List of Services
Defecography is a special X-Ray test used to evaluate bowel function. The test is routinely performed in the radiology department. Contrast material (barium) similar to the consistency of stool is placed into the rectum. Fluoroscopy is then performed during squeezing and relaxation of the pelvic floor and during evacuation of the contrast material.
Cystoscopy is a test that allows direct visualization of the bladder and urethra. A thin, lighted instrument called a cystoscope is slowly inserted into the urethra and advanced into the bladder. Tissue biopsies can be obtained by inserting tiny surgical instruments through the cystoscope. A cystoscopy is performed in situations where laboratory tests and/or imaging tests such as ultrasound and X-rays do not provide the necessary information to render a diagnosis.
Urodynamics comprise a series of tests of the lower urinary tract. They are commonly performed during the evaluation of urinary incontinence, but can be useful for evaluating other conditions as well. A small tube is placed into your urethra and advanced into your bladder. The tube allows the bladder to be filled with a sterile solution and pressures in the bladder and urethra to be recorded. An additional tube is placed in either the vagina or rectum for additional pressure measurements. The test takes about 15 minutes to complete.
Some women note excess labia minora (inner lips), labia majora (outer lips), and/or clitoral hood tissue. Others may wish that their labia majora had a more full appearance. As a fellowship-trained specialist in Female Pelvic Medicine and Reconstructive Surgery, Dr. Minaglia has performed thousands of labial and vaginal surgeries for over ten years. Most commonly, Dr. Minaglia performs the following four cosmetic procedures described below.
Labia Minora Reduction
Labia Minora Reduction is the most common procedure requested in my practice. There are many different ways to perform the procedure, and tailoring the procedure to each individual’s goals is important when achieving optimal results. An optimal procedure reduces the hyperpigmentation and bulk of the labia minora (inner lips) leaving behind barely visible, very small scars.
Labia Majora Augmentation
Some women desire a more full appearance of the labia majora (outer lips). Labia majora augmentation is accomplished by injecting adipose (fatty) tissue beneath the skin of the labia majora after it has been removed from other areas of the body. The procedure begins by making small incisions (a few millimeters) to allow access to subcutaneous adipose tissue in areas such as the butt or thigh. A tumescent solution is injected into the adipose tissue and the tissue is then easily aspirated. The natural contours of the body are easily preserved since only a small amount of adipose tissue is needed.
Libia Majora Reduction
Some women may also note excess labia majora (outer lips). The labia majora are commonly reduced by removing redundant skin and concealing the scar along the natural contour between the labia majora and minora.
Clitoral Hood Reduction
Excess skin of the clitoral hood, which lay across the top of the clitoris, can be present in some women. This excess skin may be removed to decrease the bulk of the area and allow greater exposure of the clitoris.