In Office Procedures

Hysteroscopy

Hysteroscopy has been done in the hospital, surgical centers and the office. It is best done when the endometrium is relatively thin, that is after a menstruation. Diagnostic can easily be done in an office or clinic setting on suitably selected patients. Local anesthesia can be used. Simple operative hysteroscopy can also be done in an office or clinic setting. Analgesics are not always necessary. A paracervical block may be used using a Lidocaine injection in the upper part of the cervix. The patient is in a lithotomy position during the procedure. Prophylactic antibiotics are not necessary.

.

Incontinence testing ( Urodynamics)

Urinary incontinence (UI), also known as involuntary urination, is any leakage of urine. It is a common and distressing problem, which may have a large impact on quality of life. It is twice as common in women as in men. Pregnancy, childbirth, and menopause are major risk factors. It has been identified as an important issue in geriatric health care. Urinary incontinence is often a result of an underlying medical condition but is under-reported to medical practitioners. Enuresis is often used to refer to urinary incontinence primarily in children, such as nocturnal enuresis (bed wetting).

There are four main types of incontinence:

Urge incontinence due to an overactive bladder

Stress incontinence due to poor closure of the bladder

Overflow incontinence due to either poor bladder contraction or blockage of the urethra Functional incontinence due to medications or health problems making it difficult to reach the bathroom

LEEP procedure

Treatment of Cervical dysplasia that involves a local excision of the abnormal cells on the cervix that are pre-cancerous. The procedure is short and with minimal pain. Patients are back to work the next day and are cleared to all normal activities in 2-4 weeks.