Osama Badran, M.D., FACOG

The best laparascopic surgeon in Jordan that provides Laparoscopic surgery for Genital Prolapse, Urinary Incontinence, Uterine Fibroids, ovarian cysts and blocked tubes, endometriosis, uterine cancer and Aesthetic plastic surgery for the external genitalia in Jordan.

• American Board Certified Gynecologist
• American Subspecialty Degree in Advanced Laparoscopic Gynecologic Surgery
• Chairman of the Gynecology Dept at Interfaith Medical Center/New York

Treatments Offered:

• Laparoscopic Surgery for Uterine Fibroids, Endometriosis, and Ovarian Cysts
• Laparoscopic Surgery for blocked fallopian tubes
• Laparoscopic Surgery for prolapsed uterus without hysterectomy
• Laparoscopic hysterectomy, pelvic and aortic lymphnode dissection for uterine cancers
• Urinary incontinence evaluation (Urodynamics) and surgery
• Genital Aesthetic Surgery

The introduction of the new technology of performing surgical operations via small holes has revolutionized the practice of surgery. This type of surgery is formally called Laparoscopic Surgery, Endoscopic Surgery, or Minimally Invasive Surgery.

When compared to open surgery (surgery via big incision, usually 5-7 inches long), laparoscopic surgery offers patients many benefits including:

• Less post-operative pain
• Shorter hospital stay (ranges from few hours to 48 hours instead of 3-7 days)
• Faster return to normal activities (1-2 weeks instead of 4-6 weeks)
• More cosmetic (small scars if any)

The word laparoscope refers to a type of telescope used to see inside the body. The scope is inserted in to a small ½ inch incision (usually in the umbilical area), while a camera transmits the image to a television screen in front of the surgeon. Instruments used in performing the surgery are then inserted in to additional ¼-1/2 incisions (usually no more than four).

Performing surgery laparoscopically requires different training and skills than those required for open surgery, and although the majority of gynecologists are qualified to perform some of the less complex laparoscopic procedures, a smaller number nationwide have the adequate training and skills to perform the more advanced and complex pelvic procedures.

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Dr.Badran performs his minimally invasive laparoscopic and hysteroscopic procedures in the best private hospitals in Amman.

All the hospitals are State of the art facilities and provide the highest standardof medical care.

Since Dr. Badran is not limited to one hospital, you will be given the opportunity in consultation with Dr. Badran  to choose the hospital that you feel most comfortable with and that would meet your budget needs.

In order to maintain the highestlevel of patient care, Dr. Badran works with specific O.R nursing teams that work with him on regular basis. In addition , Dr. Badran's surgical assistant is his associate Dr. Othman, a board certified gynecologist and an excellent surgeon. AS a team they work together with the utmost level of synchronization and understanding which translates in to excellent surgical outcomes.

The following are the main hospitals that Dr. Badran performs surgery at:

• Alkhalidi Medical Center
• Farah Hospital
• The Arab Medical Center
• The specialty Hospital
• Jordan Hospital
• Amman Surgical Hospital
• The consultancy Hospital
• The Shmaisani Hospital

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Laparoscopic Surgery, Endoscopic Surgery, Minimally Invasive Surgery

• Laparoscopic Surgery for Uterine Fibroids, Endometriosis, and Ovarian Cysts
• Laparoscopic Surgery for blocked fallopian tubes
• Laparoscopic Surgery for prolapsed uterus without hysterectomy
• Laparoscopic hysterectomy, pelvic and aortic lymphnode dissection for uterine cancers
• Urinary incontinence evaluation (Urodynamics) and surgery
• Genital Aesthetic Surgery
• Hysteroscopy : Resection of submucus fibroids and uterine' septum

Laparoscopic Hysterectomy (LH)
Many of the women in need for a hysterectomy are candidates for LH .It is an alternative to the total abdominal hysterectomy which requires a 5-7 inch incision. In the united states, about 70% of the hysterectomies are performed as total abdominal hysterectomies. Most of these can be accomplished laparoscopically when performed by an experienced laparoscopic surgeon.

Supracervical hysterectomy
In the absence of cervical pathology, the body of the uterus can be removed leaving the healthy cervix in place. This procedure requires less surgery than the hysterectomy that includes removal of the cervix (called Total Hysterectomy).

In addition, some scientists believe that preserving the cervix may help maintain a normal sexual function and normal pelvic support  since the nerves and blood supply to the cervix and upper vagina are not interrupted.

