Gynaecological Procedures
Many gynaecological procedures can now be performed in a clinic setting while you are awake and able to communicate with the doctor or nurse. Thanks to recent technological advances, the range of procedures available in this setting has significantly expanded.
Gynaecology Outpatient Procedures
Several gynaecological procedures can be carried out on an outpatient basis:
- Removal of Polyps: This involves removing benign growths from the cervix or the lining of the womb.
- Endometrial Ablation: A treatment for heavy periods that removes the lining of the womb.
- Diagnostic Hysteroscopy: A procedure using a tiny telescope inserted through the cervix to view the inside of the uterus.
- Removal of Fibroids: Excision of fibroids from the lining of the womb to address heavy bleeding.
- Hysteroscopic Sterilisation: Blocking the fallopian tubes using a tiny telescope inserted through the cervix.
- Manual Vacuum Aspiration: A procedure for treating miscarriage under local anaesthetic.
- Insertion of an Intrauterine Device (IUD): For contraception or treatment of heavy periods, either hormonal or inert.
Outpatient Urogynaecological Procedures
Urogynaecological procedures that can be done in the clinic include:
- Flexible Cystoscopy: Examining the bladder with a flexible tube, possibly including a biopsy.
- Bladder Instillations: Treatment for recurrent cystitis (interstitial cystitis).
- Division of Vaginal Adhesions: Treating bands or adhesions in the vagina.
- Urodynamics: Testing to assess bladder function.
- Video Urodynamics: Detailed bladder function tests using video technology.
- Perineal Injections: Injections to treat pelvic floor issues.
Why Opt for Procedures Under Local Anaesthetic?
- Comfortable Setting: Procedures are performed in a familiar, less intimidating environment.
- No General Anaesthesia: Local or no anaesthesia reduces the need for more invasive procedures.
- Cost and Time Efficient: Fewer visits and lower costs, with minimal time off work.
- Quick Recovery: Immediate return to regular activities with minimal disruption.
Pain and Discomfort During Procedures
Most outpatient procedures involve minimal discomfort, often likened to period pains. On a scale from 0 to 10, the discomfort typically rates around 2.
Preparing for and Recovering from Your Procedure
- On the Day: Eat and drink normally. Take pain relief (Paracetamol or Ibuprofen) 60 minutes before your procedure.
- During the Procedure: A nurse will assist you throughout. Light bleeding or discharge for a few days is normal and won’t interfere with daily activities.
- Post-Procedure: You can usually return to work the next day.