Procedures

Hysteroscopy and curettage

Hysteroscopy is a diagnostic and surgical procedure used to examine the inside of the uterus. A hysteroscope — a thin, lighted instrument — is gently inserted into the uterus to investigate conditions such as abnormal bleeding, infertility, or recurrent miscarriage. Diagnostic hysteroscopy is used purely to assess the uterine cavity, while operative hysteroscopy allows Dr Hatzikostas to divide adhesions, remove lesions, or treat abnormal tissue during the same procedure.

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Abdominal hysterectomy

Abdominal hysterectomy is a surgical procedure to remove the uterus through a lower abdominal incision. It’s typically recommended for heavy or painful menstrual bleeding, an enlarged uterus, uterine cancer, or degenerating fibroids, and is generally considered when conservative treatment options haven’t been effective.

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Vaginal hysterectomy

Vaginal hysterectomy removes the uterus through the vagina rather than an abdominal incision, and is commonly used to treat abnormal uterine bleeding and symptomatic uterine prolapse. It’s only suitable where the uterus is surgically accessible via this route — Dr Hatzikostas will assess whether this option is right for you.

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Vaginal repair and urethral slings

Vaginal repair treats symptomatic vaginal prolapse, which can cause urinary incontinence, pelvic discomfort, constipation, or faecal incontinence. Urethral slings, on the other hand, are used to treat urinary stress incontinence, which doesn’t always occur alongside vaginal prolapse. In some cases, both a urethral sling and vaginal repair can be performed together in the same procedure.

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Laparoscopy

Laparoscopy is a minimally invasive procedure performed through small incisions in the abdomen to examine and diagnose conditions affecting the pelvis. It helps establish the right treatment path for complex gynaecological problems. As with any surgery, risk factors vary depending on your weight, medical history, and the complexity of the planned procedure – Dr Hatzikostas will discuss these with you beforehand.

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