Cosmetic & Reconstructive Gynecology - جراحة تجميل و تقويم الأعضاء النسائية

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Multipe fibroid uterus

Multipe fibroid uterus

Fibroid tumors:
Most common benign tumors in females, they can grow and cause heavy menstruation, pelvic pain, urinary frequency, pressure symptoms, and can interfere with pregnancy. The evaluation of their size, shape, and number determines the best choice of treatment and they may need surgery:
– Myomectomy: Removal of tumors leaving uterus intact for future pregnancy.
– Hysterectomy: Removal of the uterus when pregnancy is no longer required.

Abnormal uterine bleeding: (Heavy & painful uterine bleeding)
– Dilatation & Curettage: Temporary surgical removal of inner lining of the uterus, for women with heavy bleeding, who desire children in the future.
– Endometrial Ablation: Ablation of the inner lining of the uterus to stop reccurent heavy uterine bleeding, this is not an option for women who wish to have a child in the future.

Uterine & Vaginal prolapse:  Pelvic Floor Dysfunction (Cystocele – Rectocele – Enterocoele)
Occur frequently in women who had multiple vaginal childbirths, suffer from chronic cough, chronic constipation, or due to age related hormonal changes. It may also occur in women who never had children with week supportive tissue.
Urinary incontinence may also develop with pelvic organ prolapse and can be corrected.
Conservative treatment:
– Pelvic floor exercise to strengthen pelvic floor muscles
– Pessary therapy to temporary elevate and keep pelvic organs in place.
– Laser vaginal therapy by its thermal effect, produces mild to moderate vaginal tightening.
Surgical correction:
– Uterine & vaginal suspension
– Vaginoplasty (vaginal repair & tightening)

Female urinary incontinence :
Conservative & surgical treatments available to treat stress urinary incontinence or urge incontinence (look at urogynecology section)

Ovarian cysts:
– Follicular cyst: single wall sac filled with clear fluid, usually disappears in 2 months.
– Endometriosis: migrating endometrial tissue gets transplanted and bleeds causing pain.
– Dermoid Cyst: contains skin, hair, teeth, bones.
– Ovarian tumors: may require oncology surgery.

Minimal Invasive Surgery:
– Vaginal Surgery:
Surgery performed through the vagina avoids any scars or painful incisions on the abdomen. It can be used for treatment of prolapse, urinary incontinence, hysterectomy, and sometimes myomectomy.
– Mini-Laparotomy:
A very small abdominal incision, the recovery is typically faster and more comfortable. We offer this approach for a wide variety of conditions that require an abdominal incision.

Laparoscopy– Endoscopies:
. Laparoscopy
. Hysteroscopy
. Cystoscopy

Hormone Replacment Therapy : (Bio-identicle hormones)
Most effective therapy for discomforts that many women experience at menopause. Hot flashes, night sweats, insomnia, vaginal dryness, low sex drive

– Contraceptive Pills: Combination hormonal pills for contraception
– Intra Uterine Devices: Copper IUD – Silver IUD – Hormonal IUD
– Vaginal ring: Hormonal contraceptive ring

Vaginal infection & Sexual Transmitted Disease: العدوي المهبلية
– Vaginal infection: (Candida – Trichomonas – Chlamydia – Bacteria – Gonnorrhea)
– Vaginal & vulva warts (HPV)
– HIV – HPV – HS – Hepatitis

Female Sexual Dysfunction:
– Desire dysfunction
– Arousal dysfunction
– Orgasmic dysfunction

Management :
. Medical treatment & sex counseling
. Vaginal reconsrtuctive surgery for congenital defects
. Clitoral Reconstruction Surgery for female circumcision (FGM)
. PRP Vaginal & Clitoral injection to enhance desire and orgasm
. Botox injection for vaginismus & vaginal dilatation (vaginal pain & spasm)

Routine Gynecology Exam: الكسف السنوي للسيدات
– Pelvic exam (Vagina, Uterus, Cervix, Urethra, Rectum)
– PAP smear (Cervical cancer screening & Dysplasia)
– HPV screening (Abnormal cell screening)
– Vaginal swab (Vaginal infection & STD tests)
– Pelvic ultrasound
– Cervical & endometrial biopsy
– Pelvic pain & pelvic inflammatory disease check
– Breast scan (mammography)
– Bone density assessment
– Hormonal assessmentbaby
– Blood lipid assessments
– Early detection & prevention (Cancer – Prolapse – Urinary incontinence)

Obstetrics: الولادة الطبيعية و القيصرية
– Normal vaginal delivery & Caesarian section