Gynaecological Care

gynaecological-care

Studies reveal that at least 45% of women suffer from gynaecological conditions. Sadly, many of them are too scared or embarrassed to bring it to a doctor’s notice.

In the hope of providing timely treatment, Motherhood Hospitals invites you to consult us regarding any gynaecological issues you may face.

We have faced some extremely challenging cases at the hospital.

One of our patients, a 48 year old, came to us with a lot of discomfort.

She had previously been operated upon in another hospital, for hernia mesh repair and intra-abdominal issues and had been left to contend with a grossly enlarged uterus and the accompanying complications.

Her case was so complicated that we had to perform a complete laparoscopic hysterectomy on her. But the good news is that she is doing really well now.”

At Motherhood, we have the wherewithal to deal with every kind of gynaecological issue.

For instance, we have the laparoscopic equipment required to remove large tumours (we have removed fibroids weighing as much as 5 kgs). We have also removed as many as 30 fibroids, from a single patient.”

COMMON GYNAECOLOGICAL CONDITIONS

FIBROIDS

Uterine fibroids are the most common form of benign uterine tumours in women, affecting around 20 to 40% of women in their reproduc¬tive age. They grow on the wall of the uterus and may be single or in clusters. Symptoms of fibroids include heavy bleeding, painful periods, frequent urination, feeling of heaviness in the bladder, discomfort and bloating in the lower abdomen, complications during pregnancy and labour. They can also lead to infertility and miscarriages.

Motherhood has an early screening programme that detects fibroids before they grow too painful or complicated.

Treatment

While smaller fibroids may be targeted with medications to control the symptoms, larger ones usually need surgery.

Myomectomy

It is a surgery done to remove fibroids without taking out the healthy tissue of the uterus. Myomectomy is mostly recommended for women in the childbearing age, as opposed to hysterectomy. The uterus is untouched, and the woman retains her reproductive potential.

Hysterectomy

It is the surgical removal of the uterus. Total hysterectomy involves total removal of the body of the uterus and the cervix, while in some cases, this may include removal of the fallopian tubes and the ovaries too, depending on the extent of growth or severity of infection.

Laparoscopic Hysterectomy

It is the surgical removal of the uterus with the help of laparoscope (a thin, lit tube with a camera at the end). A small incision is made in the navel through which the laparoscope is inserted. The surgeon performs the procedure by seeing the images from the camera on a screen.

Tiny incisions are made in the lower abdomen and the uterus is removed.

OVARIAN CYSTS

Ovarian cysts are fluid-filled sacs within, or on the surface of an ovary. Women have two ovaries that produce ova (eggs), and also the hormones — estrogen and progesterone. Almost all women develop cysts during their reproductive cycle and for the most part, they are asymptomatic and painless. But some cysts can lead to serious complications and need to be removed.

Treatment
Laparoscopic Cystectomy

A minimally invasive surgery wherein the ovarian cyst is removed by inserting the laparoscope into the abdomen through a small incision below the navel.

ABNORMAL UTERINE BLEEDING

Many women experience persistent, heavy uterine bleeding and cramping. The bleeding may be during a period, or in-between periods.

This is not just extremely uncomfortable, but also leads to anemia, fatigue, and mood swings. It is usually caused by endometriosis, ovarian cysts or uterine fibroids.

Treatment

Normally, hormone therapy or certain medications are given to stop the bleeding. But if it is still persistent, a hysterectomy or hysteroscopy may be advised.

ENDOMETRIOSIS

Endometriosis occurs when the tissue that forms the lining of the uterus (endometrial tissue) grows outside the uterine cavity. Tissues surrounding the area of endometriosis may become inflamed or swollen, leading to the development of scar tissue. When the disease affects the ovary, it could lead to the formation of endometriomas. The disorder can result in debilitating pain in the abdomen and pelvic areas and can be so severe that it affects daily life. Other symptoms include painful menstrual cramps, pain in the lower back, pain during or after sex, painful bowel movements and infertility.

Treatment
Laparoscopic Excision of Cysts

The surgeon removes the growth/scars (endometriomas) through a minimally invasive procedure performed with the help of a laparoscope. This should provide relief from the discomfort and pain caused by the condition.

Diathermy

A minimally invasive procedure, wherein a laser is used to burn the extra growth.

PELVIC ORGAN PROLAPSE

The Pelvic floor muscles are a group of muscles across the pelvic opening that keeps organs such as the uterus, bladder, bowel, vagina and rectum in place. If there is a dysfunction of these muscles, the organs start descending or drooping, and cease to work properly. This is called Pelvic Organ Prolapse.

Symptoms of prolapse include pressure and discomfort in the pelvic region, lower-back pain, painful intercourse, urinary incontinence, constipation, and vaginal bleeding.

Treatment

Vaginal Hysterectomy

A surgical procedure in which the uterus is surgically removed through the vagina. One or both ovaries and fallopian tubes may be removed during the procedure.

Pelvic Floor Repair

A procedure performed through the vagina, to restore support to the pelvic organs and remove excess vaginal skin. Depending on the type of prolapse, a mesh may be inserted to provide support to the organs. In this procedure, a small vaginal incision is made and the mesh is inserted and attached to the ligaments and muscles.