3D/4D Ultrasound
We now offer the latest in cutting edge ultrasound technology to our patients. As one of the first OB/GYN offices to offer 3D and 4D ultrasounds this new technology allows the expectant parents to see the unborn baby in live 4D motion. Parents are able to view the baby's movements from inside the womb. In the past the parents were not able to see the baby's appearance until after the birth. This new technology allows the expectant parents to see what the baby will look like, before it is born! This ultrasound is an experience to treasure for a lifetime. Expectant parents will be able to view their unborn child in a three-dimensional ultrasound with real-time movement. We can actually record by DVD or VHS the baby's movements. Imagine being able to view a yawn, or seeing your baby sucking its thumb. These are magical moments only 3D/4D ultrasound can capture. Please review the package pricing and call (770) 382-5611 for an appointment.

ESSURE
Sterilization is the most widely used form of birth control in the United States. Traditionally, this has meant tubal ligation - or having your tubes tied. But now the Essure procedure offers you an alternative to tubal ligation as a permanent form of birth control. Unlike tubal ligation and vasectomy, there are no incisions or punctures to the body. Essure takes about 35 minutes, does not require general anesthesia, and provides birth control without hormones. We now perform this incision less procedure right here in our office. Many patients are able to return to normal activities within hours of having the procedure completed. For additional information click on the following link: www.essure.com

IMPLANON
IMPLANON™ is a single-rod implant for subdermal use that offers women up to 3 years of contraceptive protection. It is more than 99% effective. Implanon prevents pregnancy in several ways. The most important way is by stopping the release of an egg from the ovary. IMPLANON™ also changes the mucus in your cervix and this change may keep sperm from reaching the egg. Once IMPLANON™ is successfully removed, the ability to become pregnant usually returns quickly: some women have become pregnant within days after removal of IMPLANON™. After removal, if you do not want to become pregnant, you should start another birth control method right away. IMPLANON is injected underneath the skin in our office. For more information visit www.implanon.com

MIRENA IUD INSERTION
Mirena is a safe and 99.9% effective hormone-releasing intrauterine contraceptive. This device is inserted into the uterus as a form of long lasting birth control. Mirena is not a permanent method of sterilization; it lasts for up to five years. Most insurance companies will cover the Mirena at 100%. For additional information click on the following link: www.mirena-us.com/index.html

COMPLEX CYSTOMETRICS/URODYNAMIC STUDIES
One way to test for stress urinary incontinence is to perform a Complex Cystometrics procedure. Stress urinary incontinence occurs when there is a leakage of urine during regular everyday activities, such as coughing, sneezing, or giggling. This procedure tests and measures how the bladder operates as it stores larger amounts of urine during filling. This procedure is painless and typically takes one hour to perform.

· Cystoscopy: the physician looks into the urethra and bladder with a small, illuminated telescope-like instrument to rule out stones, growths and foreign bodies (sutures from previous anti-incontinence surgery).

· Urodynamic studies: these are tests that measure pressures in the bladder and urethra simultaneously to tell how both components are working. They are done in an outpatient clinic, take 30-60 minutes, and are not painful.

Uroflowmetry measures and records the amount and rate (speed) of urine during voiding.

Cystometrogram measures how the bladder operates as it stores larger amounts of urine during filling.

Urethral pressure profile/closure pressure measures urethral pressure to determine the urethra's effectiveness as a closure valve.

Leak point pressure measures how much pressure it takes to open the urethral sphincter (valve) and allow urine to leak. Voiding study measures simultaneous pressure changes in the urethra (decrease) and bladder (increase) as bladder empties during voiding. For additional information on these procedures click on the following link: www.acog.com

Other procedures performed in the office are:

· Annual Pap Smears
· Endometrial Biopsy
· Colposcopy
· PapSure
· Cyrosurgery
· Loop/LEEP Procedures
· Laboratory testing

SURGICAL PROCEDURES

GYNECARE TVT™
Gynecare TVT™ (tension-free vaginal tape) is a synthetic mesh tape that prevents urine leakage during sudden movement (e.g., laughing, coughing, sneezing) and while exercising by reinforcing the ligaments and tissues that support the urethra. This minimally invasive procedure is used to correct stress incontinence and combined stress and urge incontinence in women. For additional information click on the following link: www.gynecare.com

TRANSVAGINAL SLING
T-Sling offers superior performance with minimal complications for stress urinary incontinence. The T-sling product family offers your doctor several choices to best match your individual needs. Patients who undergo treatment enjoy a short recovery period with minimal scarring. As with any surgical procedure, there are risks and complications that may occur. For additional information click on the following link: www.calderamedical.com

GYNECARE THERMACHOICE
Gynecare Thermachoice is a minimally invasive treatment developed to reduce excessive menstrual bleeding (the medical term for this is in pre-menopausal women who are having heavy periods due to benign (non-cancerous) causes. Gynecare Thermachoice which takes about 30 minutes to perform, is simple, minimally-invasive, and requires no hospital stay. It uses heat to treat the endometrium (the lining of the uterus), and can be performed under local anesthesia and requires no incision. Unlike a hysterectomy, GYNECARE THERMACHOICE allows you to preserve your uterus. Recovery is fast - many women return to their normal activities the next day. For additional information click on the following link: www.gynecare.com

DIAGNOSTIC LAPAROSCOPY
During Diagnostic Laparoscopy, a laparoscope (telescope) designed for medical use is connected to a high intensity light and a high-resolution television camera so that the surgeon can see what is happening inside of you. The laparoscope is put into the abdominal cavity through a hollow tube and the image of the inside of your abdomen is seen on the television screen. This procedure is done on an outpatient basis and recovery time is typically 2-3 days. In most cases, this procedure (operation) will be able to diagnose or help discover where abdominal pain is coming from. For additional information click on the following link: www.sages.org/index.html

Just a few of the most common surgical procedures we perform are listed below:

· Total Vaginal Hysterectomy
· Total Abdominal Hysterectomy
· Laparoscopic Assisted Vaginal Hysterectomy
· Exploratory Laparotomy
· Advanced Laparoscopy
· Anterior & Posterior Repair
· Sacrospinous Ligament Fixation
· Tubal Ligation
· Cesarean Delivery
· Burch Urethropexy /.Sling Procedures for Incontinence
· Myomectomy · Hysteroscopy D&C
· Dilatation & Curettage