A colposcopy is a method of examining the cervix, vagina, and vulva with a surgical instrument called a colposcope.

The procedure is usually performed if the results of a Pap smear (the screening test used to identify abnormal cervical cells) are unusual.

A laparoscope is a telescope which can be inserted into the abdominal cavity through a small incision. A powerful light & TV camera allows the surgeon to see the abdominal & pelvic organs more clearly.

The video camera is connected to viewing screen to optimise vision during the operation. The surgeon can then manipulate the laparoscope and other instruments outside of the patient’s body to perform most gynaecological operations. Because the image is magnified the surgeon can see more clearly and can more easily prevent bleeding during surgery.

The following operations are best performed through a laparoscope:

Removal of Ovaries│Fibroid Removal│Cyst removal│Endometriosis Removal│Bladder neck suspension for incontinence│Pelvic floor repair for prolapse│ Hysterectomies

Tissue samples care obtained for biopsy through the tube (laparoscope)

Dr Josh has had the opportunity to be trained by the IRCARD Institute in France. Since then he has been doing more and more Laparoscopic surgery and it is now the method of choice for the surgery. In this fast pacing world, women want to have quick recovery with minimal scars on their skin so that they can continue with their lives. Laparoscopic surgery offers this.

An abdominal hysterectomy is a surgical procedure that removes your uterus through an incision in your lower abdomen.

Sometimes a hysterectomy includes removal of one or both ovaries and fallopian tubes, called a total hysterectomy.

A hysterectomy can also be performed through an incision in the vagina (vaginal hysterectomy) or by a laparoscopic or robotic surgical approach, which uses long, thin instruments passed through small abdominal incisions.

An abdominal hysterectomy may be recommended over other types of hysterectomy if:

• You have a large uterus.
• Your doctor wants to check other pelvic organs for signs of disease.
• Your surgeon feels it’s in your best interest to have an abdominal hysterectomy.

You may need a hysterectomy to treat:

• Gynaecologic cancer
• Fibroids
• Endometriosis
• Uterine prolapse
• Abnormal vaginal bleeding
• Chronic pelvic pain

Myomectomy is a surgical procedure to remove uterine fibroids. These common non cancerous growths appear in the uterus.

The surgeon’s goal during myomectomy is to take out symptom-causing fibroids and reconstruct the uterus. Unlike a hysterectomy, which removes your entire uterus, a myomectomy removes only the fibroids and leaves your uterus.

Women who undergo myomectomy report improvement in fibroid symptoms, including decreased heavy menstrual bleeding and pelvic pressure.

If you need surgery, reasons to choose a myomectomy instead of a hysterectomy for uterine fibroids include:

• You plan to bear children
• Your gynaecologist suspects fibroids might be interfering with your fertility
• You want to keep your uterus

Vaginismus is common in teenagers and women in their twenties.

Contributing factors

The woman is unable to have penetrative sex without pain. It also happens when trying to use tampons for the first time. Usually you are unaware until this happens. In severe cases of vaginismus penetration is impossible. This can result in a breakdown of the sexual relationship. Factors which can contribute to vaginismus include urine infections, sexual abuse, anxiety, fear of losing control and misconceptions about sex. Treatment of vaginismus consists of injecting botox into the vagina as a once-off procedure, resulting in cure of the condition.