| |
|
Electro galvanic stimulation (EGS)
- How do I prepare for this appointment?
There is no bowel preparation involved for this procedure.
- How do I make an appointment for EGS therapy?
- Please call our Pelvic Floor Clinic at (312)413-2708
Monday – Friday 8am to 4:30pm.
- Address: 1740 W. Taylor, Room 2201. Chicago, IL. 60612
- Driving directions mapquest
TOP
Biofeedback/Neuromuscular re-education
- What is Biofeedback/Neuromuscular re-education?
Download informations here
- How do I prepare for this appointment?
- Although there is no bowel preparation involved, please try to avoid using any lotions on your skin prior to your appointment.
- What do I need to bring to this appointment?
Insurance card
List of any current medications
HMO referral, if required
Pertinent outside records, if not already faxed to our office
- How many follow up appointments should I be expected to set up.
Generally a total of 8 sessions (once/week) will be required but this well be discussed in detail on your first visit.
Our therapists will work around any scheduling conflicts as best they can, to accommodate your schedule.
Please allow 2 hours for your first consult and 1 hour for all other follow up visits.
- How do I make an appointment?
Please call our Pelvic Floor Clinic at (312)413-2708 Monday – Friday 8am to 4:30pm.
- Address: 1740 W.Taylor, Room 2201. Chicago, IL. 60612
- Driving directions Mapquest
- Cancellation policy
We ask that you give us at least a 24 hour notice for any cancelled appointments.
You can call our office after hours as we do have an answering service that can take your information regarding canceling appointments.
TOP
Anal manometry/pudendal nerve stimulation
- What is anal manometry?
download brochure
- How do I prepare for this appointment?
- You will need to give yourself 1 fleet enema the evening before
going to bed. If you suffer from severe constipation, you will be asked
to give yourself another enema the 2-3 hours before your test.
- You can take your regular scheduled medications the day before and
day of appointment.
- No diet modification is required the day before.
- For female patients, you do not have to cancel your appointment if you
are currently on your menstrual cycle.
- What do I need to bring to this appointment?
Insurance card
List of any current medications
HMO referral, if required
Pertinent outside records, if not already faxed to our office
- How do I make an appointment?
Please call our Pelvic Floor Clinic at (312)413-2708 Monday – Friday 8am to 4:30pm.
- Address: 1740 W.Taylor, Room 2201. Chicago, IL. 60612
- Driving directions mapquest
TOP
Endoanal/Endorectal ultrasound (scheduled in our surgery clinic)
- What is endoanal/endorectal ultrasound?
- Ultrasound uses sound waves that are reflected or bounced off different
tissues. Due to differences in acoustic properties of these tissues,
normal tissue, abnormal tissue & defects in tissue can be seen.
- How is this performed?
- You will be taken into a room & asked to change into a gown. You will
be asked to remove the lower portion of clothes on your body. You
will be positioned on an exam table. The doctor will assemble the
probe by filling the small balloon on the end of the ultrasound probe
with water then covering the end of the probe with a balloon. The
probe will be lubricated before insertion into the anus. The
examination usually takes 5–10 minutes. Your physician will explain
the procedure as it is being performed. A nurse or medical assistant
will be in the room throughout the procedure to assist you as needed.
The procedure should produce no more discomfort than a traditional
rectal exam and for this reason, no anesthetic is used so you will be a
able to drive yourself home.
- On occasion, this procedure may be scheduled as an outpatient surgery
at our Surgicenter with monitored anesthesia care. This
will be determined by your doctor at the time of your consultation.
- How do I prepare for this procedure?
- You will need to purchase 2 Fleet enemas at your pharmacy or drug
store.
- You do not need a prescription to buy Fleet enemas.
- The evening before your test, give yourself one Fleet Enema before
going to bed according to the instructions on the package.
- The morning of your test, give yourself one Fleet Enema 2-3 hours
before your appointment.
- You may take your regularly scheduled medications the day before
and day of your appointment. No special diet restrictions needed.
- Where do I go for my appointment?
If you have been scheduled at our surgery clinic:
Outpatient Care Center
Surgery Clinic
1801 W. Taylor, Suite 3F
(312)355-4300
If you have been scheduled at our Surgicenter (outpatient surgery)
Main Hospital
1740 W. Taylor, Room 3300
(312)413-2708
- When will I get my results?
Your physician may discuss the results with you immediately after the
procedure. However, the physician may prefer to correlate these
results with other diagnostic tests that have been done, and may
schedule a return visit at a future date to discuss the results.
TOP
Flexible sigmoidoscopy
- What is a flexible sigmoidoscopy?
- A flexible sigmoidoscopy is a procedure to evaluate the large intestine
from the rectum through the last part o the colon, called the sigmoid
or descending colon. Physicians may use this test to find the cause of
diarrhea, abdominal pain, or constipation. They also use it to look for
benign and malignant polyps as well as early signs of cancer in the
descending colon and rectum. However, flexible sigmoidoscopy is not
sufficient enough to detect polyp cancer in the upper two-thirds of the
colon.
