FAQ

Endometrial ablation destroys a thin layer of the lining of the uterus and stops the menstrual flow in selected group of women. In some women, menstrual bleeding does not stop but is reduced to normal or lighter levels. Some women continue to have troublesome spotting after TCRE. If ablation does not control heavy bleeding, further treatment or surgery may be required.

Sling surgeries by TVT and TOT can significantly improve quality of life of patients. Selected group of patients benefit from laparoscopic Burch colposuspension.

Stress urinary incontinence may be caused by a weakening of the sphincter muscle that controls the urethra, which may occur from pregnancy, childbirth, or aging.

Stress urinary incontinence is leakage of urine with physical activity, such as exercise, or when coughing, laughing, or sneezing.

Myomectomy is the surgical removal of fibroids while leaving the uterus in place. Because a woman keeps her uterus, she may still be able to have children. Fibroids do not regrow after surgery, but new fibroids may develop. If they do, more surgery may be needed. Hysterectomy is the removal of the uterus. The ovaries may or may not be removed.

Fibroids that do not cause symptoms, are small, or occur in a woman who is nearing menopause often do not require treatment. Certain signs and symptoms may signal the need for treatment: Heavy or painful menstrual periods that cause anemia or that disrupt a woman’s normal activities Bleeding between periods Uncertainty whether the growth is a fibroid or another type of tumor, such as an ovarian tumor Rapid increase in growth of the fibroid Infertility Pelvic pain.

Fibroids may have the following symptoms:

• Changes in menstruation
• Longer, more frequent, or heavy menstrual periods
• Menstrual pain (cramps)
• Vaginal bleeding at times other than menstruation
• Anemia(from blood loss)
• Pain
• In the abdomen or lower back (often dull, heavy and aching, but may be sharp)
• During sex
• Pressure
• Difficulty urinating or frequent urination
• Constipation, rectal pain, or difficult bowel movements
• Abdominal cramps
• Enlarged uterus and abdomen
• Miscarriages
• Infertility
• Fibroids also may cause no symptoms at all. Fibroids may be found during a routine pelvic examor during tests for other problems.

Uterine fibroids are benign (not cancer) growths that develop from the muscle tissue of the uterus. They also are called leiomyomas or myomas. The size, shape, and location of fibroids can vary greatly. They may be present inside the uterus, on its outer surface or within its wall, or attached to it by a stem-like structure. A woman may have only one fibroid or many of varying sizes. A fibroid may remain very small for a long time and suddenly grow rapidly, or grow slowly over a number of years.

A hysterectomy may be done to treat conditions that affect the uterus:

• Uterine fibroids
• Endometriosis
• Pelvic support problems (such as uterine prolapse)
• Abnormal uterine bleeding
• Cancer
• Chronic pelvic pain

Laparoscopy has many benefits. There is less pain after laparoscopic surgery than with open abdominal surgery, which involves larger incisions, longer hospital stays, and a longer recovery. The risk of infection also is lower. You will be able to recover from laparoscopic surgery faster than from open abdominal surgery. It often can be done as outpatient surgery, so you usually will not have to spend the night in the hospital. The smaller incisions that are used allow you to heal faster and have smaller scars.

If you had general anesthesia, you will wake up in the recovery room. You will feel sleepy for a few hours. You may have some nausea from the anesthesia. If you have had an outpatient procedure, you must have someone drive you home. You may be sore around the incisions made in your abdomen and navel. Sometimes, the tube put in your throat to help you breathe during the surgery may give you a sore throat for a few days. If so, try throat lozenges or gargle with warm salt water. If pain and nausea do not go away after a few days or become worse, you should contact your doctor..

Your doctor will make a small incision in your navel and insert the laparoscope. During the procedure, the abdomen is filled with a gas (carbon dioxide or nitrous oxide). Filling the abdomen with gas allows the pelvic reproductive organs to be seen more clearly. The laparoscope shows the pelvic organs on a screen. Other incisions may be made in the abdomen for surgical instruments. These incisions usually are no more than one 5 mm. Another instrument, called a uterine manipulator, may be inserted through the cervix and into the uterus. This instrument is used to move the organs into view. Dr Mehul Sukhadiya has a patented design of mainipulator called Sukhadiya manipulator, which reduces the operative time and thus helps in early post operative recovery.

Laparoscopy is a way of doing surgery without making a large incision (cut). A thin tube known as the laparoscope is inserted into the abdomen through a small incision(3-10 mm). The laparoscope allows your health care provider to see the pelvic organs. If a problem needs to be treated, other instruments are used. These instruments are inserted either through the laparoscope or through other small cuts in your abdomen.

Laparoscopy often is done as outpatient surgery. You usually can go home the same day, after you have recovered from the anesthesia. More complex procedures, such as laparoscopic hysterectomy, may require an overnight stay in the hospital.