Reconstructive Pelvic Surgery
Pelvic organ prolapse refers to a protrusion of a mass through the vagina. The protruding mass can be the uterus (uterine prolapse), the bladder (cystocele),the urethra (urethrocele),the rectum (rectocele), the vaginal apex (vaginal vault prolapse), or bowel (enterocele). Usually it is a combination of some or all these conditions. This creates pelvic pressure, pain , difficulty voiding or controlling the bladder, or difficulty in having bowel movements. The protruding mass ,if neglected, can bleed, get ulcerated or get infected.
The surgery involves using permanent sutures or mesh to anchor the vaginal wall to strong pelvic structures ,also ,frequently, surgery for urinary incontinence is performed at the same time. Hysterectomy can also be performed at the same time if necessary, it is not a must though, even in the presence of uterine prolapse, the uterus can be anchored to deep pelvic structures rather than removed if so desired. The medical terms used to describe these procedures include the following:

• laparoscopic uterine suspension (treatment of uterine prolapse).
• laparoscopic vaginal vault suspension (treatment of posthysterectomy vaginal vault prolapse or when hysterectomy is performed at the same time.
• laparoscopic paravaginal suspension (treatment of cystocele).
• laparoscopic Burch procedure , and laparoscopic suburethral sling (treatments for urinary incontinence).
• laparoscopic enterocele repair.

Urinary Incontinence Surgery
The involuntary leakage of urine is abnormal at any age. There are several types of urinary incontinence, but the most common among women is called "stress incontinence" which refers to loss of urine when straining (e.g. laughing , coughing, sneezing, etc). There are non-surgical methods for treatment of this condition including pelvic muscle exercises, medications and hormonal replacement if indicated. However, if conservative therapy does not yield satisfactory results, then surgery could be the right option. The procedures that are commonly used for this condition are:

• Suburethral sling procedure in which a mesh strip is placed under and around the sides of the urethra to stabilize it. This can be accomplished in a minimally invasive procedure called TVT (Tension Free Vaginal Tape) which requires two small band aid incisions just above the pubic bone and a small incision under the urethra. When other laparoscopic pelvic procedures are necessary, the sling procedure can be done through the laparoscope.
• Laparoscopic Burch procedure:  In this procedure, sutures are placed on the sides of the urethra to stabilize it. This is done laparoscopically and does not require the use of a mesh.Preoperative evaluation determines which procedure would be more appropriate. Sometimes, the patient has other pelvic prolapse conditions that must be corrected at the same time in order to achieve best results. In other words, surgery for urinary incontinence can be one part of a more comprehensive  pelvic reconstructive procedure. (see laparoscopic pelvic reconstructive surgery for prolapse).

Endometriosis Surgery

• Endometriosis refers to a condition in which glands similar to those lining the uterine cavity (endometrium) are present inside the pelvis and abdomen or less often in other parts of the body.
• The usual symptoms include cyclic or persistent pelvic pain , painful intercourse, and painful heavy menses.
  In addition ,there is an association between endometriosis and infertility.
• Treatment of endometriosis can be medical with hormones, surgical by resection of the endometriosis tissue from the surrounding normal tissue. Sometimes, endometriosis is very extensive, involving the ovaries, tubes, the rectum ,the culdesac (the pouch between the uterus and rectum) or the bladder requiring extensive resection .It is vital to have an experienced surgeon perform the surgery when dealing with extensive endometriosis. Medical treatment frequently helps with the symptoms but most of the times does not eradicate the disease. Symptoms may recur after discontinuation of medical treatment.

Fibroid Surgery
A fibroid is a benign tumor of the uterine wall, it can be single or multiple, small or large and can involve any part of the uterus. About 20% of women over the age 35 have fibroid tumors. The symptoms include pelvic pain and heavy menses. During pregnancy, fibroids tend to grow in size and may lead to complications such as spontaneous abortion or preterm labor.
When symptomatic and small, medical therapy may control the symptoms. Otherwise, fibroids can be removed by a procedure called myomectomy in which the fibroid is shelled out of the uterine wall . Depending on the size, number, and location of the fibroids, the surgeon will decide on how to remove the fibroids ( laparoscopically or open). For patients who completed their families,  hysterectomy is usually an option.

Another procedure for fibroid treatment involves cauterization of the fibroid using needle electrodes, this makes it shrink and ultimately less symptomatic.

