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IN-OFFICE PROCEDURES

Novasure - Novasure uses radio frequency (RF) energy to permanently remove the lining (endometrium) of the uterus, which reduces, or eliminates, future bleeding.

The Novasure procedure is a new generation of endometrial ablation. Some devices remove the endometrium by using heated fluid. Others use freezing temperatures to remove the tissue. NovaSure uses a precisely controlled dose of electromagnetic energy to gently remove the lining of the uterus to lighten or stop your periods in a one-time procedure. Because NovaSure is such a simple and safe procedure, recovery time is quick and many women can return to work the next day. Conventional endometrial ablation removes the lining of the uterus with an electrosurgical tool or laser.

Urodynamics - Urodynamics is the investigation of functional disorders of the lower urinary tract, i.e. the bladder and the urethra.

Most tests begin with the insertion of a urinary catheter/transducer following complete bladder emptying by the patient. The urine volume is measured (this is the post-void residual volume, which shows how efficiently the bladder empties) and sent for microscopy and culture to check for infection. Some of the common tests conducted are:

  • Free uroflowmetry measures how fast the patient can empty his/her bladder.
  • Multichannel cystometry measures the pressure in the rectum and in the bladder, using two pressure catheters, to deduce the presence of contractions of the bladder wall, during bladder filling, or during other provocative manouevres. The strength of the urethra can also be tested during this phase, using a cough or Valsalva manouvre, to confirm genuine stress incontinence.
  • Pressure uroflowmetry again measures the rate of voiding, but with simultaneous assessment of bladder and rectal pressures. It helps demonstrate the reasons for difficulty in voiding, for example bladder muscle weakness or obstruction of the bladder outflow.

First Trimester Screening (NT Scan) - This prenatal test (also called the NT or nuchal fold scan) can help your healthcare practitioner assess your baby's risk of having Down syndrome (DS) and some other chromosomal abnormalities as well as major congenital heart problems.

The NT test uses ultrasound to measure the clear (translucent) space in the tissue at the back of your developing baby's neck. Babies with abnormalities tend to accumulate more fluid at the back of their neck during the first trimester, causing this clear space to be larger than average. The scan must be done when you're between 11 and 14 weeks pregnant. (The last day you can have it done is the day you turn 13 weeks and 6 days pregnant.) It's usually offered along with a blood test in what's known as first-trimester combined screening.

Hysterosonogram - A hysterosonogram is a procedure that allows doctors to examine the inside of the uterus and check for abnormalities with the use of ultrasound, which uses sound waves to produce an image.

A hysterosonogram can be a valuable diagnostic test for a wide variety of problems. It can identify abnormalities in the uterus, which can be very useful in finding underlying causes for those who suffer from dyspareunia (pain during sexual intercourse), reproductive problems such as infertility or frequent miscarriage, or menorrhagia (uncommonly heavy or painful menstrual periods), and can help doctors identify uterine fibroids, polyps, or other growths, abnormalities, or lesions in the uterine wall.

 

 

"Making the decision to have a child - it's momentous. It is to decide forever to have your heart go walking around outside your body. "

- Elizabeth Stone