Gynaecology Surgery

Dr Turner offers the following procedures through his practice:

Stress Incontinence Treatment

Stress incontinence is the leakage of small amounts of urine during physical movements, such as coughing or laughing, suddenly increasing the pressure over your urinary bladder.

Cystoscopy for Incontinence Diagnosis

A cystoscopy examines the inside of the bladder and urethra, the tube that carries urine from the bladder to the outside of the body.

Dr Ross Turner performs the examination using a cystoscope, a long, thin instrument with an eyepiece on one end, a tiny lens, and a light on the other end that is inserted into the bladder.

Dr Ross Turner inserts the cystoscope into the patient’s urethra, and the small lens magnifies the inner lining of the urethra and bladder, allowing Dr Ross Turner to see inside the hollow bladder. Many cystoscopes have extra channels within the sheath to insert other small instruments that can be used to treat or diagnose urinary problems.

Colposcopy Surgery for Cervix Examination

Colposcopy is a procedure in which a special magnifying instrument called a colposcope is used to look into the vagina and into the cervix. The colposcope gives an enlarged view of the outer portion of the cervix.

Colposcopy is done when there are abnormal changes in the cervix cells, as seen on a Pap test. Further, it may be done to assess problems such as genital warts on the cervix, inflammation of the cervix, benign growths or polyps, pain and bleeding.

Tubal Sterilisation & Reversal Surgery

Sterilisation has gained popularity owing to its advantages over traditional approaches.

Tubal Sterilisation is a permanent method of contraception for women desiring not to become pregnant in the future.

The procedure is a minimally invasive procedure using a laparoscope.Laparoscopic sterilisation is a technique of tubal ligation to block or close the fallopian tubes, the pathway for sperm to reach eggs for fertilisation.

Laparoscopic sterilisation is a technique of tubal ligation to block or close the fallopian tubes, the pathway for sperm to reach eggs for fertilisation. Removing the distal end of the fallopian tube reduces the risk of ovarian cancer by 40% so this is now recommended.

Fallopian tubes on either side of the uterus pick up eggs released from the ovaries and transfer them to the uterus. If these tubes are blocked, sperm fail to reach the eggs, and fertilisation will not occur.

Fallopian Tube Reanastomosis Surgery

This procedure re-unites the fallopian tubes if the patient wishes to conceive naturally after previous sterilisation. It is only possible if there is enough tube left and if the fimbrial end [the distal end with the fronds that pick up the egg] is still present. 

With the current method of salpingectomy, where the whole tube is removed, re-anastomosis is not possible. The operation is complex and not always successful, with a risk of ectopic pregnancy at the anastomosis site. In most circumstances, it is preferable to do IVF instead of re-anastomosis.

Tubal Reversal / Reconstructive Surgery

Sterilisation is a permanent method of contraception for women desiring not to become pregnant in the future.

Tubal Reversal after sterilisation is a surgical procedure to restore fertility by restoring the normal functionality of the fallopian tubes that were blocked during sterilisation. About 5-10% of women may require reversal of sterilisation, due to various reasons such as having a new partner and desire for additional children.

Women whose tubes were removed during the sterilisation cannot have a reversal.

Factors Influencing Sterilisation Reversal

The major factors that may affect the results of reversal after sterilisation are as follows:

• Age
• Condition of the tubes
• Regularity of the menstrual cycle
• Fertility of partner
• Problem with another part of the reproductive system

Before Tubal Reversal Surgery

Prior to the reversal surgery, patients should undergo a screening that includes:

• Physical examination
• Medical history
• Series of laboratory tests
• Review of the medical reports of sterilisation methods
• Evaluation of the partner’s fertility

Tubal Reversal Procedure

Tubal Reversal is usually done as an open procedure or as a minimally invasive procedure performed using a laparoscope. Reversal after sterilisation is safe.

Fallopian tubes, located on either side of the uterus, pick up eggs released from the ovaries and transfer them to the uterus. If these tubes are blocked, sperm fail to reach the eggs and fertilisation will not occur. The procedure involves the following steps:

• The operation is performed under general anaesthesia
• A small incision, approximately 10-12 cm in length, is made across the lower abdomen or a laparoscope is inserted just below the umbilicus..
• The fallopian tubes are identified and isolated.
• Magnification and microsurgical techniques are used to repair the fallopian tubes.
• The occluded segments of the tubes are trimmed to remove any damaged tissue.
• The inner open space of the tube, called the lumen, is exposed.
• These openings are then fused using microscopic sutures, followed by the suturing of the outer covering of the tubes called serosa.
• The repaired fallopian tubes are placed back into their respective positions and the incision is closed.
• The procedure may take a few hours

After Tubal Reversal Surgery

The patient is usually discharged on the same day of the procedure. Patients are advised to follow the instructions given by their surgeon, along with recommended diet and prescribed medications.

Patients can perform their routine activities such as driving, walking etc, after a few days after the surgery. Complete recovery of the patient may take a few days to a few weeks.

Risks and complications with Tubal Reversal Surgery

The possible risks associated with the reversal of sterilisation include:

• Infection
• Bleeding
• Scarring of the tissue
• Chances of ectopic pregnancy

Vaginal Native Tissue Pelvic Floor Surgery

The pelvic floor comprises pelvic muscles, ligaments, connective tissues, nerves and arteries. It contains organs such as the rectum, uterus, vagina, and bladder. These natural tissues are used to repair defects to replace and support those organs prolapsing.

Read more about Pelvic Floor Reconstruction Surgery HERE.

Myomectomy

Myomectomy is a surgical procedure to remove uterine fibroids, benign [non-cancerous] growths in your uterus.

Read more about Myomectomy HERE.