A new procedure called fibroid embolization performed by invasive radiologists (not gynecologists) seems to be promising. During the procedure, the artery feeding the fibroid is occluded with a synthetic material. The technique is similar to some extent to cardiac cathetarization. This procedure makes the fibroid shrink and improves the symptoms.

Ovarian and Tubal Surgery
Surgery on the ovaries and the fallopian tubes is sometimes necessary.The usual indications include ovarian cysts, tubal ectopic pregnancy, endometriosis, infertility, and adhesions. In the presence of pelvic adhesions, the surgery can be difficult. Meticulous dissection may become necessary to guarantee removal of all the ovarian cyst wall or all of the ovary or tube when indicated. Also, the ureter which runs close to the ovary may need to be identified and dissected out to prevent its injury during the course of surgery.
Following the laparoscopic procedure, the patient is usually allowed to go home the same day.

Laparoscopic surgery for gynecologic cancers
In selected cases of gynecologic malignancies (cancer), the surgical procedure can be performed via the laparoscope including the pelvic lymph node dissection and omentectomy.

Aesthetic plastic surgery (beautification) of the external genitalia

• Labial reduction: In some women, the labia minora can be larger than what a woman considers aesthetically acceptable and on occasions, it can cause discomfort and irritation of the skin. In such situations, surgical labial reduction can be achieved in a certain way that does not affect the natural look, shape or color of the skin. backpack bag laptop
• Fat transfer: As the body ages, the skin of the external genitalia loses its elasticity and becomes redundant. To achieve a fuller and more youthful appearance, fat removed from other parts of the body , such as the abdominal wall, is injected under the skin of the external genitalia. 

Hysteroscopy

• This is visualization of the inside of the uterus (the endometrial cavity) to help diagnose and treat certain conditions such as submucus fibroids and polyps that protrude in to the uterine cavity. These can cause abnormal bleeding and pain.
• This is accomplished using a telescope called a hysteroscope. It is introduced through the vagina and cervix in to the uterine cavity (no incisions needed) The uterine cavity is kept open using saline or other types of fluids. If a fibroid or a polyp is present, it can be excised at the same session if appropriate.

Please Click here to request more information from Dr. Osama Badran.

Osama Badran, M.D., FACOG

• American Board Certified Gynecologist
• American Subspecialty Degree in Advanced Laparoscopic Gynecologic Surgery
• Chairman of the Gynecology Dept at Interfaith Medical Center/New  York

Dr. Badran is an American Board certified gynecologist. He became a diplomate of the American board of obstetrics and Gynecology in 1996.Since then he has been recertified on yearly basis and his recertification is up to date. He is a  graduate of the obstetrics and gynecology residency program at the University of Minnesota in 1994. Dr.Badran had formal fellowship training in advanced laparoscopic gynecologic surgery at the Chattanooga womens laser center in Chattanooga,Tennessee, in the U.S.A under the directorship of Dr. C.Y.Liu for the year 1997. His mentor Dr. Liu is an internationally renowned laparoscopic pelvic/Gynecologic surgeon who currently serves as the president of the American Association of Gynecologic laparoscopists (AAGL) for the year 2010. Dr. Badran worked in the U.S.A as a consultant gynecologic surgeon and laparoscopic surgeon for 10 years including becoming the chairman of the ob/gyn department at Interfaith Medical Center, Brooklyn, New York for 3 years from 2001 till 2004.

Dr.Badran is Currently in private practice in Amman-Jordan. His practice is limited to minimally invasive surgical Gynecology covering a wide range of laparoscopic and hysteroscopic  procedures in the areas of general gynecology, urogynecology and gynecologic oncology. In addition to his private practice, Dr. Badran is gynecologic oncology consultant at the King Hussein Cancer center in Amman-Jordan, a well known and respected regional cancer center.

Dr. Elham Othman M.D.
Dr. Othman is the associate of Dr. Badran and the director of the assisted reproduction and I.V.F services. She is an obstetrician and gynecologist with board certification by the Jordanian Board of Obstetrics and Gynecology. Dr.Othman had formal fellowship training  in assisted reproduction and I.V.F. at the University of Chicago Medical Center in Chicago, Illinois, U.S.A in 2003.

Dr. Othman is a very experienced I.V.F specialist providing a full range of assisted reproduction services including Intra Cytoplasmic Sperm Injection (ICSI) and sex se ection.

Dr. Othman is also an experienced laparoscopic gynecologic surgeon  who works veryclosely with Dr. Badran.

Please Click here to request more information from Dr. Osama Badran.