Office Procedures


Routine Gynecological Exam

A well woman examination, also known as your annual gynecological exam, is a vital part of your overall health care. This exam is a preventative measure that can help prevent illness, lead to early detection of cancers, and detect infections and other conditions before they cause serious damage. Through wellness exams, your doctor can monitor any health changes over time and provide helpful information for healthy living.

Your annual gynecological exam includes talking about your personal, family, and medical history and taking your vital signs. It may also include laboratory tests, screening for infections and other conditions, counseling, a pelvic exam, and a breast exam. Pap tests are also a part of gynecological exams. They can detect the presence of abnormal cells in the cervix, infections and inflammations of the cervix, and other cervical conditions.

If you have been experiencing any changes in your body, such as changes in your menstruation or unexplained pain, this is the time to discuss it with your doctor. We invite you to ask questions and discuss any concerns you may have.

Suture Removal

There are many methods of closing wounds – from stitches (sutures) and surgical staples to closure tape and adhesives. Sutures can be used internally and externally on every part of the body. To close a wound, the suture is used in a “sewing” method.  The type of suture used – absorbable and non-absorbable – dictates if the sutures have to be removed.

Once the wound has healed, non-absorbable sutures have to be removed. Using sterile forceps, the suture is picked up and then cut by surgical scissors. The loosened suture is then removed. During the procedure, you may feel slight tugging. Once all of the sutures are removed, adhesive strips are placed over the wound.

Staple removal is very similar to suture removal. A special instrument called a surgical staple remover is used to gently pull the staple out. Again, you may feel slight tugging during the procedure and adhesive strips are placed over the wound.

You will be given instructions on continued wound care after the removal of your sutures.

Removal of Skin Tags and Warts

There are a number of methods used to remove skin tags and warts, including the use of a scalpel, cryosurgery or laser surgery. A local anesthetic will be used to numb the targeted area, and stitches will be used to close the hole left in the skin.

Following the procedure, patients may experience mild pain at the surgery site. It is important to keep the area clean and dry, covered with a bandage for up to two days. Stitches will be kept in place for up to two weeks.

Joint Injections (Provider Specific)

To treat rheumatic diseases, physicians sometime prescribe joint injections (using cortisone) to suffering patients. While the cortisone does not cure the pain, it is an anti-inflammatory, which will alleviate pain by decreasing the swelling.

Cortisone is a steroid that is naturally produced in the body. Injecting a strong concentration of cortisone is an excellent treatment option that will specifically target the inflamed area of injection. Cortisone injections are typically prescribed for pain in the joints and can be used to treat many rheumatic diseases, including:

  • Arthritis
  • Bursitis
  • Carpal Tunnel Syndrome
  • Gout
  • Lupus
  • Osteoarthritis
  • Sarcoidosis
  • Tendonitis

Joint injections usually start to diminish inflammation and alleviate pain within the first few days and can last as long as a few weeks.

Peace Valley Internal Medicine, P.C.

  • Peace Valley Internal Medicine, P.C. - 5039 Swamp Rd., Suite 401, Fountainville, PA 18923 Phone: 215-230-8380

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