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Gynecology

The Women’s health department provides the following:



Well woman clinic



This clinic provides primary care gynecological service to women including postpartum care flow up for women after birth. Providing family planning counselling and offering family planning (birth spacing or birth control) methods. The clinic also provides assessment, advice and treatment for menopausal and perimenopausal symptoms and screening for osteoporosis, breast, ovarian and cervical cancer.



General Gynecology clinic



This clinic provides healthcare services to women with general gynecological problems including but not limited to heavy and or irregular periods and other menstrual disorder problems like painful periods, postcoital bleeding, galactorrhea, pelvic pain, uterine fibroid, bartholin cysts, prolapse and other general gynecological problems. Women will have clinical assessment, investigation and treatment of the gynecological problem identified.



Colposcopy clinic



This office procedure clinic sees women with abnormal pap smear. It provides counselling for abnormal smear and colposcopic examination of cervix, vagina or vulva. Colposcopic directed cervical biopsy or excisional treatment is provided in a one stop service where indicated.



Office Hysteroscopy clinic



This office procedure clinic sees women with postmenopausal bleeding and irregular uterine bleeding not responding to medical treatment. It will offer transvaginal ultrasound scan and hysteroscopic assessment of the endometrial cavity. Endometrial biopsy, polypectomy and or insertion of intrauterine system Mirena IUS will be performed in a one stop see & treat, if appropriate.



Pelvic floor and Urodynamics assessment Urogynecology clinic



This specialized clinic sees women with urinary incontinence, voiding dysfunction and pelvic floor dysfunction including complicated vaginal and/or uterine prolapse. It will offer filling and voiding cyctometry, postmicturition residual assessment and staging of vaginal wall prolapse and pelvic floor muscle tone and will offer conservative treatment. Women requiring surgical intervention will be listed accordingly.



Gynecology surgery include:



1-Minimally invasive gynecologic surgery:

Techniques that result in smaller incisions, less pain and a shorter recovery period.

Thanks to advances in technology, procedures that once required a large incision and long recovery period now often can be performed with a few tiny incisions, less pain and shorter recovery. Our gynecologic surgeons provide a range of minimally invasive techniques.



How does minimally invasive surgery work?



Minimally invasive surgery techniques such as laparoscopy use advanced technologies and special instruments to allow a surgeon to see the anatomy in high-definition detail and to reach the surgical site through small openings. These techniques eliminate the need for large incisions and cutting of muscles and other tissues as required in traditional open surgery.



In laparoscopic surgery, the surgeon inserts a laparoscope -- a long, thin tube with a light and camera at the end -- through a keyhole-sized incision. The camera becomes the surgeon’s eyes, transmitting an image of your body cavity to a monitor. The surgeon then operates using instruments inserted through small incisions.



In Hysteroscopic surgery the surgeon inserts a hysteroscope with a light and camera to visualize the uterine cavity and the camera becomes the surgeon’s eyes, transmitting an image of the inside of the uterus which allows the surgeon to operate inside the uterine cavity, without the need to open the abdomen and the uterus to be able to remove fibroids or cut uterine adhesions. This reduces pain and allows for rapid recovery.



Who is a good candidate for minimally invasive surgery?

After a thorough examination and diagnosis, the doctor will discuss your surgical options with you. Many factors are considered and may vary depending on the type of condition and surgery. They can include:

-          Size and part of the pelvic region being treated

-          Medical history

-          Body size



Benefits of minimally invasive surgery



Minimally invasive gynecologic surgery offers many benefits for women. Some of these benefits are:



Fewer complications

Less pain

Minimized blood loss and need for transfusion

Shorter hospital stays

Quicker recovery and return to normal activities



What conditions can minimally invasive surgery treat?

Vaginal prolapse

Endometriosis

Ovarian cysts

Abnormal uterine bleeding

Sterilization

Surgeries that are performed using a minimally invasive technique include:

Laparoscopic assisted vaginal Hysterectomy

Laparoscopic oophorectomy, salpingectomy and ovarian cystectomy

Laparoscopic excision or diathermy ablation of endometriosis

Laparoscopic division of adhesions and salpingostomy for infertility

Laparoscopic ovarian drilling for polycystic ovary

Diagnostic laparoscopy and sterilization procedures

Diagnostic hysteroscopy

Trans-cervical resection of endometrium and resection of submucous fibroids




2-Hysterectomy

A hysterectomy is a surgery to remove your uterus. It’s a common treatment for many gynecologic conditions.

Though common, having a hysterectomy is an important decision that can be difficult to make. Our team is committed to offering you the least invasive option possible to minimize discomfort and help you recover faster.

Why do women get hysterectomies?

While many people think of hysterectomy as a gynecologic cancer treatment, 85 percent are performed to treat non-cancerous conditions. These can include:

Advanced endometriosis

Fibroids

Heavy uterine bleeding



Types of hysterectomy and how it is performed

There are different types and ways of performing hysterectomy. The type and way needed depends on your diagnosis

Partial hysterectomy: The upper part of the uterus is removed, but the cervix is left in place

Total hysterectomy: The entire uterus is removed, including the cervix

Hysterectomy can be done by abdominal, vaginal or laparoscopic surgery

Are there alternatives to hysterectomy?

In some cases, you may be able to try medication or other procedures before having a hysterectomy. These alternatives may include:

Endometrial ablation to treat abnormal uterine bleeding by using a special device to destroy the lining of the uterus (the endometrium)

Uterine artery embolization to treat uterine fibroids, which works by stopping blood flow to the fibroid, causing it to shrink over time

Your doctor will walk you through your options, including those that may not be recommended for women who may want to become pregnant



3- Myomectomy surgery for Fibroids

4-Abdominal oophorectomy and ovarian cystectomy

5-Pelvic floor dysfunction and urinary incontinence surgery

Anterior and posterior colporrhaphy

Sacrospinous fixation for vaginal vault prolapse

Cystoscopy and urethral dilatation

Sub-urethral injections for urinary incontinence

Transvaginal tape procedures for urinary incontinence