IN-OFFICE PROCEDURES
At Columbia Shores Regenerative Health we strive to provide safe and effective treatments in office in order to improve your comfort while maintaining safe and effective therapies.
Surgical procedures cover a vast array of interventions, ranging from minor outpatient procedures to complex surgeries requiring specialized teams and equipment. The specific procedure performed depends on the patient's medical condition, the goals of treatment, and the expertise of the surgical team.
EXPLORE YOUR IN-OFFICE PROCEDURES WITH CSRH!
IN OFFICE PROCEDURES
LABIAPLASTY
Labiaplasty is an in-office procedure involves the surgical reduction in the labia minor and involves a consultation with Dr. Bahnmiller to plan your wishes.
Why have a labiaplasty?
There are a host of reasons females have enlarged labia, including childbirth, aging, sexual activity and genetics. Women choose to have surgery for several reasons. Many women suffer from enlarged labia, have trouble with exercise, hygiene, urinary tract infections, sexual activity and other physical activity. Labia minora frequently get caught in clothe, causing discomfort from daily activity to exercise. Certain clothes, such as yoga pants and swimsuits make many women self-conscious with enlarged labia. Most women state that they feel very self-conscious when becoming romantically involved with their partners. These and other reasons are why women decide to have a labiaplasty.
Labiaplasty procedures
There are two main types of labiaplasty. Trim and wedge procedure.
Trim procedure
It is the original technique and is most natural to perform. It is also the most widely used technique used by surgeons. In this procedure, the excess part of labia minora is removed and sutured so that it is symmetrical with the labia majora.
Wedge procedure
In this procedure, a partial thickness wedge is removed from the thickest part of the labia minora. The submucosa (layer tissue beneath a mucous membrane) must be left intact by removing only a partial thickness. This procedure gives the vagina a natural look after the surgery as well. We prefer this procedure, since it preserve most of the sensation and gives the best results typically.
VAGINOPLASTY
Vaginoplasty is a surgical procedure that tightens the vaginal opening. Vaginoplasty can improve sensation during intercourse and may help with pelvic floor and bladder support. Vaginoplasty can be done by itself or in conjunction with other surgeries, such as labiaplasty.
Vaginoplasty not only reduces the size of the vaginal opening, but also rebuilds the perineum and its attachments to the pelvic floor muscles, which significantly improves the pelvic floor support.
COLPOSCOPY
Colposcopy is a procedure used to magnify the cervix, vagina or vulva to help diagnose any abnormalities. Colposcopy typically examines lesions and is often used to identify cancer, HPV, and pain-causing conditions. The colposcope is a magnifying lens that can help analyze lesions not seen with the naked eye. The exam itself is similar to a pap smear in that a speculum is inserted. The colposcope is then positioned to view the area at 10 to 40 times its normal size. If any abnormalities are noted, a biopsy of the tissue may be taken. Colposcopy is a very safe procedure with few complications. Light bleeding or discharge for up to one week after the exam is normal.
Endometrial ablation is an effective, same day treatment of heavy menstrual bleeding. The procedure is done in office or in the hospital and has an 85% effective rate in reducing or stopping ones periods.
ENDOMETRIAL BIOPSY
Endometrial biopsy is a procedure that evaluates the endometrium (the inside lining of the uterus) for abnormalities or signs of cancer. The biopsy is done by taking a tissue sample of the endometrium and having a pathologist evaluate it. A speculum is inserted in the vagina, followed by a narrow plastic aspirator which obtains a sample of the living using a gentle suction.
ENDOMETRIAL ABLATION
HYSTEROSCOPY
Hysteroscopy is a procedure in which the endometrium (lining of the uterus) is evaluated by a small camera placed through the cervix (the opening to the uterus). The procedure is performed vaginally, similarly to a pap, and is done either in the office or hospital and may be done in conjunction with Dilation and Curettage, Ablation, and Removal of Polyps or Fibroids. Hysteroscopy usually causes little discomfort and you may return to your normal routine the following day.
LEEP PROCEDURE
Loop electrosurgical excision procedure (LEEP) is used to treat abnormal cells of the cervix. During the procedure, tissue is removed to prevent the cells from progressing to cervical cancer. Wire loops attached to an electrosurgical generator remove the affected tissue. The excised tissue is then sent to a lab for.
PAP SMEAR
Pap smear is a procedure to evaluate for abnormal cells on the cervix (opening to the uterus). Pap smears screen cervical cells for the development of dysplasia (precancerous cells) or cervical cancer. Paps smears also screen for the presence of High Risk HPV that put a woman at increased risk of cervical cancer. Pap smears are recommended when a woman is 21 and every 1-3 years after depending on previous paps.
SALINE INFUSION SONOGRAPHY
Saline infusion sonography, also known as sonohysterography, is an ultrasound that checks for abnormalities inside the uterus,the uterus and the ovaries. The saline infusion ultrasound can evaluate for masses, scarring, polyps or fibroids, and help determine the next step in treating problems, such as heavy menstrual bleeding.
ULTRASOUND
Ultrasound or sonogram, is a device that uses high frequency sound waves to create an image of some part of the inside of the body, such as the uterus, and ovaries. In Obstetrics ultrasound is frequently used to evaluate the baby in their mom’s womb. Since ultrasound is the use of sound waves to evaluate mom’s and their babies it is very safe. In Obstetrics lower frequency ultrasound is used to ensure the highest safety for mom and her baby.
CIRCUMCISION
Circumcision is the surgical removal of the skin covering the head (glans) of the penis.
WHY DO A CIRCUMCISION?
Circumcision may be a religious or cultural ritual, or it may be a matter of family tradition, personal hygiene or preventive health care. Sometimes there's a medical need for circumcision, such as when the foreskin is too tight to be pulled back (retracted) over the glans.
The American Academy of Pediatrics (AAP) says the benefits of circumcision outweigh the risks, yet they don’t recommend routine circumcision for all male newborns. The AAP leaves the circumcision decision up to the newborn’s parents.
BENEFITS OF CIRCUMCISION
Easier hygiene. Circumcision makes it simpler to wash the penis.
Decreased risk of sexually transmitted infections. Circumcised men might have a lower risk of certain sexually transmitted infections.
Decreased risk of bladder infections. Circumcised males have a lower risk of bladder infections; therefore, less of a risk of infections effecting their kidneys.
Decreased risk of penile cancer. Although cancer of the penis is rare, it's less common in circumcised men. In addition, cervical cancer is less common in the female sexual partners of circumcised men.
Prevention of penile problems. Occasionally, the foreskin on an uncircumcised penis can be difficult or impossible to retract (phimosis). This can lead to inflammation of the foreskin or head of the penis.
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