Female Surgeries

Ovarian cysts

Multicyctic ovary unilateral or bilateral via laparoscopic (must common) or open surgery if exist any doubts of malignancy, dermoid cyst, or difficult laparoscopic approach due to frozen pelvis of previous pelvic operations.

Endometriosis 

Endometriosis affects roughly 10% (190 million) of reproductive age women and girls globally. Endometriosis is an often-painful disorder in a cyclic form in which the tissue normally lines the inside of the uterus (the endometrium) grows outside the uterus. Endometriosis most commonly affects the ovaries, fallopian tubes, and the tissue lining the pelvis. Pain during sexual intercourse is part of the symptoms of endometriosis, a disease that can compromise the pelvic structures and organs (intestine, bladder, ureters, etc.). Types of endometrioses are ovarian (chocolate cyst), tubal, pelvic (frozen pelvis), rectal, bowel, peritoneal, umbilical (menstrual bleeding from umbilicus) and nasal (menstrual epistaxis). Endometriosis is diagnosed through a surgical procedure called laparoscopy. Endometrial lesions (implants of endometrial tissue that are outside the endometrium) can be cut (excised) or burned using a high-energy source, such as a laser (ablate).

Uterine prolapse 

Uterine prolapse occurs when the muscles and tissue in pelvic floor weaken. This allows uterus to drop down into vagina. Common symptoms include leakage of urine, fullness in pelvis, bulging in vagina, lower-back pain, constipation, and dyspareunia. A feeling of fullness or pressure in pelvis (it may feel like sitting on a small ball). Feeling that something is coming out of vagina. Other conditions are usually associated with prolapsed uterus: 

Cystocele bulging of the upper front vaginal wall where a part of the bladder bulges into the vagina. 

Enterocele: The herniation of the upper rear vaginal wall where a small bowel portion bulges into the vagina.

Rectocele: The herniation of the lower rear vaginal wall where the rectum bulges into the vagina.

Surgical treatment is indicated when conservative measured failed to treat I and II degrees of uterine prolapse and but only indicated in III and IV degrees. In post-menopausal patient, hysterectomy (laparoscopic or open) but in fertile period patient, surgical procedures are strengthening of pelvic floor muscles through vaginal approach. with our gyn group we prefer to do only vaginal approach but if late degree of prolapse we add pelvic ceiling of the uterus even in post-menopausal patients (laparoscopically) with excellent out comes up to 98%.

Hysterectomy

Surgical removal of the uterus we prefer to do it unless severely indicated as in stopping abnormal heavy bleeding, relieving chronic pain, restoring pain-free sex, multiple giant myomas, removing cancerous tissues, and improving quality of life. 

We offer both laparoscopic and abdominal hysterectomy according to the clinical situation of each patient.

Cervix disorders 

There are many different conditions that can affect the neck of the womb (cervix), ranging from mild inflammation to cervical cancer. Some conditions affecting the cervix are more common than others; some are more serious than others. They can all cause different symptoms, such as abnormal bleeding from vagina, or may not cause any symptoms at all.

Our Role is to distinguish between each one with accurate diagnostic measures according to which we are dealing with each problem either cervical ulcer, polyps, incompetence up to cervical cancer.

Rectovaginal fistula

Is an abnormal connection that occurs between the rectum and the vagina. Most rectovaginal fistulas are caused by birth injuries, Crohn's disease. or Diverticulitis. The repair of complex anorectal-vaginal fistulae represents an anatomical-surgical challenge for the surgeon, and the appropriate surgical procedure must be selected for each case.

Before an operation can be done, the skin and other tissue around the fistula must be healthy, without infection or inflammation. The goal is to remove the fistula tract and close the opening by sewing together healthy tissue. We may use Fibrin glue to close the fistula. A very satisfied out comes with our patients we have.