River City OBGYN surgical services

Dr. Paoloni provides a spectrum of gynecological procedures in the Richmond, Virginia area, including Fort Lee. Services range from minimally invasive laparoscopic supracervical hysterectomies to ovarian cystectomy. Dr. Paoloni is a highly trained, board certified gynecological surgeon who will provide you with the newest and best options for in-office, outpatient or inpatient surgical procedures. He specializes in many minimally invasive surgical procedures, which will shorten your recovery time and help you get back to a healthy, active life style.

We provide comprehensive care for women with conditions including uterine fibroids, abnormal uterine bleeding, pelvic pain, endometriosis, pelvic organ prolapse, cervical incompetence and ovarian cysts – offering the latest minimally invasive options for these conditions.

A loop electrosurgical excision procedure (LEEP) is a way of both diagnosing and treating cervical abnormalities at the same time. During LEEP, a lighted magnifying microscope called a colposcope is used to visualize the cervix. The doctor uses an instrument with a thin, electrified wire loop. As this loop removes the abnormal tissue, it also cauterizes the blood vessels to control bleeding.

An ectopic pregnancy is a pregnancy that takes place outside the uterus. When the embryo implants in the fallopian tube, usually there is not enough blood flow to keep the embryo healthy and it dies. Ectopic pregnancy may be treated in several ways depending on whether the fallopian tube has ruptured or not, the development level of the pregnancy, and the mother’s hormone levels.

A cystoscopy is a procedure that can either be performed in the office or as part of another surgical procedure. This allows Dr. Paoloni to look inside the lower urinary tract and collect a urine sample from the bladder. This procedure uses a cystoscope which is an optic instrument with lenses and a light on its tip.

Hysteroscopy is a procedure by which the doctor can see inside the uterus by using an instrument called a hysteroscope, which is inserted through the vagina. Common hysteroscopy procedures include the removal of fibroids, the Essure procedure, ablations, and infertility workups

Dilation and curettage (D&C) is a minor surgical procedure that is performed to open and widen the cervix (entrance to the uterus) and remove tissue from the uterus. Removing the uterine contents and lining may help diagnose and treat your problem. Testing this tissue may help Dr. Paoloni understand your condition and suggest further care.

During an endometrial ablation procedure, the lining of the uterus is permanently removed by one of several means to treat heavy periods or other abnormal bleeding caused by fibroids, polyps, endometriosis, or a thickening of the uterine tissue. After a conventional endometrial ablation, a woman generally is able to return to work after three days.

A myomectomy is the removal of benign fibroid tumors from the uterus through incisions in the lower abdomen. Patients can have a single or numerous fibroid tumors. A myomectomy is a treatment that saves the uterus and a woman’s fertility.

A myomectomy is performed for pelvic pain, back pain, anemia caused by the excessive loss of blood during menstrual cycles, pressure on the bladder, abnormal uterine bleeding, difficulty in becoming pregnant, and discomfort with sexual intercourse.

A hysterectomy is the surgical removal of the uterus to treat a range of problems, such as fibroids, excessive menstrual bleeding, and endometriosis. We offer minimally invasive total laparoscopic and laparoscopic supracervical hysterectomies.

da Vinci Surgery is another minimally invasive option for women facing gynecologic surgery. With da Vinci, surgeons make just a few small incisions. The da Vinci System features a magnified 3D high-definition vision system and special wristed instruments that bend and rotate far greater than the human wrist. As a result, da Vinci enables Dr. Paoloni to operate with enhanced vision, precision, dexterity and control.

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Office Hours

  • Monday – Friday
    8:00 am – 5:00 pm


  • Pregnancy

  • Prenatal Visits

  • Labor and Delivery

  • Postpartum

  • Menopause

  • Ultrasound Services

Insurance River City OB/GYN Accepts

  • Aetna

  • Aetna Better Health of VA

  • Anthem

  • Anthem Healthkeepers

  • Cigna

  • Medicaid

  • Medicare

  • Optima/Sentara

  • Tricare EAST

  • United Healthcare

  • VA Premier

  • Virginia Health Network

  • TriCare Prime