Gynecological Endoscopy in Mumbai, India

Endoscopy for Diagnostic Laparoscopy can be performed for the following indications :

• Infertility : Infertility is the inability to conceive. Laparoscopy is performed in women with long standing infertility or those showing some pathology on investigation (uterine fibroids or endometriosis)
• Abnormal uterine bleeding : Abnormal uterine bleeding is heavy or prolonged bleeding during menses. This can due to hormonal problems, uterine pathology such as fibroids or adenomyosis, or ovarian tumors. This can be treated by various laparoscopic surgeries such as hysterectomy, removal or fibroids or excision of the ovarian tumors.
• Chronic pelvic pain : Chronic pelvic pain can be due to pathology such as endometriosis, pelvic adhesions, tumors or pelvic congestion. These can be managed laparoscopically by surgeries such as excision of endometriosis, adhesiolysis, presacral neurectomy or uterine nerve ablation.
• Pelvic organ prolapse : prolapse means descent of the uterus and its adjacent structures through the vagina due to weakening of its supports. These problems can be corrected laparoscopically by surgeries such as sacral colpopexy, sacral colpohysteropexy, culdoplasty and uterosacral ligament plication.
• Ectopic pregnancy : Ectopic pregnancy is a pregnancy implanted outside the uterus usually in the Fallopian tube or the ovary. Laparoscopic surgery involves removal or the affected organ or excision of the ectopic pregnancy.
• Tuboplasty : This involves joining of healthy segments of the Fallopian tube laparoscopically. This is most effective for reversal of tubal sterilization.
• Gynecological cancers : Laparoscopy is the surgery of choice for early stage endometrial and cervical cancers.
• Other procedures : These include correction of uterine inversion, unusual surgeries for pelvic organ prolapse & stress urinary incontinence, abdominal circlage during pregnancy and unification of a bicornuate uterus.