Doctor Rich

Doctor Rich Doctor Rich He is a certified Center of Excellence surgeon and one of only 25 da Vinci Epicenter program directors in the United States.

Texas Urogynecology & Laser Surgery Center provides expert and compassionate gynecology care to women in all stages of their lives and offers comprehensive diagnostic and treatment services for pelvic floor disorders. Dr. Farnam is board certified in both Obstetrics & Gynecology and Female Pelvic Medicine & Reconstructive Surgery (Urogynecology) and is a leader in the field of Minimally Invasive Gynecology and Laser Surgery.

07/28/2026

Wondering why your pelvic pain is agonizing yet your ultrasound or MRI came back completely normal? 🩺✨ You aren't crazy, and your doctor may be missing the truth about endometriosis! In this video I break down why standard imaging routinely misses superficial implants and why the average woman waits about 7 years for a diagnosis.

If you've been handed a normal scan and a shrug, you're dealing with a deeply misunderstood disease. Learn why your symptoms matter more than a machine's resolution limit!

💬 Have you ever been told your scan was normal while in severe pain? Let's talk in the comments!

✨ About Your Host: Dr. Richard Farnam, MD, is a pioneer in robotic surgery and patient advocacy, dedicated to transparent medical education.

07/25/2026

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07/21/2026

Discover how advanced minimally invasive robotic surgery is changing lives by safely removing large fibroids and massive pathologies through tiny incisions! 🤖✨

If you've been told your fibroids or uterine conditions are too large for anything other than a harsh open incision, this video is for you. As a board-certified specialist, Dr. Crable has spent years pushing the boundaries of robotic myomectomies and hysterectomies—removing up to 15 lbs with absolute precision so patients can get back to living without pain.

🩺 We live in an incredible medical era where massive pathologies don't automatically mean long, painful recoveries. Whether you are dealing with heavy bleeding, severe pelvic pressure, or looking into your surgical options, knowledge is your greatest asset. Let's break down what is truly possible with modern robotic technology and how we protect your health while keeping your recovery fast and minimally invasive.

✨About Your Host: Dr. Richard Farnam, MD, is a pioneer in robotic surgery and patient advocacy, dedicated to providing transparent, expert-level medical education for women everywhere.

07/18/2026

Tag your favorite nurse 👩‍⚕️ ❤️‍🩹

07/16/2026

Looking for real answers on large fibroids and robotic myomectomy surgery? 🩺✨

If you’ve been told that a major open incision or an immediate hysterectomy is your only choice, it's time to change the narrative. In this unscripted podcast episode, Dr. Rich sits down with DFW master robotic surgeon and author Dr. Quanita Crable to break down advanced, minimally invasive treatments for complex uterine conditions. Together, they reveal how massive benign pathologies—including a record-setting 13-pound fibroid and a staggering case of 125 individual fibroids—can be safely addressed through tiny incisions, allowing patients to head home the same day. 🏥💪

We pull back the curtain on:
🩸The diagnostic limitations of standard endometrial biopsies.
🤰 Drastic lifestyle transformations (dropping from a size 16 to a size 4 by lifting the weight of tumor bulk). 💊 Why typical medications can sometimes mask surgical planes.
🎒 The critical reality of safe extraction using modern containment bags.

Stop normalizing chronic back pain, heavy bleeding, and extreme bloating. You are the definitive expert on your own body. Never stop fighting for the options you deserve—whether it requires a 2nd, 3rd, or 10th medical opinion. 🌟

07/15/2026

"I squeak, I leak, I'm constipated. I'm still young and I feel ancient." 💔

This real comment describes a clinical reality that thousands of women face every single day after a hysterectomy—yet so many live with it in silence, completely unaware that it has a name, let alone a definitive fix.

When the uterus is removed, the pelvic floor loses a major structural anchor point. This weakness in pelvic support can cause a progressive bladder drop, bowel drop, or vaginal vault prolapse. The result? A frustrating trio of symptoms: vaginal squeaking from shifting tissue, stress incontinence (leaking), and severe constipation because the bowel can no longer cleanly empty.

You are NOT ancient. You are young, and your body hasn't permanently failed you. 🩺

From silicone pessaries (which manage symptoms but don't fix the underlying anatomy) to mesh-free native tissue ligament repairs, and the gold-standard robotic sacrocolpopexy—you have options. Don't let fear surrounding old, banned transvaginal mesh scare you away from modern, highly durable robotic repairs performed by high-volume experts.

Take control of your health. Find a high-volume urogynecologist, ask the hard questions, and explore the full menu of care. 🌸

07/11/2026

We are SOOO appreciated by hospital admin 😅

07/09/2026

🚨 "My uterus is falling out of my body." Hearing that you have a uterine prolapse is terrifying—and the immediate question is always: Do I have to get a hysterectomy? 🛑

What many women aren’t told is that keeping your uterus during prolapse surgery isn’t just a quick preference choice. It’s actually two separate questions:

1️⃣ Is it medically safe? Your surgeon must run a complete pelvic health check (evaluating abnormal bleeding, family history, biopsies, and imaging) to rule out underlying cancer risks before preservation is even an option. 🧬
2️⃣ What are the long-term trade-offs? If you keep your uterus but have a history of fibroids, those fibroids can grow later. Doing a second surgery inside a pelvis that’s already been reconstructed is incredibly complex. 🩹

Uterine preservation can be an amazing choice, but it requires an expert strategy—not a rushed decision. If your doctor didn't break down both sides, you aren't getting the full picture! 🩺

💬 Did your surgeon walk you through these long-term considerations, or was it presented as a simple choice? Comment below!

07/07/2026

Why did your friend bounce back from her hysterectomy in 2 weeks while your recovery timeline took months? 🤕👇

There is a huge variation in gynecologic surgery healing curves, and it’s time we talk about why. Recovery isn’t just a random number—it’s the product of three distinct variables:

1️⃣ The Surgeon: Operating time, tissue handling, and technique change your inflammation levels dramatically.
2️⃣ The Patient: Genetics, age, sleep, stress, and nutrition mean every single body heals on its own curve.
3️⃣ The Disease: A simple hysterectomy is completely different from a case involving stage 4 endometriosis, dense adhesions, or a severely enlarged uterus.

If you took longer to heal, you aren't an outlier who failed—your journey is just uniquely yours. Validation matters! 🫶

💡 Looking for an elite surgical outcome with minimal down-time? Dr. Rich breaks down exactly how to screen your surgeon’s annual case volume to ensure you get the care you deserve.

🔗 Tap the link in our bio to watch the full breakdown on YouTube!

07/04/2026

"Is the room ready yet?" -Said Every Surgeon 4 Seconds After A Case 🏃💨

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4501 N. Mesa Street
El Paso, TX
79902

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Monday 9am - 5pm
Tuesday 9am - 5pm
Wednesday 9am - 5pm
Thursday 9am - 5pm
Friday 9am - 5pm

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