Office Procedures in Tampa Bay

A colposcopy is used to find cancerous cells or abnormal cells that can become cancerous in the cervix, vagina, or vulva. These abnormal cells are sometimes called “precancerous tissue.” A colposcopy also looks for other health conditions, such as genital warts or noncancerous growths called polyps. A special instrument called a colposcope gives your doctor a lighted, highly magnified view of the tissues that make up your cervix, vagina, and vulva. 

During the colposcopy, your doctor may perform a biopsy on areas that look unhealthy. A biopsy is the removal of a small amount of tissue for examination by a pathologist. A pathologist can identify abnormal cells by looking at the tissue sample under a microscope. While a colposcopy can suggest that you have cancer or precancerous tissue, only a biopsy can actually make a diagnosis. If an abnormal area is small, your doctor may be able to remove all of it during the biopsy.

The loop electrosurgical excision procedure (LEEP) is a way to remove abnormal tissue from the cervix. It is done using a fine wire loop that has a low-voltage electrical current. LEEP may be done after colposcopy and cervical biopsy have confirmed an abnormal Pap test result. In some cases, LEEP may be done instead of a cone biopsy.

A LEEP is done in the office. It takes only a few minutes. You can go home after the procedure.

What To Expect

You will be able to return to most of your normal activities in 1 to 3 days.

You may have:

  • Mild cramping for a few hours after the procedure.
  • A dark brown vaginal discharge during the first week.
  • Vaginal discharge or spotting for about 3 weeks.

You will need to avoid sexual intercourse, tampons, and douching for about 3 weeks.

Call your doctor right away if you have problems after surgery, such as:

  • Severe vaginal bleeding. This means soaking through a pad each hour for 2 or more hours.
  • Pain that does not get better after you take pain medicine.
  • Signs of infection. These include increasing pain, vaginal discharge that smells bad, and fever.

A cone biopsy (conization) is surgery to remove a sample of abnormal tissue from the cervix. The cervix is the lower part of the uterus (womb) that opens at the top of the vagina. Abnormal changes in the cells on the surface of the cervix is called cervical dysplasia.

What To Expect

You will be able to return to most of your normal activities in 1 to 3 days.

You may have:

  • Mild cramping for a few hours after the procedure.
  • A dark brown vaginal discharge during the first week.
  • Vaginal discharge or spotting for about 3 weeks.

You will need to avoid sexual intercourse, tampons, and douching for about 3 weeks.

Call your doctor right away if you have problems after surgery, such as:

  • Severe vaginal bleeding. This means soaking through a pad each hour for 2 or more hours.
  • Pain that does not get better after you take pain medicine.
  • Signs of infection. These include increasing pain, vaginal discharge that smells bad, and fever.

Dilation and curettage (D&C) is a surgical procedure in which the cervix is opened (dilated) and a thin instrument is inserted into the uterus. This instrument is used to remove tissue from the inside of the uterus (curettage).

Why is a D&C done?

D&C is used to diagnose and treat many conditions that affect the uterus, such as abnormal bleeding. A D&C also may be done after a miscarriage. A sample of tissue from inside the uterus can be viewed under a microscope to tell whether any cells are abnormal. A D&C may be done with other procedures, such as hysteroscopy, in which a thin, lighted telescope is used to view the inside of the uterus.

While common, heavy bleeding, pain and missed activities do not have be a woman’s version of “normal.” To determine if your heavy period symptoms warrant a trip to the doctor, here are some questions to ask yourself:

  • Do you regularly experience long (more than seven days) or painful periods?
  • Do you experience irregular periods that make it hard to predict your menstrual cycle?
  • Do you find yourself changing your pad, tampon or other protection every hour—hour after hour?
  • Does your period cause you to avoid certain activities that might result in embarrassing accidents—or cause you to miss work?
  • Are you tired, moody or depressed during your period?

In our 30s and 40s, as we approach menopause, we’re more likely to develop conditions like fibroids or heavy menstrual bleeding. Unfortunately, having heavy periods means a lot more than simply heavy bleeding; heavy periods can wreak havoc in our lives and can take a physical, social and emotional toll.

Social effects:

  • 81% of women find that their heavy period is disruptive to their sex life
  • Women with AUB miss 1.5 days of work/school every cycle. That’s 18 days a year on average!
  • 87% of women say they feel some form of separation from loved ones and friends every cycle

Emotional effects:

  • 84% of women say their heavy periods disrupt their mental and emotional wellbeing
  • 42% of women report feeling depressed when their period is at its heaviest
  • 54% of women report feeling overwhelmed when their period is at its heaviest

QUICK

  • The actual endometrial ablation procedure is performed in five minutes.

