surgery

This procedure is used for many situations including treatment of endometriosis, pelvic adhesions, tubal ligations, hysterectomies and other pelvic surgery outside of the uterus.  Usually involves three 5-10 mm port sites; one at the umbilicus and two around the bikini line.  Recovery is minimal and you can usually get back to daily activities as early as one week depending on the extensiveness of the surgery. Post op instructions will be given on the day of surgery and should be followed accordingly. This procedure is an out-patient surgery unless otherwise requested due to age, other health conditions or other extenuating circumstance.

This procedure is used for treatment of miscarriage, abnormal uterine bleeding, endometrial polyps or exploratory surgery due to other conditions.  This procedure does not include incisions.  It is completed with a hysteroscope through the vagina and inserted into the uterus.  Recovery time is minimal and you can usually get back to daily activities as early as 3-4 days depending of the extensiveness of the surgery.  Post op instructions will be given on the day of surgery and should be followed accordingly. This procedure is an out-patient surgery and in some cases can be performed in-office.  

This treatment is used for women who are experiencing abnormal uterine bleeding but do not plan to have any more children.  This procedure includes a tubal ligation, unless it has already been completed previously.  Used in conjunction with a Hysteroscopy (above);  the Dr. will use a device to clean out the thickened endometrial lining and then proceed to cauterize the lining to prevent any further bleeding.  Recovery time for this procedure is approximately 1 week depending of the extensiveness of the surgery.  Post op instructions will be given on the day of surgery and should be followed accordingly.  This procedure is an out-patient surgery. While it is the hope that this procedure successfully stops bleeding, it is not always successful and further treatment or surgery may be required.  Every woman is different and sometimes our hormones and uterus defy treatment.  Many women choose this procedure as an alternative to a hysterectomy.  Discuss your options with Dr. Lehman

This procedure is used to treat vaginal prolapse, urinary incontinence, cystocele and rectocele after all other attempts have therapy have been exhausted. Colporrhaphy may be performed on the anterior (front) and/or posterior (back) walls of the vagina. An anterior colporrhaphy treats a cystocele or urethrocele, while a posterior colporrhaphy treats a rectocele. Surgery is generally not performed unless the symptoms of the prolapse have begun to interfere with daily life.  Recovery for this procedure is approximately 2 weeks to allow for adequate healing.  Post op instructions will be given on the day of surgery and should be followed accordingly.  This procedure is an out-patient surgery.

This procedure is used to prevent pregnancy.  This is a permanent birth control option and should only be selected if you decide you no longer want children.  This procedure can be performed at the time of a C-Section, during the same hospital stay following a vaginal delivery or as a separate procedure any other time.  If performed outside a C-Section, this procedure involves small incisions.  Recovery time for this procedure is approximately 1 week depending on the extensiveness of the surgery.  Post op instructions will be given on the day of surgery and should be followed accordingly.  This procedure is an out-patient surgery.

Does that say Vasectomy?  YES!  Dr. Lehman performs Vasectomies in the comfort of our office.  Men have the option of a combination of oral therapy with local anesthetic or the use of Pronox (Nitrous Oxide) with local anesthetic.  What is the benefit of Pronox? Pronox allows the patient to be more coherent before, during and after the procedure.  Oral therapy often will make the patient sleepy or loopy.  It's just a personal preference and these options can be discussed with Dr. Lehman at the consultation.  There is a small additional charge for the use of Pronox.  This procedure involves 2 minor incisions.  Recovery time for this procedure is approximately 1-2 weeks.  Post op instructions will be given on the day of surgery and should be followed accordingly.  Follow up will be a semen analysis performed in office.

Have a mole or skin tag that you've been wanting removed and tested?  Dr. Lehman can do mole removal in the office.  Moles will be sent off for pathology and appropriate follow up if abnormal will be followed.   Dr. Lehman reserves the right to use medical judgement to decide if he chooses to remove the mole or refer you to a dermatology oncologist for follow up.

Have you had a previous surgery (C-Section, tubal, episiotomy) that has left you with an ugly scar that is painful or just embarrassing?  Dr. Lehman can perform a scar revision surgery in an out patient setting.   Often times, this surgery is in conjunction with another procedure already being performed.  Recovery time is dependent on primary surgery.