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There are various types of hysterectomies available and varying ways to perform this procedure. This procedure may be used to treat the following conditions: Uterine fibroids, Endometriosis, Heavy menstrual bleeding, Post-menopausal bleeding, Precancerous or cancerous changes of the reproductive organs.
The womb may be removed either through an abdominal cut or via the vagina, the latter leaving no visible scar. The hysterectomy operation may involve removal of all or part of the reproductive organs.
Your doctor will discuss with you whether a: Total Hysterectomy, womb and cervix removed or Subtotal Hysterectomy, cervix left, is appropriate based on your unique clinical situation.
For those patients who have symptomatic fibroids and are still desirous of having children, myomectomy is the surgical option of choice.
During this procedure only the fibroids are removed and the defects in the uterine wall are repaired. There is an increased risk of bleeding with this procedure and rarely a hysterectomy may need to be performed if the bleeding becomes life threatening.
Depending on the extent of the surgical repair needed, you may be advised to avoid pregnancy for up to one year and may require a C- section to deliver your baby, when you do become pregnant.
If you would like to book a consultation to discuss your condition and further management, please contact us using the link below.
This type of procedure involves passing a small telescope and instruments through tiny incisions in the abdominal wall to visualise the pelvic organs.
This may be done to diagnose a problem such as the cause of pelvic pain or infertility. Procedures such as hysterectomies, tubal ligations BTLs and oophorectomies ovaries removed may also be performed laparoscopically.
Though these procedures may take slightly longer to perform, they generally result in less postoperative pain, tiny scars, shorter hospital stays and quicker recovery.
With respect to pelvic pain and endometriosis, laparoscopy allows for both diagnosis and treatment of the problem at the same time, thus avoiding the need for additional procedures.
Book an appointment today! Vaginal prolapse or pelvic organ prolapse is a common condition which increases in prevalence with advancing age and a higher number of vaginal births.
This may result in symptoms such as a sensation of a vaginal lump or mass protruding from the vagina, difficulty emptying the bladder, constipation or sexual dysfunction.
These procedures are generally performed under general or regional spinal anaesthesia and the repairs done with absorbable sutures no removal is required.
Typically, most women spend about days in the hospital with the catheter in place for 48hours. You will be discharged once you are well and able to pass urine and stool normally.
It is advised that you avoid any heavy lifting, strenuous or sexual activity for at weeks after the procedure.
Vaginal prolapse or pelvic organ is a common condition which increases in prevalence with advancing age and a higher number of vaginal births.
During pessary fitting, various pessaries are placed until the desired effect is reached. Once the correct pessary is found, your personal pessary will be ordered for you, this usually takes less than 3 days.
During your consultations, you or your caregiver will be taught how to remove, sanitise and reinsert the device for yourself.
Should this prove problematic, pessary changes may also be performed in the office. If you would like to book a consultation regarding vaginal pessary fitting and care, you can contact us using the link below or directly via or phone contacts.
Hysteroscopy is a common procedure, usually carried out on an outpatient basis. At hysteroscopy a small telescope is passed through the cervix into the uterine cavity, the cavity is then visualised, and those images are viewed on a screen.
If you would like to book a consultation regarding hysteroscopy you can contact us using the link below or directly via our phone contacts.
Saline infusion sonohysterography SIS is a special ultrasound technique used to evaluate the cavity of the uterus.
This involves instilling sterile fluid into the uterine cavity while performing a transvaginal ultrasound scan. Saline is used to distend the cavity allowing for the shape and structure of the uterine cavity to be easily seen on ultrasound scan, with the aim of detecting any abnormalities.
Some conditions and corresponding abnormalities which may be detected via SIS are: Heavy or abnormal uterine bleeding — uterine polyps or fibroids, Infertility — intrauterine adhesions, Miscarriages — abnormal uterine morphology shape.
This procedure is generally performed in the office with oral pain relief. After the procedure you may experience mild spotting and abdominal cramping but major complications are rare.
Wendel Cozier, is a highly qualified Consultant Obstetrician and Gynaecologist with an approachable, friendly personality.
He has undergone training in the Caribbean and the United Kingdom. His expertise includes benign gynaecological conditions, high risk obstetric cases, Laparoscopic Surgery and Hysteroscopy.
Cozier provides quality comprehensive pregnancy care inclusive of ultrasound scanning, 24 hr Emergency access for those seeking care at the Surgi-Med Clinic and personalized care during labour and delivery.
Cozier helps you to take control of your gynaecological health. He provides comprehensive and empathetic care from routine screening to complicated surgeries for women at any stage of life.
He believes that gynaecological health should be accessible and affordable to all women and should be given the utmost importance. The condition causes a hormonal imbalance, which affects the menstrual cycle and may make it harder for a woman to become pregnant.
Due to failed ovulations, multiple small cysts build up on the ovaries and can be seen on ultrasound scan. The condition usually manifests during adolescence mainly as infrequent heavy periods, as a result of a hormonal imbalance.
Testosterone is produced in small amounts by the ovaries, however women with PCOS produce higher amounts which can lead to the following problems; irregular periods, male pattern baldness, excess bodily hair and infertility.
In the long-term PCOS may cause diabetes and cardiac disease, this risk is reduced by maintaining a normal weight.
The exact causes of PCOS are unknown, though there may be a genetic predisposition and as such, if other women related to you have PCOS then your risk of developing it is higher.
Heavy, prolonged or irregular periods should be a cause for concern. Some women may also bleed between their periods intermenstrual bleeding or after sexual intercourse postcoital bleeding.
All these issues may require further investigation by a specialist gynaecologist. This is non-menstrual bleeding that occurs immediately after sexual intercourse.
It is usually caused by lesions of the cervix or the vagina. It is important that every woman who notices persistent bleeding after intercourse be assessed by a gynaecologist.
Have you had your pap smear recently? Pelvic pain, which is a condition more common in women than men, is typically felt in the lower abdomen and pelvis.
Pain that is associated with a gynaecological condition generally occurs around the time of or is aggravated by the menses or sexual intercourse.
However, many patients complain of pelvic pain which might be associated with intestinal complaints like, constipation or Irritable Bowel Syndrome.
Pelvic pain may be acute or chronic, it may be dull or sharp with a slow or rapid onset, depending on the cause.
Patients experiencing symptoms for six months or more have what is termed chronic pelvic pain. If you are experiencing pelvic pain which is causing you concern or affecting you work, quality of life and sexual function, you should make an appointment to see a gynaecologist.
Fibroids are benign non-cancerous growths that develop in the uterus and are also referred to as fibromas, myomas or leiomyomas. Fibroids are generally firm, fibrous masses, of varying size, which are made up of muscle cells within the uterus.
Many women only become aware of the fibroids when they have a pelvic ultrasound or present to the doctor for a bleeding problem.
An ovarian cyst is a sac or pouch filled with fluid or other tissue that forms in or on an ovary.
Ovarian cysts are very common. They can occur during the childbearing years or after menopause. Most ovarian cysts are benign not cancerous and go away on their own without treatment.
Rarely, a cyst may be malignant cancerous. Huge jackpots and top class entertainment. No wonder why the slot machines are so popular!
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