Outpatient Surgeries

Dilation & Curettage (D&C) for Miscarriages, Period Abnormalities, or Postmenopausal Bleeding

Dilation and curettage is a surgical procedure that involves the dilation or widening of the cervix (neck portion of the uterus) and the removal of the top portion of the uterine lining, called the endometrium. This procedure is affectionately called a “Dusting and cleaning” and is similar to removing the lining of a pumpkin at Halloween.

Hysteroscopy with Morcellation of Intrauterine Pathology (Visualize Uterine Cavity & Remove Polyps or Fibroids)

A hysteroscopy is a procedure that allows for the close visual inspection of the uterus through the cervix and is typically performed in conjunction with a D&C. This enables the morcellation or “cutting up” of any structural abnormalities identified, such as polyps and fibroids, which will facilitate their removal in the least invasive way possible.

Loop Electrode Excision Procedure (LEEP) or Cold Knife Cone (CKC) for Diagnosis or Treatment of Cervical Dysplasias (Pre-Cancerous Changes)

A loop electrode excision procedure (LEEP) is the removal of abnormal or precancerous cells on the cervix. This procedure is typically performed if there are repeat abnormalities of the cervix or if there are severe abnormalities identified, requiring removal before progression to cervical cancer. This is a procedure that is usually performed under anesthesia as an outpatient, meaning, it does not require an overnight stay in the hospital.

Endometrial Ablation (Novasure, HTA, Minerva) for Heavy Menstrual Bleeding (HMB)

Endometrial ablation is a surgical treatment that uses thermal energy to destroy the lining of the uterus, or endometrium, which is the lining that regenerates and sheds every month and the source of menstrual bleeding with your periods. This procedure dramatically lessens heavy menstrual bleeding and for some women, can even cause cessation of their cycles.

Pelvic Floor Repair (Anterior & Posterior Colporrhaphy)

Pelvic floor repair is a surgical treatment for correcting pelvic organ prolapse conditions. We perform anterior colporrhaphy to correct cystoceles (“falling bladders”) and posterior colporrhaphy to remedy rectoceles (the bulging of the rectum into the vaginal wall).

PeRIURETHRAL BULKING (BULKAMID)

Periurethral bulking is a minimally invasive treatment option for women who suffer from stress urinary incontinence (SUI). Periurethral bulking involves the injection of a substance, such as collagen or hyaluronic acid, into the tissues around the urethra to create a bulking effect. This helps to increase the resistance of the urethra and reduce urinary leakage. The procedure can be performed as a same-day, outpatient procedure, usually takes less than 30 minutes, and has a low risk of complications. Periurethral bulking can be an effective option for women who prefer a non-surgical approach or who are not good candidates for surgery.

Transobturator Tape (TOT) & Transvaginal Tape (TVT) for Stress Urinary Incontinence

Both procedures involve surgically placing a small piece of mesh under general anesthesia to re-support the urethra and return it to its proper location to reduce or completely eliminate urinary incontinence due to increases in intraabdominal pressure (coughing, laughing, sneezing, etc.) to help you regain your quality of life and eliminate embarrassing episodes of urinary leakage.

Removal of Vaginal or Hymenal Abnormalities

We perform surgery to correct all vaginal or hymenal abnormalities, such as vaginal septum (a tissue band is present in the vagina which can sometimes impede sexual activity or menstruation) and imperforate hymen (the hymenal membrane completely covers the vaginal opening).

Elective Circumcision

We can perform circumcision (removal of the foreskin on the penis) of male infants after birth if desired.

Marsupilization of Bartholin Gland Abscess

For recurrent issues with Bartholin Gland Abscess, we can perform surgical procedure known as marsupialisation. This procedure starts with an incision to the cyst to allow for fluid drainage, after which the edges of the skin are stitched to create a small "kangaroo pouch", allowing for any further fluid to drain out.