Minor Procedures

Which minor procedures does Dr. Remi Adelasoye provide?

As an OB/GYN in Campbell River, British Columbia, Dr. Remi Adelasoye provides minor procedures to his patients. These minor procedures include laparoscopy (including the insertion of an IUCD), vulvar biopsies and endometrial biopsies.

What is laparoscopy?

Laparoscopy for gynaecology is a diagnostic, surgical procedure that allows doctors to view a woman’s reproductive organs. During the procedure, a laparoscope, which is a thin tube similar to a telescope, is passed through a small incision in the abdomen. Using the laparoscope, your doctor can look directly at the outside of the uterus, ovaries, fallopian tubes and nearby organs. Using laparoscopy, Dr. Adelasoye can find the cause of pelvic and/or abdominal pain, examine a tissue mass, confirm endometriosis or pelvic inflammatory disease and look for blockages of the fallopian tubes. He also uses this procedure to properly insert IUCDs.

What are IUCDs?

IUCDs, or intrauterine contraceptive devices, are devices that are inserted into the uterus to prevent pregnancy. These little devices are an extremely effective form of birth control and come in many shapes and sizes. IUCDs work by changing the uterine lining and preventing the fertilised egg from attaching to the wall of the womb, preventing implantation. They are best inserted toward the end of menstrual flow since that is the time that you are least likely to become pregnant.  Additionally, the neck of the womb is softer and slightly open at this time, making insertion easier. Intrauterine contraceptive devices are safe and do not cause any harm to the body. An IUCD can remain in the uterus for 3-5 years depending on its effectiveness, after which, a new device may be necessary. They are 98% effective in preventing pregnancy.*

What is a vulvar biopsy?

Vulvar biopsies are procedures that take one or more samples of tissue from the vulva. The vulva is the outer part of the female genitals that includes the labia and the clitoris. A biopsy may be able to determine why you are experiencing itching, swelling, redness and/or changes in color to your vulva. They may also be performed if you have a lump or sore that has recently appeared. During the procedure, numbing medicine is injected into the biopsy area. Next, one or more small pieces of tissue are removed and sent to a lab for analysis. It should take 1-2 weeks for you to get your results back. Dr. Adelasoye will either give you a call or set up an appointment to discuss the results in person. Please raise any questions or concerns that you have at that time.

What is an endometrial biopsy?

Endometrial biopsies are minor procedures that remove small tissue samples from the lining of the uterus (endometrium) for analysis. The tissue samples are studied to look for abnormal cell growth and cancer. This form of biopsy can also check the effects of hormones on the endometrium. Dr. Adelasoye may recommend an endometrial biopsy if you experience abnormal menstrual bleeding, bleeding after menopause or an absence of uterine bleeding.

During the procedure, a speculum is inserted into the vagina to spread the walls apart to view the cervix. The cervix is cleaned with an antiseptic solution and the area may be numbed with medicine to help you feel more comfortable. Forceps are used to hold the cervix steady during the procedure. Next, a uterine sound (a thin, rod-like instrument) is inserted through the cervical opening to find the length of the uterus and the location for the biopsy. The uterine sound is then removed and a catheter is inserted to create suction and collect small pieces of endometrial tissue. The amount and location of tissue removed will depend on the reason for the biopsy. After endometrial tissue is collected, the catheter and speculum are removed and the procedure is over. The collected tissue will then be sent off to a lab for study and results should come back after a couple of weeks. You may feel some cramping as a result of the procedure.

Minor procedures in Campbell River, British Columbia

Dr. Remi Adelasoye performs these minor procedures at our office in Campbell River, British Columbia (with the exception of laparoscopy, which is performed at the hospital). We are a referral-only practice, so if you are in need of a new OB/GYN, please obtain a referral to our office from your primary healthcare provider. Dr. Adelasoye will ensure you always receive compassionate care. For more information, you can reach our office by calling (778) 346-4000.

*Individual results may vary; not a guarantee.