Gynaecology Surgery

We offer the following Gynaecology Surgeries at Ulster Independent Clinic:

Hysterectomy

This is a surgical procedure to remove the uterus, often recommended for conditions as diverse as persistent pelvic pain, certain types of cancer or uncontrollable vaginal bleeding. We offer both traditional and robotic surgeries for hysterectomy procedures.

Myomectomy

If you have fibroids, this surgery might be recommended for you. It's designed to remove fibroids from your uterus.

Oophorectomy

‍This involves removing one or both ovaries. It's frequently implemented to treat ovarian cancer or significantly reduce the risk of developing it.

Laparoscopy

‍Also known as 'keyhole surgery', this minimally invasive procedure is typically used to diagnose or treat a range of gynaecological conditions. These could include ovarian cysts, ectopic pregnancy, endometriosis, among others.

Endometriosis

Endometriosis is not only a painful condition, but it's also frustrating as it can lower fertility rates and result in chronic pelvic and abdominal pain. This disease is complex and involves dysregulation of hormone expression, hormone receptor activation, and gene activation. Our endometriosis surgeries are carried out with utmost precision and patient care in mind. The procedure is primarily aimed at removing the endometrial cells growing outside the uterus. It is important to note that endometriosis can be treated medically with drugs or medicine, but for some individuals, surgery may be the preferred and recommended option for pain management and improving fertility. We offer both traditional and robotic surgeries for endometriosis procedures.

Colposcopy

Colposcopy is another common gynaecological procedure performed at the Ulster Independent Clinic. This technique is primarily used to examine your cervix, vagina, and vulva for signs of disease. If abnormal cervical cells are detected during a Pap smear, a colposcopy may be recommended.

Typically, a colposcopy is recommended if you've had an abnormal Pap smear. During the process, your doctor may spot an area that appears suspicious and may take a biopsy. This tissue sample can be analysed to determine the presence of precancerous or cancerous cells. This can be incredibly important for early detection and treatment.

Performed under local anesthesia, a colposcopy usually takes about 15-30 minutes. The process involves using a special instrument called a colposcope. This instrument, which functions like a microscope, allows the gynaecologist to see the tissues of the cervix, vulva, and vagina closely. If your doctor spots an area which may contain abnormal cells, a small tissue sample, or biopsy, may be taken for further testing.

Anterior and posterior colporrhaphy

Anterior and posterior colporrhaphy is a procedure aimed at correcting defects in the anterior (front) and posterior (back) vaginal walls. 

In your journey towards better health, you might find yourself needing this surgery due to conditions such as urinary incontinence or a prolapsed uterus, conditions that can severely affect your everyday life and wellbeing. 

This surgical procedure is primarily conducted to provide you relief from the uncomfortable and potentially painful symptoms these conditions might bear. The overall approach involves resection of peritoneum, uterosacral ligament, posterior vagina, anterior rectum, and intestine, either by shaving or resection with anastomosis in order to repair the pelvic floor and correct the vaginal wall defects. Surgical instruments will be carefully inserted through small openings and your medical team will use a special thin tube equipped with a light and a camera to guide the process and assure precision. 

Sacrospinous Fixation 

This surgery is particularly recommended when there's a significant weakening of the pelvic floor muscles leading to pelvic organ prolapse. The ligament is used as a supportive structure to reposition and secure a prolapsed organ. 

The main reason you may need a sacrospinous fixation is due to pelvic organ prolapse, which is a condition that primarily affects women who have given birth, undergone menopause, or have experienced severe strain on the pelvic floor muscles. When the muscular support for your pelvic organs weakens, you may experience discomfort, urinary or bowel problems, and even sexual difficulties. Sacrospinous fixation can help alleviate these symptoms by providing a new 'anchor' for the prolapsed organ. 

The surgeon uses a special suture, guided by a specially designed needle, to attach the prolapsed organ to the sacrospinous ligament in your pelvis. Once everything is securely positioned, the sutures are tied and the incisions made for the procedure are sewn up. Rest assured that you will be under general anaesthesia throughout the procedure, so you won't feel a thing. 

The Process Involved

The process can generally be broken down into three major steps: diagnosis, operative procedure, and recovery. After preliminary examinations and tests confirm a condition, the consultant will discuss appropriate treatment options tailored to your unique situation.

The surgery itself will be carried out by skilled experts, using state-of-the-art technology. Different procedures require different types of anaesthesia and duration in surgery.

Post-operative care is a crucial part of the recovery process. This often includes rest, medication for pain or discomfort, physiotherapy if needed, and regular follow-up appointments. Remember, no question is trivial when it comes to your health. Make sure to discuss all your concerns with your healthcare provider before and after the surgery.

We have a multidisciplinary team on hand to provide the highest possible standard of care and our dedicated team are here to support you every step of the way.

We recognise that every woman is unique, and thus, our approach to care is personalised and comprehensive, to suit your exact circumstances.