Tuesday, November 21, 2017

Office Procedures

Colposcopy
Your physician may perform a colposcopy if your Pap test results show abnormalities that may lead to a more serious condition. A colposcopy provides additional information about abnormal changes in the cervix, and can be used to assess problems such as abnormal bleeding, cervical polyps, or cervicitis.

Your physician will apply a mild solution to your cervix that allows easier visualization of the abnormal area(s). Then, she will use a magnifying device called a colposcope to look at your cervix more closely. A biopsy of any abnormal area(s) found on the cervix may be taken during the exam. This involves taking a small tissue sample and sending it to the lab for analysis. Your physician may also take a sample of the cells from the canal of the cervix. This is called an ECC (endocervical curettage). We will develop your plan of care once we receive your lab results.

During the exam, you will lie on your back on a table while a moveable x-ray arm passes over your hip and spine. You will not feel any discomfort during the procedure and it will take about 30 minutes to complete. A computer will compare your results to others whose age, sex, and racial background are similar to yours. Your doctor will interpret the results and make the appropriate recommendation.

Endometrial Biopsy
An endometrial biopsy is a diagnostic procedure that involves the removal of a small amount of tissue from the endometrium (inner lining of the uterus). This test may be used to rule out endometrial cancer or hyperplasia in a woman who has abnormal bleeding. This test may also be used as part of an infertility exam to rule out problems with the development of the endometrium.

To obtain the sample, an instrument is inserted through the cervix into the uterus and a small amount of tissue is removed and sent to the laboratory for analysis. There is some mild cramping or discomfort with the procedure but recovery time is minimal.

Urodynamics
Urodynamic testing is used to diagnose different types of urinary incontinence. The test is designed to assess the overall function and health of the bladder. The process of urination begins as the bladder pushes the urine out and down a tube called the urethra. The urethra opens to the outside of the body. Urination takes place only when the muscles and the nerves are working correctly. Nerves carry messages from the brain to the bladder and sphincter muscles. The urodynamics test helps to determine how well these nerves and muscles are working together, and can help determine which type of treatment is best for you.

You are asked to arrive at our office with a full bladder. The urodynamics test will take about one hour. This time is spent asking questions that you may have and setting up the procedure. Small catheters are inserted into your bladder to measure the amount of urine and the flow rate (how fast the urine comes out). Every effort will be made to make you as comfortable as possible during the procedure. You may have mild discomfort for a few hours after these tests. A warm tub bath will help to ease discomfort. Drink about 8 to 10 glasses of water a day. You will schedule a follow-up appointment to discuss the results of the test with your doctor.


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