Safe Surgery | Charleston OBGYN | William Dennis

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Surgery Provided by Our Charleston OB/GYN Team


Dr. William Dennis, OB/GYN performs both gynecology and urogynecology surgeries including but not limited to procedures to treat fibroids, endometriosis, female stress incontinence, chronic pelvic pain, abnormal vaginal bleeding and abnormal cervical changes.

The majority of surgical procedures are done at the Roper St. Francis Hospital in West Ashley. Surgeries may also be performed at Roper St. Francis Hospital in downtown Charleston. Our office will assist you in authorizing your procedure through your insurance company and completing paperwork for your employer if necessary.

To learn more about the surgeries we offer, please view the below:

Hysterectomies:

A hysterectomy is the surgical removal of part or all of the uterus. There are several types of hysterectomies and various reasons why they are performed.

There are five basic types of hysterectomies. A hysterectomy may or may not include the removal of your ovaries or fallopian tubes.

One type of hysterectomy is a Total Abdominal Hysterectomy (TAH). A TAH involves a large “bikini cut” incision. The uterus is removed through the incision. A TAH requires an overnight hospital stay and about six weeks recovery.

Vaginal Hysterectomy (VH) is done through an incision at the top of the vagina. The uterus and cervix are removed through the vagina. An overnight hospital stay and about four weeks of recovery are necessary.

A Laparoscopically Assisted Vaginal Hysterectomy (LAVH) is done with three small incisions. The uterus and cervix are removed through one of the small incisions. Generally patients need to stay overnight in the hospital and resume normal activity within four weeks.

An LSH or Laparoscopic Supracervical Hysterectomy leaves the cervix in place removing only the uterus through a small incision in the abdomen.

A TLH or Total Laparoscopic Hysterectomy removes both the uterus and cervix. Patients generally spend one night in the hospital and resume normal activity in four weeks.

Depending on your symptoms, your body, and your personal wishes, Dr. Dennis will help you decide which hysterectomy will provide you with the best results.

Incontinence Procedures:

Urinary incontinence surgery includes a variety of procedures, from minimally invasive injection of bulking agents to major surgical intervention. Find out which urinary incontinence surgical procedure might be an option for you.

Diagnostic Laparoscopy:

Diagnostic laparoscopy is a minimally invasive surgical procedure designed to help Doctors diagnosis or better understand the nature of an internal abnormality. The procedure usually requires two small incisions through which specialized instruments, including a laparoscopic camera, are inserted. It generally takes 30 – 45 minutes to perform.

Conization:

Conization refers to a biopsy of the cervix in which a cone-shaped sample of tissue is removed from the mucous membrane. Conization may be used either for diagnostic purposes, or for therapeutic purposes to remove pre-cancerous cells.

D&C:

Dilation (or dilatation) and curettage (D&C) refers to the dilation (widening/opening) of the cervix and surgical removal of part of the lining of the uterus and/or contents of the uterus by scraping and scooping (curettage). It is a therapeutic gynecological procedure as well as a rarely used method of first trimester abortion.

Myomectomy (Fibroidectomy):

Myomectomy, sometimes also fibroidectomy, refers to the 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.

Salpingo-oophorectomy:

Salpingo refers to fallopian tubes while the term ooppho refers to ovaries. A unilateral salpingo-oophorectomy is the surgical removal of a fallopian tube and an ovary. If both sets of fallopian tubes and ovaries are removed, the procedure is called a bilateral salpingo-oophorectomy.

Colporrhaphy:

Colporrhaphy is the 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). An anterior colporrhaphy mobilizes the bladder, returns it to its normal place, and fixes it there. A posterior colporrhaphy reduces gaping introitus, reconstitutes the perineal body, reinforces pelvic diaphragm by approximating the levator ani muscles, and corrects a rectocele. Obviously, a combined colporrhaphy is often performed as women sometimes have both a cystocele and a rectocele.

Tubal Ligation (Tubectomy):

Tubal Ligation or tubectomy (also known as having one's "tubes tied" (ligation)) is a surgical procedure for sterilization in which a woman's fallopian tubes are clamped and blocked, or severed and sealed. Either method prevents eggs from reaching the uterus for fertilization. Tubal ligation is considered a permanent method of sterilization and birth control.

Endometrial Ablation:

Endometrial ablation is a medical procedure that is used to remove (ablate) or destroy the endometrial lining of a uterus. This technique is most often employed for people who suffer from excessive or prolonged bleeding during their menstrual cycle but cannot or do not wish to undergo a hysterectomy. The procedure is most commonly done on an outpatient basis.