Office gynaecology

Many gynaecological procedures can nowadays be performed in a clinic setting whilst you are awake and able to talk to the doctor or nurse.
The variety of procedures that can be performed in this setting has expanded considerably due to recent technological advances.

General Gynaecological Procedures

 

• Removal of polyps from the cervix or the lining of the womb (tissue growths which are commonly benign)
• Endometrial ablation (Treatment for heavy periods that removes the lining of the womb)
• Diagnostic hysteroscopy (looking inside the cavity of the uterus with a tiny telescope the is inserted through the cervix)
• Removal of fibroids (excision of fibroids affecting the lining of the womb and are responsible for heavy bleeding)
• Hysteroscopic sterilisation (Blocking of the fallopian tubes via a tiny telescope the is inserted in the uterus through the cervix)
• Manual vacuum aspiration (Treatment of miscarriage under local anaesthetic)
• Insertion of hormonal or inert intrauterine device (For contraception and treatment for heavy periods)

 

 

Outpatient Urogynaecological Procedures

 

The following urogynaecological procedures can be carried out in the outpatient setting:

 

  • Flexible cystoscopy with or without biopsy
  • Bladder instillations for recurrent cystitis (interstitial cystitis)
  • Division of vaginal adhesions or bands
  • Urodynamics
  • Video urodynamics
  • Perineal injections

Why should I have a procedure under local anaesthetic?

• Procedures performed in a more familiar, friendly and less intimidating environment
• No need for general anaesthesia as procedures are performed under local or without anaesthesia
• Reduced number of visits and reduced cost
• Minimal time off work and immediate return to regular activities

Do I feel any pain during these outpatient procedures?

There may be some discomfort, but this is usually minor and feels like period pains. On a scale from 0 to 10, patients usually grade their pain/discomfort at around 2.

Before and after the procedure

On the day of your procedure you can eat and drink as normal.
You will be encouraged to take some pain relief (Paracetamol or Ibuprofen) 60 minutes prior to the procedure.
A nurse will be with you during the course of your procedure.
Depending on the procedure, you may experience light bleeding or discharge for a few day. This is usually minor and won’t interfere with day to day activities.
You will be able to go to work next day.