I am a gynaecologist with some 40 years in practice of which 20 years have been spent in concentrating on the problems of the older woman. My practice has been innovative and I have not been afraid to introduce new ideas and techniques. Much of what I have learnt over the years has been from the direct experience of what my patients have been able to teach me. Perhaps I could indicate some areas in which I take a special interest. Hysterectomy is not the only choice for treatment of this problem.
Every attempt is made to control the bleeding by non surgical means.
For those who need surgery, laparoscopic hysterectomy is a safe and minimally painful way of resolving a disabling condition. This form of surgery, for those requiring an operation, is safer than conventional surgery and promises a faster return to normal activities. There has been adverse publicity about serious complications but with 8 years of experience, the risk of these has now been minimised. This includes the symptoms of urinary and faecal incontinence, bulging sensation in the vagina, pain with sex, abdominal pain and discomfort when sitting. Women are generally reluctant to discuss these problems but I am used to approaching such discussions in a tactful and sensitive manner.