Hysteroscopy and curettage
Hysteroscopy is a sophisticated clinical process of uterine cavity examination, using Hysteroscope, which is gently put into the uterus to identify intrauterine complexities, such as abnormal bleeding, infertility, miscarriages etc. Hysteroscopy may be diagnostic or operative, depending on your condition. Diagnostic Hysteroscopy and curettage is carried out to obtain a visual assessment of the uterine cavity. On the other hand, operative hysteroscopy is used to divide adhesions, resect lesions or ablate the uterine cavity, if required.
Abdominal hysterectomy is a surgical method for uterus removal through a lower abdominal incision.
Abdominal hysterectomy is done to treat heavy or painful menstrual bleeding, enlarged uterus, uterine carcinoma and degeneration of fibroids. Abdominal hysterectomy is performed in extreme conditions where conservative treatment is not adequate.
Vaginal Hysterectomy is a gynaecological procedure for the treatment of abnormal uterine bleeding and symptomatic uterine prolapse. Vaginal hysterectomy is removal of uterus through the vagina, and it can be performed only on the uterus with easy surgical access. Hence, it comes down to the choice of the patient.
Vaginal repair and urethral slings
Vaginal repair is performed to treat symptomatic vaginal prolapse, which is associated with urinary incontinence, dragging pelvic discomfort, constipation and flatal incontinence. On the other hand, Urethral slings are performed to treat urinary stress incontinence, which may not necessarily be accompanied by signs of anterior vaginal prolapse. In some cases, women suffering from urinary stress incontinence can have sub urethral sling and vaginal repair performed at the same time.
Laparoscopy is a diagnostic procedure, which is performed through surgical incisions in the abdomen, to examine the pelvis. The diagnosis is done to establish a suitable treatment for complex surgical problems. Laparoscopy may involve certain risk because of patient’s weight, complexity of the planned surgery or medical history. Therefore, it is important to discuss the risk factor with the doctor prior to laparoscopy.