We perform a wide range of investigations in our practice which may then lead onto surgical management to resolve the outstanding symptoms.

Smear Abnormalities

Urinary Incontinence

Prolapse

Menstrual Disorders

Pelvic Pain and Endometriosis

Hysterectomy

Infertility

Contraception

Endometrial Ablation

Non-Invasive Prenatal Testing

Hysterectomy

  • Abdominal

  • Vaginal

  • Laparoscopic

Hysterectomy involves removal of the uterus (womb), following which there will be no further periods. Hysterectomy can be indicated for a variety of conditions including difficult to manage periods, the presence of fibroids, prolapse and persisting pelvic pain. In many instances investigations or alternative procedures may have been tried before hysterectomy is resorted to.

It is not normal practice to remove ovaries at the time of surgery. Your surgeon will discuss options regarding best management of the ovaries with you and take into account your preferences.

The approach to the operation can be varied and may involve operating through the abdomen (a bikini incision or similar), through the vagina, or using a keyhole approach (laparoscopic). The particular technique employed will depend on the size of the uterus, the presence of previous surgery, the degree of prolapse and the decision to proceed with any additional repair surgery to the vaginal wall, which may be required at the same time as hysterectomy. The technique best suited to each individual person will be discussed with the advantages of a particular approach considered along with your own preference. It would not be uncommon to consider hysterectomy, and at the same time undertake repair of the bladder for a patient whose major symptom may be extremely heavy periods, but at the same time she is aware of a degree of urinary leakage when exercising.