The department of Gynecology at R N MULTISPECIALITY orthopaedic and gynec hospital, Jaipur, offers a comprehensive range of inpatient and outpatient services. The services go beyond the needs of women from their teen years, through pregnancy to menopause.
Our surgeons provide a wide range of medical and operative treatment for women with gynecologic problems. If the appropriate treatment for a woman’s problems might include traditional surgical management or minimally invasive procedures, such as robotic or laparoscopic assisted supra-cervical hysterectomy, the R N MULTISPECIALITY hospital gynecologists will help you to select the right treatment. We have a very strong program for management of urinary incontinence and pelvic support problems at R N.
Our surgical team is performing all routine and complicated surgeries related to female genital tract. Minimally invasive surgical procedures include
Our surgeons provide a wide range of medical and operative treatment for women with gynecologic problems. If the appropriate treatment for a woman’s problems might include traditional surgical management or minimally invasive procedures, such as robotic or laparoscopic assisted supra-cervical hysterectomy, the Sudha hospital gynecologists will help you to select the right treatment. We have a very strong program for management of urinary incontinence and pelvic support problems at SOGH.
The Gynecologic Oncology division sees patients as part of the SOGH Cancer center. These patients are referred from local centers as well as surrounding counties and states. The division members participate in the Gynecologic Oncology Group clinical research program. We offer minimally invasive surgery including robotically assisted surgery where appropriate for gynecologic cancers. We also provide expert consultation for the management of abnormal pap tests.
Reproductive Endocrinology and Infertility: In the division of Reproductive Endocrinology and Infertility we offer comprehensive Reproductive Endocrine services, as well as treatment and counseling in menopausal health issues and diagnosis and medical management of infertility.
All patients are screened for cervical neoplasia by Pap smear collection. An Ayre's spatula is used to scrape cells from ectocervix and then a thin smear is prepared on a glass slide. The smear is immediately fixed and sent for cytologic analysis. Any abnormality of Pap smear is further evaluated with colposcopy.
Colposcopy is the procedure by which cervix is visualized under magnification by using a colposcope. It is usually indicated once there are abnormal cells detected on Pap smear testing. It helps to identify the abnormal areas on the cervix and to direct the biopsy from those specific areas.
LEEP utilizes a thin wire loop to remove the cervical transformation zone through electrocautery. It allows samples to be collected for additional tissue analysis and treats the condition in the same sitting.
This is a simple and safe procedure to treat cervical erosion and does not require any anaesthesia. A cryoprobe is first cooled by nitrous oxide and then touched to the abnormal cervical area. This freezes and kills the cells, resulting in the sloughing of the abnormal tissue. Patient is sent home the same day.
In addition to the routine pelvic and obstetric scan, various ultrasound-guided procedures are done on routine basis. This includes sonohysterography and sonosalpingography, where saline is instilled in the uterine cavity and the fluid helps in outlining the intracavitary uterine pathology and also to establish tubal patency in infertile patients. Ultrasound-guided amniocentesis is done to procure a sample of amniotic fluid for metabolic and chromosomal analysis in patients who have bad obstetric history or inherited disorders.
Endometrial biopsy is taken by Pipelle device. It is a 2-mm slender plastic curette. It is introduced in the uterine cavity and a strip of endometrium is obtained for histopathology. This is a painless and quick procedure which has replaced the conventional D&C. Endometrial biopsy is used in the assessment of abnormal uterine bleeding in perimenopausal patients for the assessment of the endometrium during tamoxifen therapy and for the investigation of amenorrhoea or infertility. In women, the combined use of pipelle sampling and ultrasound has a high detection rate for endometrial carcinoma.
Menstrual problems, non-specific lower abdominal pain, anatomical and developmental abnormalities, genetic abnornialities, etc. are dealt with.
Each patient undergoes a thorough mental and physical evaluation and assessment. If indicated, hormonal treatment to meet the patient's individual requirements is arranged.
The couple is evaluated for various male and female factors. Male factor evaluation is done in conjunction with urologists. Facilities for controlled ovarian stimulation with intrauterine insemination are currently available. Patients requiring further assisted reproductive techniques are referred to reputed IVF centers in the region.
Special health care package is available for women in the perimenopausal age group. They are screened for cervical and breast malignancies by Pap smear testing and mammogram. Transvaginal ultrasound is done for endometrium and ovarian screening. Dexa scan is done for women at risk for osteoporosis.
Postpartum clinic provides advice on contraception. We have facilities for insertion of intrauterine devices and laparoscopic sterilisation. If indicated, Medical Termination of Pregnancy (MTP) services are also available.
Patients with abnormal pap smears are further screened by colposcopy and early lesions are treated by cryocauterisation or Loop Electrode Excision Procedure (LEEP).