In Office Procedures | Charleston OBGYN | William Dennis


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In-Office Procedures

Dr. William Dennis, OB/GYN offers the following in-office procedures:

Gynecology Procedures:

  • Colposcopies
  • Colposcopy is the use of a special magnifying device to look at your vulva, vagina, and cervix. A colposcopy is usually done when the result of a Pap test is abnormal. A large microscope allows Dr Dennis to better visualize any changes in your cervical cells.
  • Biopsies
  • A biopsy is a procedure that removes a small piece of living tissue from your body. The tissue is examined with a microscope for signs of damage or disease. Biopsies can be done on all parts of the body. A biopsy is the only test that can tell for sure if a suspicious area is cancer. Biopsies may be taken when a colposcopy is performed or when a skin tag or other lesion is removed.
  • Ultrasounds
  • Diagnostic ultrasound, also called sonography, is an imaging method that uses high-frequency sound waves to produce relatively precise images of structures within your body. The images produced during an ultrasound examination often provide valuable information for diagnosing and treating a variety of diseases and conditions. Ultrasounds are performed by Dr. Dennis for pelvic pain and other gynecological issues such as fibroids and abnormal uterine bleeding.
  • BV/Yeast cultures
  • A vaginal wet mount also known as a wet prep or culture is a gynecologic test wherein a sample of vaginal discharge is observed. Dr. Dennis creates wet mount microscopy by placing the specimen on a glass slide and mixing with a salt solution. It is used to find the cause of vaginitis and vulvitis. A culture is the only way to determine what type of medication will best treat the symptoms.
  • Endometrial biopsies
  • An endometrial biopsy is a way for your doctor to take a small sample of the lining of the uterus (endometrium) An endometrial biopsy may be done to find the cause of abnormal uterine bleeding, to check for overgrowth of the lining (endometrial hyperplasia), or to check for cancer. The biopsy is done in our office and sent to the laboratory for study.
  • Insertion and removal of IUD's
  • The modern intrauterine device (IUD) is a form of birth control in which a small 'T'-shaped device, containing either copper or progesterone, is inserted into the uterus. IUDs are a form of long-acting reversible contraception, which is the most effective type of reversible birth control.
  • Consultations for hormone replacement
  • Hormone replacement therapy (HRT) is a system of medical treatment for surgically menopausal, transgender, perimenopausal and postmenopausal women. It is based on the idea that the treatment may prevent discomfort caused by diminished circulating estrogen and progesterone hormones. Dr. Dennis is well-versed in this area of patient care and takes time to treat your symptoms.
  • Infertility and birth control
  • There are many types of options for contraception, from IUD’s and vaginal rings, to the pill and injections. Dr. Dennis will take the time to discuss your options and help you make the best decision based on your lifestyle and body.
  • Pap smears
  • The Papanicolaou test (also called Pap smear, Pap test, cervical smear, or smear test) is a screening test used to detect potentially pre-cancerous and cancerous processes in the endocervical canal. It is recommended that females who have had sex seek regular Pap smear testing. Guidelines on frequency vary from every three to five years. If results are abnormal, and depending on the nature of the abnormality, the test may need to be repeated in six to twelve months. If the abnormality requires closer scrutiny, the patient may be referred for detailed inspection of the cervix by colposcopy. Changes can be treated, thus preventing cervical cancer.
  • HPV
  • Human papillomavirus (HPV) is a virus from the papillomavirus family that is capable of infecting humans. While the majority of the known types of HPV cause no symptoms in most people, some types can cause warts (verrucae), while others can – in a minority of cases – lead to cancers of the cervix, vulva, vagina, penis, oropharynx and anus. Dr. Dennis orders an HPV screen on all pap smears done in our office.
  • STD testing
  • Sexually Transmitted Disease (STD) or Sexually Transmitted Infection (STI) testing STI tests may test for a single infection, or consist of a number of individual tests for any of a wide range of STIs, including tests for syphilis, trichomonas, gonorrhea, chlamydia, herpes, hepatitis and HIV tests. No procedure tests for all infectious agents. Our office is capable of obtaining the specimen from you and having the laboratory diagnose the specimen.
  • Excision of lesions
  • Excision refers to removal of a skin lesion by completely cutting it out. Lesions are lumps or bumps such as moles, cysts, lipoma’s (fatty lumps). Most are benign (non-cancerous). Excision refers to removal of a skin lesion by completely cutting it out. Dr. Dennis can remove many types of lesions in the office.
  • Sonohysterogram

Urogynecology Procedures:

