At BMI Albyn Hospital, we offer a range of gynaecological treatments for people living in Grampian and the North of Scotland.
Gynaecology is the area of medicine concerning the female reproductive system. You might want to see a gynaecologist if you are experiencing symptoms such as:
- Heavy periods
- Bleeding between periods
- Intermittent or irregular periods
- Abdominal or pelvic pain during or between periods
- Itching or burning
- Irregular discharge
- Pelvic pain
- Ovarian cysts
- Urinary incontinence
Our team of consultant gynaecologists offers a range of surgical and non-surgical treatments for a wide range of conditions. We can give fast diagnosis and, if you need treatment, we’ll work with you to create a personalised care plan.
Some of the most common procedures we perform are:
- Hysterectomy surgery
A hysterectomy is a procedure that involves removing your womb (also known as your uterus).
There are various reasons why a hysterectomy may be recommended. Heavy periods, pain, prolapse of the uterus or cancer can be contributing factors. It’s a major operation and won’t be suggested unless other treatment options have been exhausted first.
You’ll either be recommended a total hysterectomy, removing the uterus and the cervix, or a subtotal hysterectomy, where the cervix is left in place. In some instances, your surgeon may think it best to remove other structures connected with the uterus, such as the fallopian tubes or ovaries.
There are three main types of hysterectomy surgery:
It can take six to eight weeks to fully recover from this surgery.
If your ovaries have been removed it may be recommended that you start hormone replacement therapy.
- Gynaecological laparoscopy & hysteroscopy
If you are experiencing pain, pelvic infections or symptoms related to pelvic disease, our consultant gynaecologist may recommend a laparoscopy. This is an examination of your internal pelvic area using a telescope-like instrument, which is introduced through a small cut made in your navel.
If you are experiencing infertility, recurrent miscarriage or abnormal bleeding, a hysteroscopy can be performed. The consultant will introduce a telescope-like instrument into the uterus through the cervix.
Both procedures can be used to diagnose and treat a number of conditions.
- Vaginal wall repair
If the front wall of the vagina is weakened, the bladder or urethra can slip down into the vagina. When the rear wall is weakened, this can result in slippage of the rectum.
Both situations are known as vaginal prolapse and can occur as a result of pregnancy, delivering a baby vaginally, straining during bowel movement, or heavy lifting. The symptoms are usually pain, heaviness and discomfort in your vagina, back pain or stress incontinence.
To correct these conditions an anterior colporrhaphy (front vaginal wall repair) or posterior colporrhaphy (rear vaginal wall repair) can be performed.
During surgery the consultant will tighten up the muscles within the wall of the vagina, which will help to keep the bladder, urethra or rectum in the correct position.
Following surgery, you should avoid constipation, heavy lifting or strenuous activity for up to three months. It may also be recommended that you perform pelvic floor exercises on a regular basis to increase the long-term success of the surgery.
- Oophorectomy surgery
An oophorectomy is a procedure to remove one or both of your ovaries. This is either performed as a unilateral oophorectomy (one ovary) or bilateral oophorectomy (both ovaries).
There are many reasons you might be recommended an oophorectomy. If your consultant thinks you do need one, they’ll take the time to talk you through the procedure and any concerns you have in as much detail as you need.
If you have this surgery before you reach the menopause, then it may be recommended that you take hormone replacement therapy to avoid any symptoms or conditions relating to the menopause.
- Sterilisation reversal
Sterilisation is normally intended to be permanent. Reversal is possible in some cases but cannot be guaranteed.
The reversal operation is performed using keyhole surgery and a laparoscope, which is a small camera. The fallopian tubes are reconnected to reverse the sterilisation.
A colposcopy is a procedure to examine your cervix (the neck of the womb). A colposcopy is usually recommended if a smear test has shown there is a problem with the cells in your cervix.
A colposcopy usually takes between 10-20 minutes and involves an examination of your cervix. Your gynaecologist can perform biopsies (removing small pieces of tissue) to help make the diagnosis.
If your gynaecologist decides it is best to treat the problem straight away, they will usually perform a LLETZ (large loop excision of the transformation zone).
A LLETZ is a minor operation to remove part of the cervix. Other treatments include laser treatment and freezing (cryocautery).
We also offer the following gynaecology treatments at BMI Albyn Hospital in Aberdeen: