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Glossary of Procedures

Glossary of Procedures in the Office

Colposcopy: A way of looking at the cervix through a special magnifying device to look for abnormalities. This is done when you have abnormal cells noted on a pap smear, to determine to what degree of abnormality cells are to proceed with the correct treatment.

Cryotherapy: Application of extreme cold to destroy abnormal tissue. When the pap smear or pathology is abnormal.

EMB (Endometrial Biopsy): A small sample is extracted from the lining of the uterus. This procedure is for heavy bleeding/abnormal bleeding and abnormal ultrasound.

Implanon: A birth control device that is placed in the upper arm and this treatment lasts for three years.

IUD: A type of birth control that is a small plastic device that is inserted and left inside the uterus to prevent pregnancy. Talk to your doctor about which IUD is right for you.


Procedures in the Surgery Center

A & P Repair: Anterior/posterior-repair procedure to repair cystocele and rectocele.

Cone Biopsy (CKC): A cone-shaped wedge of tissue is removed from the cervix due to abnormal cells.

D&C: A procedure used to diagnose or treat many conditions that cause abnormal bleeding from the uterus.

Endometrial Ablation: Destruction of the endometrial lining of the uterus, used mainly to treat abnormal bleeding.

Essure: Essure does not require cutting into the body or the use of radiofrequency energy to burn the fallopian tubes. Instead, an Essure trained doctor inserts soft, flexible inserts through the body’s natural pathways (vagina, cervix, and uterus) and into your fallopian tubes. The very tip of the device remains outside the fallopian tube, which provides you and your doctor with immediate visual confirmation of placement.

Hysteroscopy: A procedure used to diagnose abnormal bleeding or bleeding after menopause or infertility or to remove fibroids or polyps.

Laparoscopy: A procedure used to diagnose pelvic pain, masses, ectopic pregnancy and to perform bilateral tubal ligation (BTL).

LEEP: A thin wire loop that cuts like a scalpel to remove a piece of the cervix due to abnormal cells.

TOT: Insertion of a bladder sling for urinary incontinence.

Most procedures are done under general anesthesia with the exception of the LEEP, which is a local anesthesia.

Additional Surgeries Offered in the Hospital Setting

Anterior Repair: surgical repair of a defect in the vaginal wall, including a cystocele (when the bladder protrudes into the vagina) and a rectocele (when the rectum protrudes into the vagina).

Bilateral Tubal Ligation (BTL): surgical sterilization procedure in which both fallopian tubes are clamped, clipped, or cut to prevent pregnancy.

D&C: A procedure to remove tissue from the cervical canal or the inner lining of the uterus. The cervix is dilated (made larger) and a curette (spoon-shaped instrument) is inserted into the uterus to remove tissue. Also called dilation and curettage and dilatation and curettage.

Hysterectomy: Partial or Subtotal: usually only the top of the womb is removed and the cervix is left intact. Full, Complete or Total: usually removal of the womb, cervix and sometimes the top of the vagina.

Laparoscopy:  An operation performed in the abdomen or pelvis through small incisions (usually 0.5 – 1.5cm) with the aid of a camera. It can either be used to inspect and diagnose a condition or to perform surgery.

Myomectomy:  Surgical removal of uterine leiomyomas, also known as fibroids. In contrast to a hysterectomy, the uterus remains preserved and the woman retains her reproductive potential.

Posterior Repair:  Surgical procedure whereby the vagina is separated from the rectum and the muscles pulled together to tighten the vaginal structures.