Gynaecological procedures & treatment

options

Medhat performs the following procedures when it is indicated and safe to do so: Laparoscopic (keyhole) surgical procedures • Laparoscopic Hysterectomy (TLH) which is usually   indicated for a variety of benign as well as malignant   conditions • Laparoscopic myomectomy which is usually done   for surgical management of symptomatic uterine   fibroids in women who wish toconserve their uteri   (wombs) • Laparoscopic oophorectomy and/or   salpingectomy for the treatment of a variety of   conditions • Laparoscopic ovarian cystectomy (removing Ovarian   Cysts) no matter how large or small when it is   clinically indicated and it is appropriate to do so • Laparoscopic and Medical management of Ectopic   pregnancy (pregnancy outside the uterus) • Laparoscopic and Medical management of   Endometriosis • Laparoscopic Sterilisation (Laparoscopic ligation)

Gynaecological procedures & treatment

options

Hysteroscopic surgery (keyhold intra-uterine surgery) • Diagnostic Hysteroscopy • Hysteroscopy Radiofrequency Endometrial   Ablation (Novasure) for treatment of dysfunctional   uterine bleeding in women who don’t want to   preserve fertility • Thermal Balloon Endometrial Ablation • Resectoscopic procedures (endometrial ablation,   hysteroscopic myomectomy) • Hysteroscopic Sterilisation as an alternative to   laparoscopic sterilisation Vaginal and prolapse procedures • Vaginal Hysterectomy which involves removing the   uterus from the vagina for a variety of indications   when it is suitable to do so • Anterior Vaginal Repair – a common procedure that   is usually performed for the indication of anterior   vaginal wall prolapse commonly known as cystocele • Posterior Vaginal Repair – a common procedure for   the surgical management of posterior vaginal wall   prolapse commonly known as rectocele • Sacrospinous Fixation – a common procedure that   is commonly performed for the surgical management   of the uterine prolapse or prolapse of the vaginal   vault (in women who had previous hysterectomy) • Medical and surgical management of urinary   incontinence, inserting Tension Free Vaginal Tape   commonly known as TVT or TVT-O. This is a highly   successful procedure that is used in the treatment of   a specific type of urinary incontinence known as   stress incontinence, and is usually   performed with cystoscopy. Open surgery (laparotomy) This kind of surgical approach is generally reserved for cases when minimal invasive procedures are not possible or not appropriate. Common gynaecological open surgical procedures are: • Total Abdominal Hysterectomy • Salpingo-Oophorectomy (removing the ovary and   fallopian tube) • Exploratory Laparotomy Colposcopy Medhat is a certified colposcopist. For the diagnosis and treatment of abnormal cervical pap smears he is actively participating in an official auditing program that is coordinated by the Colposcopy Quality Improvement Program (C-QuIP). Medhat has performed many colposcopic assessments and treated many high grade abnormal pap smears (CIN2/ CIN3/ AIS) with a variety of different surgical procedures like Loop Excision of Transformation Zone commonly known as LETZ and cold knife cone biopsy.