Gynecologic Oncology

Surgical excellence. Groundbreaking treatment. Compassionate visionaries. That's the Power of U. 

When you combine the latest, most accurate robotic technology in the region with the expertise of our gynecologic oncologists, you get the most progressive surgery options available in the region for your gynecologic needs.

The mission of UofL Physicians – Gynecologic Oncology, housed within UofL James Graham Brown Cancer Center, is to bring outstanding minimally-invasive robotic surgery for gynecologic malignancies and benign gynecologic conditions to Louisville, Ky., and the surrounding region.

Dr. Daniel Metzinger, gynecologic oncologist with UofL Physicians and head of Robotic Surgery at UofL Hospital, has performed more Dr. Metzingerthan 2,000 successful robotic procedures for gynecologic diseases and conditions. Because of his high volume of cases and advanced robotics surgical team, he has developed surgical techniques that allow patients to have a short hospital stay and quick return to work. He has been teaching these surgical techniques for many years both locally and nationally.

About Robotic Surgery 

UofL Hospital utilizes the da Vinci® Robotic Surgery XI systems, giving our surgeons the most innovative and progressive system available today. Learn more about how we are leading the way for robotic surgery in Louisville, KY. 



Dr. Sarah ToddUofL Physicians - Gynecologic Oncology specializes in the treatment of gynecologic cancers including: 
•    Cervical cancer
•    Gestational trophoblastic disease
•    Ovarian, fallopian tube and primary peritoneal cancer
•    Uterine cancer
•    Vaginal cancer
•    Vulvar cancer

Our specialists are trained in the latest clinical modalities that are constantly enhanced by our physicians’ basic science and clinical research to treat all facets of the disease, from detection to treatment. 

Collaborative treatment is most effective. Our physicians focus on superior, individualized care for each patient through the use of multidisciplinary teams of gynecologic oncologists, radiation oncologists, pathologists, diagnostic radiologists, pain and palliative care physicians, oncology nurses and social workers.

Our gynecologic oncologists also participate in the High Risk Breast and Ovarian Clinic, collaborating with other physicians and genetic counselors on patients who are at higher risk of developing these genetic diseases. BRCA testing is available.

Our physicians are on the forefront of robotic surgical procedures that allows complex cancer surgeries to be performed less invasively with faster recovery times, less pain and lower risks of complication. In addition to surgery, your gynecologic oncologist will advise other treatment that may be needed including chemotherapy and immunotherapy. Your provider will also work with a radiation oncologist for any radiation therapy that may be needed.

UofL James Graham Brown Cancer Center offers research and clinical trials to ensure patient access to leading-edge therapies. We are a leader in immunotherapies, developing new combinations of drugs to more effectively treat cancer.

Dr. ToddOur gynecologic oncologists also care for patients who do not have cancer. In some cases these conditions can be a pre-cancerous growth that needs to be removed or other conditions which may require gynecologic surgery.

  • Abnormal Pap smears (cervical dysplasia)
  • Ovarian cysts, masses and fibroids
  • Endometriosis
  • Noncancerous (benign) tumors of the female reproductive tract (ovaries, uterus, cervix, vagina or vulva)

If you have any of the symptoms associated with these conditions, contact your gynecologist right away. We advise yearly pelvic examinations to screen for precancerous cell growth.
UofL Physicians - Gynecologic Oncology offers a variety of treatments and services for benign gynecologic conditions including:

  • Minimally invasive advanced laparoscopic and robotic and computer assisted robotic surgeries for removal of the uterus (hysterectomy), ovaries (oophorectomy), uterine fibroids (myomectomy).
  • LEEP procedure: an in-office procedure for abnormal Pap smears (cervical dysplasia)
  • BRCA testing for hereditary cancer
  • Diagnostic procedures, such as pelvic examination, colposcopy (in-office procedure that examines the cervix, vagina, and vulva to evaluate abnormal Pap smears), endocervical curettage (spoon-shaped instrument that obtains a small tissue sample of the mucous membrane leading from the cervix to uterus to check for abnormal cells), biopsy, and cone biopsy

Surgery options may include:

  • laser surgery (burns or vaporizes abnormal cells or removes small sections of tissue)
  • conization (removal of a cone-shaped section of tissue with surgical knife, laser or LEEP)
  • hysterectomy (removal of some or all of the reproductive organs)
  • radical hysterectomy with pelvic lymph node removal (removal of tissue around cervix and lymph nodes for treatment of cervical cancer)
  • pelvic exenteration (removal of reproductive organs, lymph nodes, and possibly of the bladder, vagina, rectum, and part of the colon)
Dr. Sarah Todd
Sarah L. Todd, MD
Type of Doctor
Gynecologic Oncologist
Area of Interest
Robotic Surgery for Benign and Malignant Gynecologic Conditions, Hyperthermic Intraperitoneal Chemotherapy
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Carolyn Palmer, APRN
Carolyn Palmer, MSN, APRN, FNP-C
Type of Doctor
Sexual Health Specialist
Area of Interest
Sexual Health
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Dr. Scott SIlva
Scott Silva, MD
Type of Doctor
Radiation Oncologist
Area of Interest
External beam radiation therapy, brachytherapy, stereotactic body radiation therapy (SBRT) using CyberKnife
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Harriet B. Eldredge-Hindy, MD
Harriet B. Eldredge-Hindy, MD
Type of Doctor
Radiation Oncologist
Area of Interest
Breast cancer, gynecologic cancers, palliative care, intraoperative radiotherapy, gastrointestinal cancers
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