All Search Results
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Elena Smith, APRN, CPNP, DNP
Elena Smith, APRN, CPNP, DNP, is a certified pediatric nurse practitioner with Orlando Health Physician Associates.
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Erin Dench, ARNP, CNM, MSN
7416 Red Bug Lake Rd. Oviedo, FL 32765 Phone: 407.381.7387 Fax: 407.971.0632 Medical Education Georgetown University, MS, Certified Nurse
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Tracy Nielson, Lead CNM, MSN
Biography "As a child, I always dreamed of being a midwife. I consider it a privilege to be part of a mother's birth experience." Medical Education
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LEEP Loop Electrode Excisional Procedure
A LEEP procedure is indicated once moderate to high grade dysplasia (abnormal cells) are confirmed after colposcopic examination. The procedure is both diagnostic (helps to ensure abnormal cells diagnosed are not more worrisome than reported after colposcopic biopsies) and therapeutic (removes the abnormal cells preventing further growth). A loop connected to an electrical generator is used to remove the area on the cervix where the abnormal cells were identified. The Loop gets very hot and is only used to remove a very superficial layer of the cervical tissue/skin. The procedure takes approximately 10 minutes. You will be placed in the same position as you are during a pap smear, another colposcopy is typically performed prior to removing the cells to better identify the area of concern. The procedure is typically performed in the office but may also be performed in the operating room. You will go home the same day. If being performed in the office, only local anesthetic injected into the cervix will be used. You should abstain from placing anything in the vagina or intercourse for at least three days prior to the procedure and for up to four weeks after the procedure. If you start your period prior to the procedure, it should be rescheduled.
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Myomectomy
Myomectomy is the term used to describe a surgical procedure which is performed to remove fibroid tumors. Fibroids are non cancerous smooth muscle tumors that can grow from within the wall or the lining of the uterus. Fibroid tumors can cause heavy bleeding during your menstrual cycle, irregular bleeding, pain, pressure, and occasionally frequent urination or constipation. Myomectomy is the preferred treatment for women who want to keep their uterus, or because future fertility is desired.
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Laparoscopic Myomectomy
Depending on the size and location of your fibroids you may be a candidate for a laparoscopic myomectomy . Laparoscopic surgery is a type of minimally invasive surgery in which small incisions (cuts) between 0.5 to 1 cm are made on the abdominal wall through which an instrument called a laparoscope can be placed. The laparoscope allows the surgeon to visualize inside the abdomen and pelvis. The abdominal cavity is able to be visualized by distending it with an absorbable gas, typically, carbon dioxide. Small instruments can be placed through the small incisions allowing the surgeon to remove the fibroids and repair the uterus with suture without the need for a large surgical incision. Patients must receive general anesthesia during the procedure and typically stay overnight in the hospital for monitoring.
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Laparoscopic Oophorectomy
An Oophorectomy describes the gynecologic procedure performed to remove one or both (bilateral oophorectomy) ovaries. Most women confuse oophorectomy with hysterectomy (removal of uterus and cervix). Removal of the ovaries is a separate procedure. The ovaries are an important source of estrogen and testoterone for many years until after menopause. For individuals with suspicious ovarian masses, strong family history of ovarian cancer, endometriosis, or chronic pain, an oophorectomy may be indicated.
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Urodynamics
The urodynamics procedure assesses how the
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Urinary Disorders - Incontinence
Urinary continence disorders come in several varieties:
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Pelvic Organ Prolapse
Cystocele – bulging of the bladder into the vagina Rectocele – bulging of the rectum into the vagina Enterocele –
