Tina Phyfer Apn

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Map & DirectionsDirections653 N Town Center DrLas Vegas, NV 89144 Write a ReviewWrite Review

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AKA: Phyfer Tina APN
Categories: Physicians & Surgeons, Physicians & Surgeons, Breast Care & Surgery, Physicians & Surgeons, Cosmetic Surgery, Physicians & Surgeons, Dermatology, Physicians & Surgeons, Endocrinology, Diabetes & Metabolism, Physicians & Surgeons, Family Medicine & General Practice, Physicians & Surgeons, Gynecologic Oncology, Physicians & Surgeons, Gynecology, Physicians & Surgeons, Internal Medicine, Physicians & Surgeons, Obstetrics, Physicians & Surgeons, Obstetrics And Gynecology, Physicians & Surgeons, Oncology, Physicians & Surgeons, Plastic & Reconstructive, Physicians & Surgeons, Surgery-General, Physicians & Surgeons, Urology, Surgery Centers

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Phone: (702) 255-3547

Address: 653 N Town Center Dr, Las Vegas, NV 89144

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Tina Phyfer Apn

General Practitioners

Constipation
Urinary Incontinence
Stress urinary incontinence occurs when laughing, sneezing and/or coughing causes urine to escape involuntarily from the body. Because this problem is often embarrassing, patients may put off seeking help from their doctors in a timely manner.

Gynecology
Third- and fourth-year residents from Harbor-UCLA rotate through the LVMIS and Womenâ€™s Pelvic Health Center program for five weeks. This immersion program is designed to advance gynecology training in minimally invasive surgery by participating in the one-on-one mentorship program with master laparoscopists specially trained in MIS gynecology surgery under the direction of Dr. K. Warren Volker.
Female Infertility
Obstetrics
Melissa Gutierrez is native to Albuquerque, New Mexico. She received her Bachelor of Science from Oklahoma State University with a double major in Biology and Spanish. She then earned her medical degree at Boston University School of Medicine. Her residency was completed at Phoenix Integrated Residency in Obstetrics and Gynecology at Saint Joseph's Hospital and Maricopa Medical Center.
Endometriosis
Laparoscopic hysterectomy utilizes the latest, minimally invasive surgical techniques to remove the uterus through very small abdominal incisions. This procedure is indicated for heavy and irregular menstruation that is unresponsive to medical management, symptomatic fibroids, or pelvic pain from endometriosis.
Pelvic Pain
During his residency, Dr. Klein helped develop a new GYN training curriculum with an emphasis on simulation training regarding robotic and laparoscopic surgical techniques while integrating the latest minimally invasive surgery research. He developed a passion for treating patients with chronic pelvic pain, especially related to endometriosis, as he found this patient population to be dramatically underserved and often times inadequately managed.
Pregnancy
Pelvic organ prolapse refers to the drooping or prolapse of pelvic organs, including the bladder, uterus, vagina, small bowel or rectum. It occurs when the muscles and tissues supporting the organs weaken, sometimes as a result of aging, pregnancy and childbirth, hysterectomy, obesity or chronic cough. Symptoms can include painful intercourse, lower backache, urinary leaking, a chronic urge to urinate or constipation.
Labor and Delivery
Without post-op catheterization, bladder suspension surgery is a procedure used to treat urine leakage that occurs when a person sneezes, laughs or coughs â€” a condition called stress incontinence. Childbirth, as well as hormonal changes such as those brought on by menopause, can cause a woman to lose muscle tone along the pelvic floor. This can lead to stress incontinence and a need for bladder suspension surgery.

