Cervical Polypectomy

Many women can develop cervical polyps. Your provider will assist in diagnosing this abnormality. The technique for removing the polyp is called a polypectomy. This procedure is done in the office and is generally painless. The woman lies on the exam table with her legs in the stirrups and a speculum is inserted into the vagina. The cervix is cleansed using an antiseptic solution. The polyp is grasped with a surgical clamp and twisted several times until it is freed. The polyp is then sent for microscopic examination to rule out any abnormalities.

Diagnostic and Operative Laparoscopy

Laparoscopic surgery is a minimally invasive diagnostic procedure that uses a telescopic camera system to visualize your reproductive organs (uterus, fallopian tubes and ovaries). The surgeon makes tiny incisions (approximately 0.5 to 1 cm) in the abdomen through which a thin, fiber-optic tube fitted with a light and camera is inserted. Suspicious growths can be biopsied and repairs can be made during a laparoscopy, making more invasive surgery unnecessary. There are many advantages to use of a laparoscopy rather than an open abdominal surgery, including decreased blood loss, smaller abdominal incisions, less pain, shorter surgical recovery time, and no hospital stay requirement.

Endometrial Biopsy

An endometrial biopsy is when a small tissue sample is taken from the lining of the uterus, also known as your endometrium, for testing. You may need an endometrial biopsy if you have abnormal menstrual bleeding, bleeding after menopause, absence of uterine bleeding, signs of endometritis or other signs of abnormalities within the uterus.

Endosee®

The Endosee® is a thin, flexible cannula device that the provider can use to look inside your uterus by inserting the cannula into your vagina. At the end of the device is a small handheld screen where the provider can see the image to take video or still images. The Endosee is used to diagnose and treat problems of the uterus (such as abnormal bleeding).

FemVue®

The FemVue® Saline-Air device is used to introduce a consistent mixture of saline and air contrast in a controlled fashion for the tubal evaluation portion of the Sono HSG. The bright echoes of the air bubbles can be seen flowing into and through each fallopian tube, providing physicians an effective contrast to make a tubal patency determination.  The FemVue can also be used to determine tubal occlusion after the Essure® tubal ligation procedure. In this case, the bright echoes of the air bubbles can be seen swirling in the endometrial cavity but NOT flowing into and through each fallopian tube, thus helping physicians confirm tubal occlusion.

Hysterectomy

There are many reasons a provider may suggest the removal of your uterus. This can be done vaginally or through the abdomen using an abdominal wall incision or minimally invasive techniques by laparoscopy, with or without robotic-assistance. Your provider will help you make the decision as to which surgical option is appropriate for your specific case. All of these procedures are done in the operating room of the hospital. Recovery time will vary as to which technique is used. For further questions, please schedule a consultation.

Hysteroscopy

Similar to the Endosee®, a hysteroscopy allows the provider to look inside the uterus without the use of an operating room or general anesthesia. This simple in-office procedure can be done to evaluate abnormal uterine bleeding, uterine adhesions, tubal patency, or other conditions where the inside of the uterus needs to be visualized.

Minimally Invasive Surgery

The main goal of minimally invasive surgery is to treat gynecological conditions without a large abdominal incision. This can be accomplished with various laparoscopic, robotic and hysteroscopic techniques.  Some GYN conditions that can be treated this way are endometriosis, heavy uterine bleeding, uterine fibroids, uterine prolapse, ovarian cysts and benign cervical disorders Potential benefits aresmall incisions, less pain, low risk of infection, quick recovery time, less scarring and reduced blood loss.

Myomectomy

Uterine leiomyomas (also called fibroids) are the most common solid pelvic tumors in women and the leading indication for hysterectomy. Although many women with uterine leiomyomas are asymptomatic and can be monitored without treatment, some will require more active measures. Many women seek an alternative to hysterectomy because they desire future childbearing or wish to retain their uterus even if they have completed childbearing. For women who desire uterine preservation, myomectomy may be an option. The goal of a myomectomy procedure is to remove the visible and accessible leiomyomas (fibroids) and then reconstruct the uterus. Traditionally, most myomectomies have been performed by laparotomy; however, endoscopic options are increasingly being used.

MyoSure®

If you have been told you have fibroids, polyps or other type of uterine abnormality, you may be a candidate for Myosure. Under an anesthetic, the doctor inserts the MyoSure device through the vagina into the uterus, allowing visualization of the abnormal tissue. The MyoSure tool can then be used to remove the abnormal tissue. This is a simple, quick and effective way to help many women with uterine abnormalities.