Procedures

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Procedures

When a surgery or procedure is necessary, WHA physicians are qualified and experienced. We offer a full-range of procedures to provide the best outcome for our patients and strive to provide the least invasive, most convenient process to meet our patients' needs.

Office Based

  • Sonograms
  • Colposcopy
  • Birth Control
  • Hysteroscopy
  • Endometrial Ablation
  • LEEP

Sonograms

How You Benefit

Ultrasound tests are noninvasive, painless and cost effective. Because ultrasound images are captured in real time, they can illuminate complex bodily functions such as blood flow and heart valve operation. That means your doctor uses safe, high-quality images to guide your care and treatment.

What You Can Expect

During the ultrasound exam, our registered sonographer spreads a special gel on the part of the body being examined and presses the transducer against the skin to capture the image. At the same time, you can watch the ultrasound images on a specially positioned screen. The exam usually takes less than 30 minutes. Your doctor will review the results with you.

Hospital Based

  • Hysterectomy
  • Ovarian Cyst Removal
  • Ovarian Removal
  • Tubal Ligation or Tubal Surgery
  • Fibroid Treatment
  • Minimally Invasive Surgery

Hysterectomy

Overview

Hysterectomy is the surgical removal of the uterus. It ends menstruation and the ability to become pregnant. Depending on the reason for the surgery, a hysterectomy may also involve the removal of other organs and tissues such as the ovaries and/or fallopian tubes.

  • A supracervical hysterectomy is the removal of the upper part of the uterus leaving the cervix behind.
  • A total hysterectomy is the removal of the uterus and cervix.
  • A total hysterectomy with bilateral salpingo oophorectomy is the removal of the uterus, cervix, fallopian tubes (salpingo) and ovaries (oophor). If you haven't experienced menopause, removing the ovaries will usually initiate it since your body can no longer produce as much estrogen.

Why Have A Hysterectomy

  • Abnormal vaginal bleeding that is not controlled by other treatment methods
  • Severe endometriosis (uterine tissue that grows outside the uterus)
  • Leiomyomas or uterine fibroids (benign tumors) that have increased in size, are painful or are causing bleeding
  • Increased pelvic pain related to the uterus but not controlled by other treatment
  • Uterine prolapse (uterus that has "dropped" into the vaginal canal due to weakened support muscles) that can lead to urinary incontinence or difficulty with bowel movements
  • Cervical or uterine cancer or abnormalities that may lead to cancer for cancer prevention

What You Can Expect

Before the procedure

Your doctor will explain the procedure in detail, including possible complications and side effects. He or she will also answer your questions.

In addition:

  • Blood and urine tests are taken
  • An enema or bowel prep may be given to cleanse the bowel
  • Abdominal and pelvic areas may be shaved
  • An intravenous (IV) line is placed in a vein in your arm to deliver medications and fluids

During the procedure

An anesthesiologist will give you general anesthesia in which you will not be awake during the procedure.

dDuring the procedure

An anesthesiologist will give you general anesthesia in which you will not be awake during the procedure.

Your surgeon removes the uterus through an incision in your abdomen or vagina.

Sometimes your doctor uses a laparoscope (small camera) or robotic system to help assist them with your surgery. Your doctor will decide what method is best for you.

How Long?

The procedure lasts 1 to 3 hours. The amount of time you spend in the hospital for recovery varies, depending on the type of surgery performed.

Recovery and Outlook

A responsible adult must drive you home the day you are discharged from the hospital.

Physically

After hysterectomy, your periods will stop. Occasionally, you may feel bloated and have symptoms similar to when you were menstruating. It is normal to have light vaginal bleeding or a dark brown discharge for about 4 to 6 weeks after surgery.

You may feel discomfort at the incision site for about 4 weeks, and any redness, bruising or swelling will disappear in 4 to 6 weeks. Feeling burning or itching around the incision is normal. You may also experience a numb feeling around the incision and down your leg. This is normal and, if present, usually lasts about 2 months.

If the ovaries remain, you should not experience hormone-related effects. If the ovaries were removed with the uterus before menopause, you may experience the symptoms that often occur with menopause, such as hot flashes. Your doctor may prescribe hormone replacement therapy to relieve menopausal symptoms.

Emotionally

Emotional reactions to hysterectomy vary, depending on how well you were prepared for the surgery, the reason for having it, and whether the problem has been treated.

Some women may feel a sense of loss or become depressed, but these emotional reactions are usually temporary. Other women may find that hysterectomy improves their health and well-being, and may even be a life-saving operation. Please discuss your emotional concerns with your doctor.

Sexual Function

A woman's sexual function is usually not affected after hysterectomy, and her sexual desire should not change. Only if the ovaries were removed with the uterus prior to menopause, decreased sex drive may occur and vaginal dryness may be a problem during sex. However, estrogen therapy can relieve vaginal dryness and other hormone-related effects.

2017 - Women's Health Alliance. All Rights Reserved.

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