Are you experiencing heavy bleeding, prolonged menstrual cycle, and pain? We have the solution

To avoid having a hysterectomy (surgical operation to remove the womb) there is a procedure called “Endometrial Ablation“.

ENDOMETRIAL ABLATION

Endometrial Ablation is a procedure that destroys (ablates) the uterine lining, or endometrium. This procedure is used to treat dysfunctional or abnormal uterine bleeding. Sometimes a lighted viewing instrument (hysteroscope) is used to see inside the uterus. Endometrial Ablation can be done by:

Laser beam (laser thermal abiation)
Heat (thermal abiation), using Radio freguency
A baloon filled with saline solution that has been heated to 85° C (185° F) (thermal balloon ablation)
Normal saline (heated free fluid)
Electricity, using a resectoscope with a loop or rolling ball electrode
Freezing
Microwave

The endometrium heals by scarring, which usually reduces or prevents uterine bleeding.

Endometrial ablation may be done in an outpatient facility or in your doctor’s office. The procedure can take up to about 45 minutes. The procedure may be done using a local, spinal, or general anesthesia.

What to Expect After Surgery:

After the procedure, you may have some side effects, such as cramping, nausea, and vaginal discharge that may be watery and mixed with blood. This discharge will become clear after a couple of days and can last for around 1 to 2 weeks.

Why It Is Done:

Endometrial ablation is used to control heavy, prolonged vaginal bleeding when:

Bleeding has not responded to other treatments
Childbearing is completed
You prefer not to have a hysterectomy to control bleeding
Other medical problems prevent a hysterectomy

How Well It Works:

Most women will have reduced menstrual flow following endometrial ablation, and up to half will stop having periods.

Younger women are less likely than older women to respond to endometrial ablation.

When endometrial ablation is done in the office the patient does not have to incur hospital charges. Dr. Mughelli has safely and comfortably performed the procedure hundreds of times in his office.

SONOHYSTEROGRAPHY

Sonohysterography is a new technique developed to better image the uterine cavity. It uses and infusion of sterile saline through a soft plastic catheter placed in the cervix in conjunction with transvaginal ultrasound. The saline infusion distends the uterine cavity and provides an excellent contrast to the lining, giving improved visualization of uterine and endometrial pathology.

This technique may also be used to assess the fallopian tubes by demonstrating fluid spill into the pelvis. Color Doppler imaging demonstrates the movement of ultrasound contrast medium withing the tube.

WHY IS IT PERFORMED?

The main indications for this procedure include:

Abnormal uterine bleeding both pre and post menopausal
Investigation of infertility and recurrent miscarriage
Endometrial assessment for patients on Tamoxifen therapy
Suggestion of a mass in the endometrial cavity on the ultrasound

DILATATION AND CURETTAGE (D & C)

Dilatation and curettage, is a minor procedure for scraping the uterus and collecting the inside endometrial tissue for examination, D & C is often performed for biopsy (microscopic examination of tissue samples), treating heavy bleeding, removing an embedded IUD, and removing retained products of conception after miscarriage or therapeutic abortions. D & C may also be used for investigation of infertility, investigation of abnormal bleeding and endometrial hyperplasia (uterine thickening), removal of endometrial polyps, treatment of early stage uterine cancer, and more. D & C may be performed in the hospital, an outpatient center under general or local anesthesia, or in your doctor’s office. The procedure involves opening the vaginal canal with a speculum and dilating (widening) the cervical opening with a metal rod. Then a curette (metal loop on the end of a long handle) is used to gently scrape and collect the endometrium (innermost lining of the uterus). This tissue is then sent to the pathology lab for microscopic examination. Patients can usually return to work in a few days.

HYSTEROSCOPIC

Hysteroscopy is a procedure for women that may be used to evaluate and treat a variety of abnormal conditions in the uterus. Diagnostic hysteroscopy may help diagnose problems causing heavy bleeding such as fibroids and polyps. Hysteroscopy for the purpose of diagnostics and some simple operative procedures can be performed in a doctor’s office under local anesthesia. Operative hysteroscopy may be used for permanent sterilization (Essure Tubal), to remove polyps or fibroids, cut adhesions, correct uterine abnormalities, manage blocked fallopian tubes, or even to surgically remove the lining of the uterus as a treatment for heavy bleeding.

DILATATION AND CURETTAGE (D & C) AND HYSTEROSCOPIC

Hysteroscopy and D & C, are surgical procedures that are performed by obstetricians and gynecologists. Patients should consult there physician for a complete explanation of the procedure along with its associated risks and complications. These more complex procedures are done in an operating room setting.

If you have bladder control problems:

In women, the front wall of the vagina supports the bladder. This wall can weaken or loosen with age. Significant bodily stress such as childbirth can also damage this part of the wall. If it deteriorates enough, the bladder can prolapse, meaning it is no longer supported and descends into the vagina. This may trigger problems such as urinary difficulties, discomfort, and stress incontinence. Urodynamics will provide your physician with the information necessary to diagnose the cause and nature of the incontinence, thus giving the best treatment options available.

Links: American Medical Systems

What is urodynamics?

Urodynamics refers to a series of diagnostics tests that evaluate the function of the bladder and urethra. These tests may be recommended if you have urinary incontinence (leakage of urine), recurrent bladder infections, slow or weak urinary stream, incomplete bladder emptying, or frequent urination. These tests provide important information for your physician to accurately diagnose and treat your bladder problems appropriately.

Our office provides comprehensive urological services to the community. Patients are referred to us by their physicians for urodynamics studies.