  • Urinalysis
  • Urinalysis is a diagnostic physical, chemical, and microscopic examination of a urine sample (specimen). Specimens can be obtained by normal emptying of the bladder (voiding) or by an office procedure called catheterization. A catheterized specimen is less likely to have contamination and therefore is the most reliable collection. It is impossible to know if you have a UTI or other urinary infection without a specimen. A simple urinalysis can be performed in our office. Specimens indicating infections are sent to the laboratory for further testing.
  • Cystometrics (measure bladder capacity)
  • Cystometry is a test of bladder function in which pressure and volume of fluid in the bladder is measured during filling, storage, and voiding. This procedure is usually performed to determine if urinary incontinence issues are cause by stress (coughing, laughing, and sneezing) or by another problem. A simple cystometrics can be performed in the office by Dr. Dennis.
  • Pessary fittings
  • A therapeutic pessary is a medical device similar to the outer ring of a diaphragm. Therapeutic pessaries are used to support the uterus, vagina, bladder, or rectum. A pessary is a conservative approach to treat prolapse of the uterus. It is also used to treat stress urinary incontinence, a retroverted uterus, cystocele and rectocele. The pessary can be placed temporarily or permanently, and must be fitted by a physician.

Obstetric Procedures:

  • Ultrasounds including Anatomical screening and nuchal fold
  • During the course of a normal pregnancy, there are three standard ultrasounds.

    The first ultrasound is a vaginal one done on your first appointment that determines a viable pregnancy.

    The second ultrasound is also a vaginal one. It is a nuchal fold ultrasound. A nuchal scan is a sonographic prenatal screening scan (ultrasound) to help identify higher risks of chromosomal defects including Down's synDr.ome in a fetus. High thickness measurements are also associated with congenital heart defect. The scan is carried out at 11–13.6 weeks pregnancy and assesses the thickness of soft tissues of the nape of neck of the fetus.

    The third ultrasound is the anatomical screen. Dr. Dennis will apply a warmed gel to your abdomen and using a small paddle, scan the abdomen taking a look at baby in the uterus. The following fetal parts are checked during the anatomy ultrasound: Face, Brain (ventricles, choroid plexus, mid-brain, posterior fossa, cerebellum, cisterna magna, measurements of anterior and posterior horns of lateral ventricles), Skull (shape, integrity, BPD and HC measurements), Neck (nuchal fold thickness), Spine, Heart (rate, rhythm, 4-chamber views, outflow tract),Thorax (shape, lungs, diaphragm), Abdomen (stomach, kidneys, liver, bladder, wall, umbilicus, cord, abdominal circumference AC), Limbs (femur, tibia, fibia, humerus, radius, ulna, hands, feet femur length FL), Genitals (gender, abnormality), Cervix (length and opening).
  • Amniocentisis
  • Amniocentesis (also referred to as amniotic fluid test or AFT) is a medical procedure used in prenatal diagnosis of chromosomal abnormalities and fetal infections, in which a small amount of amniotic fluid, which contains fetal tissues, is sampled from the amnion or amniotic sac surrounding a developing fetus, and the fetal DNA is examined for genetic abnormalities. This procedure is done in our office.
  • Blood work
  • The following blood tests are routinely done for all new obstetrical patients:

    -CBC (Complete Blood Count) measures the hemoglobin and various cell counts which provide information on iron stores and infections, the blood type and Rh reveals possible blood groups and/or Rh incapability problems.

    -An antibody screen is done to detect unusual antibodies that may have arisen during a prior pregnancy or from a transfusion.
    -The rubella test is an antibody test to determine if you are immune to German measles (if a woman is not protected and exposed to rubella, another blood sample will be Dr.awn to determine if she has become infected).

    -Tests are done to detect exposure to syphilis and hepatitis B infections, a thyroid screening and an HIV screen are also completed.
    -At 16-18 weeks of pregnancy, mothers may elect to have an AFP (alphafetoprotein) screening. An AFP screens the baby for potential abnormalities, primary of the baby’s spinal column. It may also detect Down’s syndrome.

    -At 26-28 weeks of pregnancy, a one hour glucose test will be ordered. This test detects the body’s response to sugar in the blood stream and screens patients for gestational (pregnancy) diabetes. A hemoglobin and hematocrit will also be ordered at this time to provide information on your iron stores.
  • Beta Strep cultures
  • At 34-36 weeks of pregnancy you will be screened for bacteria called group B strep that is sometimes found in the vagina. While this bacteria is not a problem for most women, it can be harmful to the baby. If you are found to carry this bacteria, IV antibiotics would be given to you during your labor to reduce the risk of infection to your baby.
  • Glucose tolerance testing