Urology
As a guest lecturer and preceptor at institutions and industry centers around the world, Dr. Volker provides insight in advanced pelvic, laparoscopic and minimally invasive surgery. Current preceptorships include Ethicon Endo-Surgery University, Ethicon Women's Health and Urology, Olympus Instruments, Wyeth Pharmaceuticals and American Medical Systems, Inc.
Cervical Cancer
Dr. Gutierrez has also taken an interest in international health. She has traveled abroad on medical mission trips to Guatemala and Peru, where she worked with an organization affiliated with the International Cervical Cancer Foundation. Dr. Gutierrez hopes to continue being involved in women's health abroad in the future, as well as bring excellent care to the women of Nevada.
Interstitial Cystitis
To provide the best care for her patients, she specializes in treating a wide range of female pelvic ailments, such as pelvic organ prolapse, urinary and fecal incontinence, voiding difficulties, interstitial cystitis, pelvic pain, mesh erosions and fistula repairs. She is also highly regarded in vaginal reconstruction surgery, as well as non-surgical treatments for these conditions.

Endocrinologist

Endocrinology

General Surgery
Minimally Invasive Surgery
Las Vegas Minimally Invasive Surgery and Womenâ€™s Pelvic Health Center is the regionâ€™s leading provider of advanced surgical techniques that involve less scarring, faster recoveries and increased efficacy. LVMIS-WPHC is recognized as a center of excellence in minimally invasive surgery, including robotic sacrocolpopexy. We offer extensive education on the many available treatment options and support each patientâ€™s optimal health choice. View Our Services
Robotic Surgery
Dr. Gutierrez takes special interest in advanced pelvic surgery, laparoscopic and robotic surgery. Dr. Gutierrez is also actively involved in clinical research, and works with residents from UCLA Harbor and University of Nevada School of Medicine.
Hysterectomy
The laparoscopic supracervical hysterectomy is a procedure where tissue is removed from the body through a tiny incision of about 14 millimeters. The procedure does not require the surgeon to suture, and with no stitches required, the healing process for the patient is often easier. Patients seldom need pain medication after the laparoscopic supracervical hysterectomy because the procedure is so simple.
Endometrial Ablation
Endometrial ablation is typically done on an outpatient basis, with a recovery time of a few days to two weeks. Younger women are less likely than older women to respond to endometrial ablation, and are more likely to continue to have periods and/or need a repeat procedure
Laparoscopy
Nestled in the one of the nation's most dynamic cities, the Minimally Invasive Gynecologic Surgery (MIGS) Fellowship Program at Las Vegas Minimally Invasive Surgery (LVMIS) is attracting international attention. Our program specializes in the latest minimally invasive surgical and non-surgical treatments for gynecologic and uro-gynecologic issues. Each faculty member of LVMIS has specialized skills that contribute to the overall fellowship learning experience, including vaginal surgery, traditional laparoscopy, hysteroscopy, pelvic reconstruction, and robotics, as well as minimally invasive office-based procedures. Through strategic collaboration with WellHealth Women's Specialty Care, residency programs including Harbor-UCLA and University of Nevada School of Medicine and local hospitals, our fellows are also able to operate with local expert surgeons in multiple disciplines, with the latest and greatest technology, in the most cutting-edge surgical suites. Additionally, through referrals to the Women's Pelvic Health Center, which generates an average of 5,000 surgeries on an annual basis, the LVMIS fellowship program is able to offer fellows a high volume and variety of cases.
Reconstructive Surgery
Her remarkable talent and passion for patient care continued to earn her recognition, and she received the American Urogynecologic Society's (AUGS) Excellence in Female Pelvic Medicine and Reconstructive Surgery award in 2014, and also the Society of Laparoendoscopic Surgeons' award (SLS) for Outstanding Laparoendoscopic Resident in 2015.

Plastic Surgeons

Breast Surgery
Laparoscopic Surgery
Laparoscopic Surgery involves the use of 1-4 small incisions on the abdomen, through which tiny cameras, lights, and surgical tools are threaded by way of an entry â€œportâ€ called a trocar. In laparoscopic surgery, the surgeon views the inside of the abdomen on a video screen in the operating room while also manipulating surgical tools like graspers and scissors from outside of the abdomen. In some cases, laparoscopic surgery may involve the use of a robot, in which case the surgeon sits at a video station near the patient and manipulates surgical tools that are connected to the arms of the robot remotely.

Cyst

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