Plano Urogynecology Associates' Dr. J. Kyle Mathews Sets His Sights on Single Site Surgery

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Dallas Area Urogynecologist Performs Single Site Hysterectomies, Attends AAGL to Collaborate with Peers Doing the Same

Dr. J Kyle Mathews Plano Urogyn

Dr. J Kyle Mathews

I think robotic surgery is easier on the patient and safer from the standpoint that I can see what I am doing (with the advanced visualization tools on the robot)

The American Society of Gynecologic Laparoscopists, AAGL, convenes its annual global meeting this month and Dr. J. Kyle Mathews will join fellow surgeons in the shared pursuit of “advancing minimally invasive gynecology worldwide.” This includes the new single site hysterectomy.

An experienced urogynecologist, founder of Plano Urogynecology Associates and Fellow of the American College of Surgeons, Dr. Mathews regularly attends industry conferences to continue to perfect his practice.

“This is my first time to attend AAGL, and I am looking forward to delving into a full schedule of programs, including live, interactive surgical sessions and offerings on the surgical services I perform everyday, including robotic and minimally invasive surgery for pelvic organ issues, urinary incontinence, prolapse and fibroids.

During live surgeries, physicians will watch and learn about new approaches to treating deep, infiltrative endometriosis, a hysterectomy involving an enlarged uterus and robotic surgical treatment of endometrial cancer.

Moving away from morcellators

The AAGL Great Debate session will give physicians an opportunity to weigh the pros and cons of three approaches to hysterectomy: open, vaginal and robotic.

Dr. Mathews expects the discussion to include controversial topics in minimally invasive surgery, including morcellation, a technique used in hysterectomy to break down the uterus or fibroids prior to removal during laparoscopic surgery. Morcellators were connected with increased rates of cancer when the cells were “stirred up” by the surgical tool’s rotating blade.

“I expect that we will discuss tissue extraction associated with open or laparoscopic surgery and alternative techniques such as threading the uterus out through the umbilicus,” says Dr. Mathews. “There is also talk about taking out the fallopian tubes but leaving the ovaries in conjunction with hysterectomy to reduce the risk of ovarian cancer.”

In his Plano urogynecology office, he considers hysterectomy only as a last resort and generally favors robotic or laparoscopic approaches.

“There is also some discussion among gynecologic surgeons as to the cost of robotic surgery, and its effectiveness versus a vaginal approach, but I believe that robots are here to stay. I think robotic surgery is easier on the patient--and safer from the standpoint that I can see what I am doing, versus vaginally.”

He adds that robotic surgery is one more tool in the toolbox, but every patient deserves a customized approach to achieve optimal results.

J. Kyle Mathews, MD is founder of Plano Urogynecology Associates, Plano OBGyn Associates and the Institute for Aesthetic Vaginal Surgery. He has provided state-of-the-art care for women in Plano since 1992. Contact Dr. Mathews at 972-781-1444 or visit

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