- Where is this procedure performed?
- Generally, sigmoidoscopies are scheduled at our clinic, as an office
procedure without an anesthetic. On rare instances, as determined by
your doctor, patients may need to be given medication during the
procedure and are scheduled at our GI Lab suite in the main hospital.
Please check with your doctor or nurse ahead of time to determine
where your procedure will take place.
- What to expect after the procedure?
- Sigmoidoscopies often give the feeling of pressure and bloating but are generally well tolerated without an anesthetic.
- What do I need to bring to this appointment
Insurance card and Photo ID
List of any current medications
HMO referral (if required)
- How do I make an appointment?
These procedures are scheduled during your visit with the doctor.
If you have been asked by our specialist to set up an appointment and
haven’t done so, please call (312)413-2708 and speak with our nurse.
- Where do I go for my appointment?
- For office procedure sigmoidoscopies at our clinic:
1801 W. Taylor, Suite 3F
- For GI Lab sigmoidoscopies:
1740 W. Taylor, Room 2142
- If you are unsure, please call our office (312)413-2708.
TOP
Defecography (x-ray procedure)
- What is defecography?
- Defecography is a radiological test that allows the doctor to visualize
what occurs when you are emptying your rectum. This test may be
awkward but provides valuable information that will aid in diagnosing
your problem.
- Who needs a defecography?
- Patients suffering from constipation, diarrhea, Solitary Rectal Ulcer
syndrome (SRU), prolapses, rectoceles, cystoceles, or enteroceles may
be asked to have this procedure.
- Why would a defecography be performed?
- A defecography gives us important information on how the rectum empties. It can also tell us if there is:
- Intussusception (telescoping) of the rectum
- Rectal prolapse (protrusion of the rectum)
- Rectocele (bulging in the rectum)
- Enterocele (falling of the bowels during evacuation)
- Cystocele (bulging of the bladder)
- Vaginal prolapse (protrusion of the vagina)
- How do I prepare for this test and how is this test performed?
Defecography instructions
- What do I need to bring to this appointment
- Insurance card and Photo ID
- HMO referral (if required)
- Where is the test completed?
- We DO NOT perform this specialized x-ray at our hospital. You will be scheduled at the University of Chicago which is located at:
5857 S. Marilyn, 1 block east of cottage grove.
Decam 1C - (773)702-6161
- When will I get my results?
- You will be asked to set up a follow up appointment with your
specialist to discuss findings of all exams.
TOP
Instructions for Surgery
- Anesthesia pre-operative evaluation (APEC) clinic appointments
- APEC appointments are intended for patients undergoing surgery and/or colonoscopy, as determined necessary by your doctor or nurse. Your pre-operative blood tests, EKG and/or chest x-ray will all be done during this visit. You will meet with both an anesthesiologist and a nurse practitioner to determine if any further studies or consults will be required prior to your surgery.
- If you have had any of these tests done by an outside facility/doctor’s office within 4-6 weeks of your APEC appointment, please bring them to this appointment as you will be asked for copies, if not already faxed to your specialist.
- If you have been set up for an APEC appointment and need to reschedule or confirm the date and time, please call (312)996-7487.
- APEC address: Main hospital, 1740 W. Taylor – 3rd floor, Room 3300
- For any patients with HMO insurances, please ensure to bring a copy of your APEC referral from your primary care physician.
- Where do I go for surgery?
Main Hospital 1740 W. Taylor
Third floor, Room 3300
Chicago, IL. 60612
TOP
ANAL DYSPLASIA CLINIC
This specialized clinic offers patients with anal and perianal dysplasia access to the latest diagnostic, treatment and follow up services. Anal Human Papilloma virus infection is usually asymptomatic and acquired during sexual activity in the teens. Perianal warts (condyloma acuminata) can develop in patients infected with low oncogenic strains. Highly oncogenic subtypes of the Human papilloma Virus have been linked to the development of anal dysplasia and anal cancer. The incidence of these diseases is rising especially in certain high risk populations (warts, cervical cancer or dysplasia, HIV+, homosexual, transplant and other immunocompromised patients). The newer antiretroviral drugs have not been found effective in the prevention or control of dysplasia.
We offer a comprehensive management with emphasis on screening with anal pap smear ( a simple 1 minute outpatient test ). The test is interpreted by dedicated cytopathologists using the latest techniques (Thin Prep). We encourage high risk patients to follow up annually for follow up examinations.
The results of the Pap smear may then require an outpatient detailed videocolposcopic examination to detect and ablate (destroy) areas of warts and dysplasia. The entire examination is recorded on DVD and can be reviewed at follow up examinations. Most patients are trated on an outpatient basis with emphasis on minimal tissue destruction, pain and quick recovery.
Should patients present with advanced anal cancer we offer the latest techniques of treatment from chemotherapy, radiation to laparoscopic and robotic assisted resections when needed.
TOP
|
|
