Gynecology in Office Procedures (Typically performed in office)

Colposcopy

Loop Electrosurgical Excision Procedure (LEEP)

Hysteroscopy

Cryosurgery

Urodynamics

 

Colposcopy

Colposcopy is a procedure used to magnify areas to help diagnose abnormalities. A colposcopy typically examines the cervix for lesions and often used to identify cancer or HPV. The procedure is done with a colposcope, a microscope that can help identify malignant lesions. It is usually performed as a follow-up procedure to an abnormal pap smear. The exam itself is similar to a pap smear in that a speculum is inserted and the colposcope is put into place and vinegar is applied to the cervix. If any abnormal cells are noticed, a biopsy of the tissue may be done. A colposcopy is a very safe procedure with few complications. Light bleeding or discharge for up to a week after the exam is normal.

Loop Electrosurgical Excision Procedure (LEEP)

Loop electrosurgical excision procedure (LEEP) is used to treat abnormal cells on the surface of the cervix. During the procedure a wire loops attached to an electrosurgical generator cut away the affected tissue. The cells are removed to prevent development of cervical cancer. The removed tissue is then sent to a lab for further evaluation. The procedure takes 20-30 minutes and can be performed in the office.

Hysteroscopy

A hysteroscopy is a procedure done to examine the lining of the uterus (endometrium) and identify, diagnose or treat abnormalities. The procedure uses a viewing tool called a hysteroscope, which has a light and camera at the end, and is inserted into the vagina and moved through the cervix to see the uterus. The hysteroscope projects an image onto a display screen for the doctor to view. The doctor may also take a small sample of tissue to be sent to a lab for further evaluation.

Cryosurgery

Cryosurgery, also known as cryotherapy, is a minimally invasive treatment that uses freezing cold temperatures to destroy abnormal tissue cells. Doctors apply liquid nitrogen directly on the skin. The diseased cells cannot survive extremely cold conditions and will be destroyed. Cryosurgery has a shorter treatment and recovery time than surgical procedures. Talk to your doctor if you think you may be a good candidate for cryosurgery.

Urodynamics

Uropdynamic for urinary incontinence are measurements taken to evaluate your bladder's function and efficiency. The actual tests done vary from person to person.

For basic urodynamic testing you will be instructed to arrive for testing with a full bladder. While you urinate into a container, the volume of urine and the rate at which the bladder empties are measured. A thin, flexible tube (catheter) is then inserted into the bladder through the urethra, and the volume of any urine remaining in the bladder is measured (post-void residual, or PVR). A slight burning sensation may occur when the catheter is inserted. The bladder may be filled with water through the catheter until you have the first urge to urinate. The amount of water in the bladder is measured at this point. Then more water may be added while you resist urinating until involuntary urination occurs.

 

 

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