Duane E. Farley, MD

Among the most important roles for a physician is that of a teacher. Dr. Duane E. Farley, a board-certified obstetrician/ gynecologist, fits comfortably in that calling.

During a four-year stint as attending physician in the Phoenix Integrated Residency of OB-GYN and as Clinical Instructor of Obstetrics and Gynecology teaching medical students from the University of Arizona, he was twice elected Teacher of the Year by his students.

Dr. Farley now shares that skill with patients at his Tanner Clinic Kaysville practice.

Dr. Farley earned his B.S. from the University of Utah and his M.D. from the U of U School of Medicine. He completed his residency in obstetrics and gynecology at University of North Carolina Hospitals, Chapel Hill, N.C.

Following his residency, he served as an attending physician at the Maricopa Medical Center in Phoenix for four years, a period during which he also taught at the University of Arizona.

In 1998, he brought his family back to Utah and began working in a private OB-GYN practice in Bountiful along with Dr. Kevin Sumsion. Both obstetricians joined Tanner Clinic in 2003.

Dr. Farley is fluent in Spanish and is actively involved in church and community service. He and his wife are parents of five children and also enjoy their more recent role as grandparents. When he finds some spare time, Dr. Farley spends it with his family and he also enjoys woodworking, gardening and travel.

What patients are saying about Dr. Farley

“Dr. Farley is great! Was very thorough and careful about a complication I experienced in my third pregnancy. And so calm during delivery.”   —  Chazlyn, Facebook, Dec. 8, 2014

“Dr. Farley is fantastic! He spends lots of time answering questions. It’s amazing when I have to bring my 2-year-old along (he always provides him with some type of treat!). It’s pretty impressive when a 2-year-old loves your appointment because of the awesome nurses and doctor! All around, he is wonderful!   —  Karissa on Vitals.com, Sept. 29, 2014

“Exceptional service from Dr. Farley and his nurses today and always. I trust them completely and appreciate their sincere compassion and professionalism. Outstanding team!”   —  Mel, via in-office comment card, Oct. 8, 2014

Healing Is Faster with Less Invasive Surgery

When surgery is needed, Dr. Duane Farley recommends minimally invasive techniques — either vaginally, laparoscopically or with robotic assistance.

“Any physician who opens people up with an incision that could be done another way is doing a disservice to their patients,” he explained.

According to the OB-GYN based at Tanner Clinic Kaysville, “Minimally invasive surgeries are performed through small incisions using highly specialized surgical instruments and techniques.” In the past, he adds, “abdominal surgeries such as hysterectomies required a large incision — a method that remains prevalent across the United States.

Minimally invasive surgery results in a shorter hospital stay, less scarring, reduced risk, less pain and, most importantly, a quicker return to routine daily activities, he said.

The majority of gynecological procedures can be successively performed using minimally invasive surgery. For example:

▸ Diagnosis and treatment of pelvic pain, such as from endometriosis
▸ Hysterectomy
▸ Pelvic organ prolapse procedures (pelvic reconstructive)
▸ Urinary incontinence procedures
▸ Treatment of ovarian masses / cysts
▸ Removal of adhesions or scar tissue
▸ Endometrial ablation
▸ Removal of fibroids (myomectomy)
▸ Treatment of abnormal vaginal bleeding

CLICK FOR more information on hysterectomies using the da Vinci (robotic) Surgical System. CLICK FOR general da Vinci information.

Deliveries Bring Joy — and the Dreaded Stretching. An OB/GYN Explains Why

Among all the delight and satisfaction that come with children, there are a few unpleasant consequences, like late nights — due to infants as well as teenagers — or the pelvic tissue that stretches with each delivery, never fully springing back.

The condition is known as pelvic organ prolapse, or pelvic relaxation. Dr. Duane Farley, an OB-GYN at Tanner Clinic Kaysville, said it occurs when a woman’s pelvic organs and tissues relax to a point where they can “push down” through the pelvic floor. “This can make daily mundane activities such as voiding, bowel movements, or even standing become difficult and uncomfortable,” he said.

Urinary incontinence is one of the most common symptoms associated with pelvic relaxation, and it is usually the result of delivering a baby. “Genetics seems to be a factor as well,” said Dr. Farley. “For most women who’ve had kids, their tissue has been stretched as the baby came through the birth canal, and it may never completely recover.”

The relaxation of the tissues that support the uterus, vaginal walls, bladder and rectum results in urinary incontinence, constipation, discomfort, and even pain.

Considering surgery

“Surgery is the only method to adequately address the problems that are caused by the relaxation,” Dr. Farley explains. “The goal of the surgery is to position the pelvic organs back where they were before the damage was done, which allows things to again function normally.”

Dr. Farley, however, recommends that women with symptomatic prolapse should delay surgery until after their child-bearing years. “Prolapse is likely to recur following another delivery,” he added, “effectively negating any prior surgical correction of the problem.”

That means that women who want more children must put up with discomfort and inconvenience for a time. “Women are likely to recover somewhat from relaxation after each delivery,” said Dr. Farley, “but they usually don’t get completely back to normal. There are many women walking around wearing pads and enduring the problems associated with relaxation. However, these patients should know that there will come a day when they’re done having kids and then we can do something about it.”

While prolapse symptoms can improve between children, they will often become more pronounced again once a woman reaches menopause. This is because the pelvic tissues depend on estrogen to be healthy. With menopause, estrogen levels fall and relaxation symptoms become more pronounced.

No ‘right time’ for prolapse repair

So, when’s the right time to undergo prolapse surgery? “Not necessarily right after a woman has delivered her last kid,” said Dr. Farley. “There’s a lifespan to operations, too. My stitches are only as good as the tissue that I put them into.”

A woman who is suffering from pelvic relaxation “has already proven that her tissues are prone to weakness,” he said. “If we do the surgery on a young woman, she might be back again some day needing another operation.”

“So we talk about all the options,” he said, “then let them choose the point when they say, ‘I’m done living this way.’ Just because a surgeon can do surgery, doesn’t mean it should be done right now. I let them know what’s available and they choose what they want done and when we should do it.”