In Office Procedures
TODAY THERE ARE A NUMBER OF PROCEDURES SAFELY PERFORMED IN THE COMFORT OF YOUR DOCTOR’S OFFICE, UNDER LOCAL ANESTHESIA.
Some eligible patients may have lower out-of-pocket costs if the procedure is performed in this lower cost of care setting, such as a physician office. Your physician will recommend the best approach for you.
Hysteroscopy is an office or hospital based procedure that is used to look inside the uterus. It utilizes a hysterscope, a slender telescope-like device, which is inserted into the uterus. The procedure is commonly used to:
- diagnose or treat uterine problems associated with abnormal bleeding
- to help with the diagnosis of frequent miscarriages
- to locate an intrauterine device
- remove adhesions caused by infection or past surgeries
- perform sterilization procedures
Colposcopy is recommended if the Pap smear results suggest further examination of the cervix is necessary. These results could show atypical cells, pre-cancerous cells or the HPV virus.
A colposcope is a microscope through which your provider will get a magnified view of the cervix. A vinegar solution is applied to your cervix and then your provider will use the colposcope to perform the exam. If abnormal areas are seen, a small sample of cervical cells will be taken and sent to the lab for further evaluation. These results take approximately ten working days. You may experience mild cramping and may take four Advil or two Aleve with food one hour prior to the exam.
Avoid intercourse and strenuous exercise for seven days after the exam. It is okay to take baths and showers. This exam cannot be done during your period.
CMG is a procedure used to evaluate urinary stress incontinence or other bladder problems. CMG is a simple procedure done in our office. A tiny catheter is inserted into the bladder. We will then fill your bladder with a sterile solution to evaluate your bladder function. The entire procedure takes approximately twenty minutes. This procedure will help your physician determine the best course of treatment for you.
If you are on medication for your bladder, please discuss this with your physician to determine if you should discontinue your medications for a few days prior to the exam. No other preparation is necessary.
LOOP ELECTROSURGICAL EXCISION PROCEDURE (LEEP)
Due to the results of your recent Pap smear and/or colposcopy exam of your cervix, you are scheduled for a Loop Electrosurgical Excision Procedure (LEEP). Those results showed abnormal cell changes called dysplasia. If left untreated, there is a potential risk that these cells may progress into cancer of the cervix.
The purpose of this procedure is to remove the abnormal cells by taking a biopsy of the abnormal areas with a small amount of surrounding normal tissue to ensure removal of all of the abnormal cells. That tissue will be sent to the laboratory for examination by a pathologist. Because the possibility exists that the abnormal cells may extend further into the cervix than was visible during the colposcopy exam, the LEEP biopsies are used for diagnosis as well as treatment. If the biopsies show signs of extension of the abnormal cells into the margins of the normal tissue, further treatment may be necessary to eliminate the dysplasia. Pap smears must be performed more frequently after treatment for cervical dysplasia.
RISKS OF THE PROCEDURE
As with any surgical procedure, complications may occur. The following complications may occur but may be exclusive of other complications:
- Heavy bleeding
- Severe cramping
- Incomplete removal of abnormal tissue
- Narrowing of the cervix
Rare, but possible complications include the following:
- A weakened cervix that could cause problems during pregnancy
- Accidental cutting or burning of normal tissue
After the procedure you may feel cramping. You may notice a thick, brownish-black discharge, slight vaginal bleeding, or heavier bleeding during your next period.
For at least a few weeks after the procedure avoid sexual intercourse, tampons, douching, heavy lifting and vigorous exercise.
Call the office if you experience heavy bleeding or bleeding with clots, severe abdominal pain, fever, or a foul smelling discharge.