Laparoscopic Utero sacral Suspension

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What is a laparoscopic utero sacral suspension?Laparoscopic uterosacral suspension is an operation done through key hole to correct uterine prolapse, in patients who do not wish to have hysterectomy. Uterine prolapse is a condition where the uterus (womb) slips down from its usual location. This is usually associated with vaginal wall prolapse (slipping down). The prolapse can lead to sense …

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Urethrolysis

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What is urethrolysis?Urethrolysis an operation carried out to correct obstruction to passing urine after surgery for stress incontinence of urine (leakage of urine on coughing and sneezing). The operation aims to free the urethra, so that urine can flow out easily. It can be done vaginally, abdominally (through a cut across the tummy) or laparoscopically (through key hole surgery). Vaginal …

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Excision of urethral diverticulum

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What is a urethral diverticulum?Urethral diverticulum refers to out pouching of the wall of the urethra. This leads to a side pocket, where the urine accumulates. It can cause a swelling in the vagina, usually below the urethra. Urethral diverticulum Why do I need this kind of surgery?Urethral diverticulum can sometimes cause problems, such as perception of swelling, recurrent urinary …

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Laparoscopic colposuspension

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What is a laparoscopic colposuspension?Laparoscopic colposuspension is an operation done through key hole to avoid leakage of urine on coughing and sneezing. Stitches are used to support the bladder neck. The operation is carried out under general anaesthesia. The laparoscopic (key hole) approach means less scarring and quicker recovery than open surgery. Laparoscopic colposuspension Why do I need a laparoscopic …

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Self management of vaginal ring pessary for pelvic organ prolapse

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What is self management of vaginal ring pessary?Self management of vaginal ring pessary allows you to remove and replace your ring pessary as and when it suits you. It will reduce the need for you to attend for pessary change at your doctor’s surgery or the hospital from twice a year to once every two years. Why self management of …

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Excision of urethral caruncle

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What is a urethral caruncle?A urethral caruncle refers to sagging inner wall of the urethra. It often happens after the menopause. Shrinkage of the surrounding tissues can lead to lax inner wall of the urethra. Urethral Caruncle Why do I need this kind of surgery?A urethral caruncle does not always cause problems and does not necessarily need to be removed. …

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Fenton’s repair

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What is Fenton’s repair?Fenton’s repair is an operation to correct tightness of the entrance of the vagina. This tightness might follow repair at the time of delivery or for prolapse. Fenton’s procedure Why do I need this kind of surgery?Fenton’s repair is often recommended to relieve pain from the tight area, like during sexual activity, so as to improve the …

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Colpocleisis

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What is colpocleisis? Colpocleisis is an operation to correct prolapse by closing the vagina. It will not be possible to have vaginal sexual activity after that. This will be discussed with you beforehand and only carried out with your voluntary agreement. Other forms of intimacy will remain unaffected. These operations can be carried out under general, spinal or local anaesthesia. …

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Perineal reconstruction

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What is perineal reconstruction?Perineal reconstruction is an operation to strengthen the area between the vagina and back passage. This area is known as the perineum. It is also called the perineal body, hence the name perineal body reconstruction. It can become deficient after delivery. Image of perineal  reconstruction Why do I need this kind of surgery? Perineal reconstruction is often …

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