SIMPLE

  • There’s no pre-treatment required. And you can have the procedure done at any time during your cycle, even if you’re bleeding. It can be performed right in your doctor’s office and endometrial ablation recovery is also quick and simple – some women return to work the day after.

SAFE AND EFFECTIVE

  • Approved by the FDA in 2001, the procedure has been used and trusted by physicians for more than 15 years.

The Bartholin’s cyst are the fluid-filled sac which automatically develops inside the opening of the vagina. These cysts are generally benign and usually feels like small painless lumps, which are soft when they are touched. These are formed around the area of Bartholin’s glands. The Bartholin’s glands are a pair of small-sized glands present in the right and left side of the opening of the vagina. Bartholin’s glands help secrete mucus for the lubrication of the vagina. The fluid secreted by these glands slightly moisten the opening of the vagina to make contact with this area more comfortable.

The Bartholin’s glands can become inflamed and blocked which signs towards the development of cysts in the opening of the vagina. When the Bartholin’s cyst inflames then this condition is called as bartholinitis. The cyst may become infected, and an abscess may develop in the gland. This infected cyst turns out in an intense red color and feels painful and hot, which can also lead to a high temperature of 38 degrees C and above.

However, if these cysts grow in size, then they might become noticeable and uncomfortable. People feel pain inside the skin around the vagina (vulva) while they walk, sit down or during sexual intercourse. These cysts can sometimes affect the outer region of the area surrounding the vagina (labia majora). As a result, one side of the vagina may look bigger or swollen than the other side. Sometimes home remedies can treat Bartholin’s cysts but in some cases, surgery is required.

Women with the symptoms of Bartholin’s cysts or abscesses are advised to undergo an excision procedure to get relief from the symptoms of Bartholin’s cysts. When the surgery is performed systematically, then the procedure can treat the condition and prevent the reoccurrences of such issues in the future.

The severity of the symptoms are the major factors on which the treatment of Bartholin’s cysts typically depends. A number of patients do not experience any symptoms related to this treatment which means that surgery is not required in such cases.

Urodynamics are a means of evaluating the pressure-flow relationship between the bladder and the urethra for the purpose of defining the functional status of the lower urinary tract. The ultimate goal of urodynamics is to aid in the correct diagnosis of lower urinary tract dusfunction based upon its pathophysiology. Urodynamic studies should assess both the filling and storage phase, as well as the voiding phase of bladder and urethral function. In addition, provocative tests can be added to try to recreate symptoms and assess pertinent characteristics of urinary leakage.

Simple urodynamic tests involve performing noninvasive offcie uroflow studies, obtaining a postvoid residual (PVR) urine measurements, and performing single-channel cystometrography (CMG). A single-channel CMG (ie, simple CMG) is used to assess the first sensation of filling, fullness, and urinary urge

Cystoscopy is a minimally invasive procedure that is performed to examine and treat conditions within the bladder that may not show up clearly on an x-ray or other common imaging procedure. With this procedure, doctors can clearly visualize targeted areas within the bladder. Doctors may perform a cystoscopy for a variety of reasons that may include:

  • Determining the cause of blood in the urine
  • Investigating repeated urinary tract infections
  • Evaluating blockages in the urethra
  • Removing tissue samples for biopsy
  • Evaluate the ureters prior to a surgical procedure

The Procedure

Prior to the cystoscopy procedure, patients are asked to empty their bladder. Local anesthesia is administered before the cystoscope, a thin lighted tube, is inserted through the urethra and into the bladder. Water or saline is then dispensed into the bladder through the cystoscope. As the fluid fills the bladder, the bladder wall is stretched, allowing the doctor to fully view the bladder in detail. Additional instruments may also be inserted to collect tissue samples or remove any abnormalities. The examination usually takes only about minutes to perform.

What is a labiaplasty? 

The term labiaplasty refers to a procedure that reduces the length of the labia minora. It is the most commonly performed vaginal rejuvenation procedure and it can relieve symptoms women experience from twisting and tugging of the labia.

Reasons patients want a labiaplasty

Women opt for surgery for a variety of reasons, including pain from twisting and tugging of the labia when riding a bike or during intercourse, itching, irritation and self-consciousness.

What does a labiaplasty do?

