Hysterectomy

This is the most common gynecologic procedure that is done nation-wide and also in our practice. This is removal of the Uterus or Womb either through an incision in the lower abdomen or more commonly through an approach through the vagina. Hospital stay is usually about 2-3 days, and full recovery is about 6-8 weeks. This procedure is frequently done for problems of pain or bleeding.

Oophorectomy

This procedure is removal of the ovaries, frequently done at the same time as the hysterectomy. This can be done also through the abdominal approach or vaginal approach. Occasionally this procedure is done alone without hysterectomy, and then it can usually be done as an out-patient procedure with the laparoscope. Recovery time is usually 1 week.

Laparoscopy

This is the most common out-patient procedure that we do. This is frequently the way sterilization procedures (or tubal sterilization) are done. Endometriosis is treated this way and the ovaries and tubes as well as ectopic pregnancies can be treated this way. Ovarian cysts are frequently drained with the laparoscope.

Bladder and Bowel Repair

This is frequently called Anterior and Posterior repair and is frequently done with hysterectomy in women with relaxation of the vaginal tissues. Bulging of the bladder is called cystocele, and bulging of the rectal tissue into the vagina is call a rectocele. This procedure is also done for women that have urinary incontinence, or leaking of the bladder with straining.

Dilation and Curettage

This procedure is done most commonly for incomplete miscarriage. It can also be used with Hysteroscopy to look for polyps or irregularities of the lining of the uterus. Polyps and fibroid tumors can also be removed from the lining of the uterus.

Hysteroscopy

This is an out-patient procedure to look into the uterus with a scope device and treat irregularity of the uterus.

Tubal Reanastamosis

The fallopian tubes can be reconnected after a sterilization procedure. This has about a 50% success rate.

Colposcopy

This is an office procedure to evaluate the cervix when the pap smear shows abnormal or suspicious cells. The pap smear is only a screening test, the colposcope allows us to evaluate the actual tissue of the cervix directly.

Cryotherapy

This is how most early, precancerous changes of the cervix can be treated. It is very simple, and effective, with little discomfort.

Non-Stress Testing

This is when we attach a fetal monitoring device to mom when there is concern about baby's health in the uterus. Also ultrasound is used to assess the amount of amniotic fluid and the movement of the baby and the presence of fetal breathing movements, which are predictor for fetal health.

Bone Density Measurement

Osteoporosis is a severe thinning of the bones that normally occurs in later life. Some individuals have increased risk factors and family history that would put them a greater chance of hip, leg and spine fractures later in life. We feel that is important that every woman should have bone density screening occasionally after the age of 50 yr. This can be done by an x-ray method or by ultrasound.

Intrauterine Insemination

For certain infertility problems, insemination can help. This can be done with a washed sperm sample, which is prepared at the lab, and then injected into the top of the uterus. This bypasses the cervix and lower uterus which can increase the chance of pregnancy. Cup insemination can also be done if the problem is not envolving the cervix. Most donor inseminations are done with the cup. There are many sperm banks that will send sperm for insemination to the office for insemination at a convenient time.