GYNAECOLOGICAL SURGERY
- Hysteroscopy
- Laparoscopy
- Hysterectomy
- Vaginal repair
- Bladder repair/prolapse
- Cosmetic gynaecology
- Prolapse repair
BLADDER SURGERY
Bladder Instability
Sometimes stretching the bladder and bladder neck can be helpful at least in the short-term especially where the muscles are overactive. This is usually done by a urologist under cystoscopy control (camera).
Bladder Sling (for stress incontinence)
There are many different approaches now but they all work on the same principal of elevating the bladder neck and providing support on coughing or sneezing when the patient is vertical. These sling procedures are much less invasive than old-fashioned colposuspension which, was a large operation requiring an abdominal incision and elevation of the vagina to provide stretching and closure of the bladder neck.
Because the pelvic floor tissues gradually lose elasticity with age and loss of oestrogen, this procedure does not usually last much longer than 3-5 years.
Bladder Slings, however are extremely effective, and can in some circumstances be done under local anaesthetic and last a long time.