Routine GYN Procedures

Endometrial Ablation

This is a procedure that may be used in women of reproductive age (premenopausal) that are experiencing heavy bleeding. Either RF energy or a heated balloon or fluid is used to burn the functional layer of the uterine lining that causes periods. This is a same day out-patient procedure that takes less than an hour to perform and requires little to no down time. (Nothing in the vaginal canal for 6wks. Back to work within 48 hours.)

Hysteroscopy

Usually used for diagnostic reasons and the removal of polyps and fibroids within the cavity of the uterus. Again a very short procedure taking less than an hour to complete. Can be done under general anesthesia or local MAC anesthesia.

Laparoscopy

Typically three small 5mm incisions are required to perform this procedure. While the abdomen is inflated with CO2 gas the tiny instruments are introduced through small trochars to perform both diagnostic and therapeutic procedures. Common reasons for laparoscopy are: chronic pelvic pain, endometriosis, ovarian cysts, adhesions and uterine fibroids.

Cystoscopy

A thin scope and camera is advanced into the bladder under light anesthesia or general anesthesia. This procedure helps diagnose conditions related to pain in the bladder such as interstitial cystitis which is a form of chronic bladder inflammation for reasons unknown.

Incontinence Surgery

The mid-urethral neck will develop laxity as some patients age or weight increase. Incontinence of the urine can develop from this and can be remedied by placement of a “sling” to provide support and continence. In many instances the procedure can be done with no skin incisions.

Cystocele and Rectocele Repair

When the bladder and/or rectum herniate or fall into the vaginal canal it can create a very large and uncomfortable pink bulge in the vagina. These problems can interfere with normal intercourse and bowel and bladder function. Typically the repair of these problems are referred to as “anterior (cystocel or front side of the vaginal canal) and posterior (rectocele or back side of the vaginal canal) repair.” The procedure is approximately 2-3 hours and can be done under spinal or general anesthesia.

Dilation and Curettage

This is the gentle scraping of the inside lining of the uterus, usually used for patients experiencing irregular or heavy menses.