The goal of the procedure is to reduce the labia minora so that they don’t hang below the hair-bearing labia majora. A labiaplasty may be performed to reduce asymmetry when one is longer than the other, or, more commonly, to reduce the length of both labia so that the labia no longer twist, tug or fall out of a bathing suit.

Anesthesia for a labiaplasty

Labiaplasty is a procedure that can be done under either local anesthesia with oral sedation or under general anesthesia.

Labiaplasty procedure

The most common type of labiaplasty is the trim procedure, in which the extra tissue is removed and sewn up directly. Next in popularity is the wedge procedure, which maintains a natural border after a pie-shaped piece of tissue has been removed. Extra folds of the clitoral hood can also be reduced at the same time. Closure is usually done with absorbable sutures.

What are the risks of a labiaplasty?

The risks associated with labiaplasty include those of most surgical procedures, including bleeding, hematoma and infection. The most common complication is over-resection. While some women desire an aggressive reduction, this can result in chronic dryness, scarring at or near the vaginal opening and pain with intercourse. Healing problems are more likely to occur with a wedge procedure, particularly if the patient is exposed to substances that cause blood vessels to shrink.

Recovering from a labiaplasty

Most patients take a week off from work, during which they can reduce swelling and pain by icing with a cold pack sandwiched between the patient’s underpants and an elastic garment, like Spanx. This can be done “twenty minutes on, twenty minutes off.” The patient can also lie with her bottom elevated to reduce swelling.

Patients can resume wearing tampons or having intercourse after four to six weeks. Trim labiaplasty generally allows for a quicker recovery.

While the most distorting swelling is gone by 6 weeks, residual swelling may take six months to disappear.

What are the results of a labiaplasty?

Labiaplasty typically results in shorter labia that no longer hang down below the level of the hair-bearing labia majora. Most patients who experienced symptoms from twisting and tugging of their labia generally find relief after surgery. According to multiple studies, labiaplasty surgery is associated with a high satisfaction rate of over 90 percent.

If you feel that you are a candidate or desire a labiaplasty, please schedule a consultation today

Earlobe repair is performed to treat a wide variety of cosmetic earlobe irregularities which may include stretched, partially or completely torn earlobes.

Typically, earlobe tears occur as a result of the long-term wear of heavy earrings, which create an elongated and weakened earlobe. This elongated earlobe is more sensitive to tearing, which may occur naturally or as the result of a trauma.

When to Consider Earlobe Repair

Ideal candidates for earlobe repair are healthy individuals who have studied the procedure and its possible outcomes. Earlobe repair may be useful to treat:

  • Elongated earring canals
  • Torn earlobes
  • Damaged earlobes

Some factors may negatively contribute to the healing process, including smoking, a history of some medical conditions, the use of certain medications, and a history of gauged lobes.

What are the steps of the earlobe repair procedure?

A local anesthetic is administered prior to the procedure for maximum patient comfort. Generally the skin around the torn/stretched area is removed to make a raw surface for repair. The tissue and skin are sutured together, creating maximum support. Incisions are closed with fine sutures for minimal scarring, though some incision lines may be visible along the rejoined ear line. Any incision lines should continue to fade for up to six months.

How will I feel after the procedure?

Most patients of earlobe repair experience very little pain following the procedure. Any pain can be effectively managed with over-the-counter pain relief medications, such as Tylenol. Discomfort should dissipate over the first 24 hours.

Are there any possible complications?

There is a very small chance of complications as a result of this procedure, including irregular scarring, pigmentation or asymmetry. Just as in other surgical procedures, there is a slight chance of infection, bleeding and poor wound healing. All of these risks will be discussed in depth during the consultation process.

Patient Feedback

Marina D.

  Dr. Stine is the best Gyn I’ve ever had in all my 53 years! He’s caring and compassionate and listens to me and has the highest professionalism and ethics. His skills in the OR are superb from my personal experience providing me with a newly found quality of life! I have recommended him to my family and will also be taking my daughters to him. That’s how much trust I have in him!  

Valerie S.

  Dr. Stine is the absolute best! He is thorough, so comforting and knows his stuff! He truly cares about his patients and takes such great care of us. He is a blessing to all his patients.  

Melissa D.

  My experience with Dr. Stine was basically perfect! I know a lot of women, myself included, that are not comfortable with a male doctor. Dr. Stine changed that for me!
I felt so at ease with him, his bedside manner is amazing. His surgical skills are TOP NOTCH! Do yourself a favor and become a patient of his!

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