic lesions; peritoneal endometriosis; ovarian endometrioma (cystectomy); deep infiltrating endometriosis (DIE); one of China's most experienced endometriosis excision programs
- Deep Infiltrating Endometriosis (DIE) — Rectovaginal endometriosis; uterosacral ligament; bladder endometriosis; ureteral endometriosis; bowel endometriosis (shaving, disc excision, segmental resection); one of China's most experienced DIE surgery programs
- Robotic Endometriosis Surgery — da Vinci Xi for complex DIE; superior visualization and dexterity for rectovaginal and bladder endometriosis; one of China's most experienced robotic endometriosis programs
- Ovarian Endometrioma — Laparoscopic cystectomy (stripping technique); plasma energy ablation; PRF (platelet-rich fibrin) for ovarian reserve preservation; one of China's most experienced endometrioma surgery programs
- Fertility-Enhancing Surgery — Adhesiolysis; tubal surgery; endometrioma cystectomy before IVF; coordination with reproductive medicine
Adenomyosis
- Medical Management — LNG-IUD (Mirena) for menorrhagia and dysmenorrhea; GnRH agonists; dienogest; GnRH antagonists; combined OCP
- Surgical Management — Adenomyomectomy (cytoreductive surgery) for focal adenomyosis; robotic and laparoscopic adenomyomectomy; uterine reconstruction; one of China's most experienced adenomyomectomy programs; fertility-preserving
- MRgFUS for Adenomyosis — Non-invasive focused ultrasound ablation; symptom relief; fertility preservation; one of China's most experienced MRgFUS adenomyosis programs
- UAE for Adenomyosis — Coordination with interventional radiology; symptom control; not recommended for fertility preservation
Hysteroscopic Surgery
Fudan University OB/GYN Hospital's hysteroscopy program is one of China's most comprehensive and highest-volume:
- Asherman's Syndrome (Intrauterine Adhesions) — Hysteroscopic adhesiolysis; sharp dissection; energy-based dissection; post-operative estrogen + progesterone; intrauterine balloon or IUD; amnion graft; platelet-rich plasma (PRP) infusion; stem cell therapy for severe Asherman's; one of China's most experienced Asherman's programs
- Uterine Septum — Hysteroscopic metroplasty; complete and partial septum resection; scissors or energy; post-operative estrogen; one of China's most experienced septum resection programs
- Endometrial Polyps — Hysteroscopic polypectomy; morcellator (MyoSure); targeted biopsy; recurrence prevention
- Submucosal Fibroids — Hysteroscopic myomectomy; bipolar resectoscope; morcellator; FIGO type 0-2
- Endometrial Ablation — For menorrhagia in women not desiring fertility; NovaSure; ThermaChoice; resectoscopic ablation
- Hysteroscopic Sterilization — Essure (historical); hysteroscopic tubal occlusion
- Diagnostic Hysteroscopy — Office hysteroscopy; vaginoscopic approach; targeted biopsy; evaluation of abnormal uterine bleeding; recurrent implantation failure workup
Laparoscopic Tubal Surgery
- Tubal Ectopic Pregnancy — Laparoscopic salpingostomy (fertility-preserving); salpingectomy; methotrexate for selected cases; one of China's highest-volume ectopic pregnancy surgery programs
- Tubal Factor Infertility — Laparoscopic salpingolysis; fimbrioplasty; neosalpingostomy; salpingectomy before IVF for hydrosalpinx; coordination with reproductive medicine
- Tubal Reversal — Laparoscopic and robotic tubal reanastomosis; microsurgical technique; success rates based on remaining tubal length
Ovarian Surgery
- Ovarian Cystectomy — Laparoscopic cystectomy for benign ovarian cysts; dermoid cyst; serous and mucinous cystadenoma; endometrioma; ovarian reserve preservation
- Ovarian Torsion — Laparoscopic detorsion; cystectomy; oophoropexy for recurrent torsion; fertility preservation
- Borderline Ovarian Tumors — Fertility-sparing surgery (cystectomy or unilateral salpingo-oophorectomy); staging; coordination with gynecologic oncology
Why International Patients Choose Fudan University OB/GYN Hospital Minimally Invasive Gynecology
- China's Highest-Volume Robotic Gynecologic Surgery — One of China's highest-volume da Vinci robotic myomectomy and hysterectomy programs
- Deep Infiltrating Endometriosis Expertise — One of China's most experienced DIE surgery programs; robotic rectovaginal and bladder endometriosis
- Asherman's Syndrome Program — One of China's most experienced programs; PRP infusion; stem cell therapy for severe cases
- MRgFUS for Fibroids & Adenomyosis — Non-invasive focused ultrasound ablation; no incision; fertility preservation
- GnRH Antagonists — Elagolix and relugolix-based oral regimens for fibroid-related heavy menstrual bleeding
- Cost-Effectiveness — World-class minimally invasive gynecologic surgery at significantly lower cost than equivalent treatment in Western countries
The CMCS Patient Journey
- Initial Inquiry — Share your gynecologic diagnosis, ultrasound and MRI reports, symptom history, and fertility goals with CMCS.
- Medical Record Preparation — We translate and organize your records for specialist pre-consultation review.
- Specialist Matching — We identify the most appropriate minimally invasive gynecologic surgeon based on your condition — fibroids, endometriosis, adenomyosis, hysteroscopic surgery, or tubal surgery.
- Priority Scheduling — We secure a consultation and surgical slot with minimal waiting time.
- Travel & Logistics — Assistance with visa invitation letters, accommodation near Fudan University OB/GYN Hospital, and Shanghai airport transfers.
- Pre-Operative Assessment — Full coordination of pre-operative MRI, ultrasound, and anesthesia assessment.
- Surgical Coordination — Full coordination of robotic or laparoscopic surgical admission and post-operative care.
- Post-Operative Follow-Up — Surgical report translation, pathology result interpretation, and remote follow-up coordination after you return home.
Book a Consultation
If you have uterine fibroids, endometriosis, adenomyosis, Asherman's syndrome, a uterine septum, or require any minimally invasive gynecologic procedure — CMCS can arrange a specialist consultation with Fudan University OB/GYN Hospital's minimally invasive gynecology team in Shanghai.
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