Services
Mr Sayasneh can treat and manage the full breadth of gynaecological conditions, from relatively common conditions that can be diagnosed and treated in the same day to highly complex malignant tumours.
Through years of specialist training, Mr Sayasneh can offer support at every stage of diagnosis through to treatment. This includes undertaking investigations using ultrasound, colposcopy cervical and endometrial biopsies to a range of surgical procedures, including hysterectomy, endometrial ablation and reconstructive surgeries. Mr Sayasneh will work with each patient to determine the most appropriate treatment option for their symptoms and needs.
In some cases, particularly in the treatment of malignant conditions, a combination of surgery and other treatments such as chemotherapy or immunotherapy are required. Mr Sayasneh will work closely with a wider multidisciplinary team to aid or oversee your surgical care, depending on the recommended treatment plan.
Benign Conditions
Malignant conditions
Treatment Options
Advanced Diagnostics
Benign Conditions
Benign conditions are those that are not at risk of spreading to other parts of the body, but can be both painful and dangerous if left untreated.
Endometriosis
Endometriosis is a chronic condition that occurs when the tissue that lines the inside of the uterus, known as the endometrium, grows outside the uterus. Symptoms can vary in severity but include pelvic pain, painful, heavy and irregular periods, pain during or after sexual intercourse and fatigue. If left untreated, endometriosis can cause the development of scar tissue, cysts and adhesions as well as impact fertility. There is no cure, but surgeries including laparotomy and hysterectomy are often the most effective treatment option in cases of deep-infiltrating endometriosis where endometrial tissue has penetrated other organs such as the bowel, bladder or rectum.
Fibroids
Uterine fibroids are non-cancerous growths that affect the female reproductive system. They are often symptomatic but when they do present symptoms they can include pelvic pain, painful intercourse, heavy periods and difficulty with bowel and bladder movements. In some cases there may be some visible enlargement of the abdomen. Depending on the size and location of a fibroid as well as each individual’s desire to preserve fertility, surgical interventions such as myomectomy (removal of fibroids while preserving the uterus) and hysterectomy (removal of the uterus) can be used to effectively treat fibroids.
Cysts
Cysts are sacs of fluid that can develop in the reproductive organs. They form most commonly in the ovaries but can also be found elsewhere, including endometrial lining and in the fallopian tubes. Cysts, like fibroids, can vary in size and often do not cause symptoms. Depending on the size and location of the cysts, patients may experience some pelvic pain, abdominal bloating and discomfort and irregular periods. Smaller cysts causing no symptoms may not require any treatment, but larger cysts can benefit from further intervention and surgical removal (known as a cystectomy).
Menopause
Menopause marks the end of a person’s menstrual cycles and usually occurs among women between the ages of 45-55. This change happens gradually over with the body producing less oestrogen and progesterone until periods eventually cease. During this time, known as perimenopause, the fluctuation in hormones causes symptoms such as irregular periods, hot flashes, mood swings, poor sleep, changes in libido and vaginal dryness. Although surgical interventions such as hysterectomy cannot reverse menopause, they can be used to manage the uncomfortable symptoms associated with menopause.
Ectopic pregnancy
Ectopic pregnancy occurs when a fertilised egg implants and grows outside of the uterus, usually in the fallopian tube. If left untreated it can cause damage to the fallopian tube, scarring internal bleeding and even rupture. While many ectopic pregnancies can be treated medically, a pregnancy that has progressed or at risk of rupture may benefit from being located and treated through surgery. In this case the ectopic pregnancy is removed, often laparoscopically, along with any damaged tissue. In some severe cases the tube must be partially or entirely removed.
Malignant Conditions
Malignant conditions refer to tumours or cancerous growths that risk spreading to other parts of the body. Early diagnosis and treatment is often key to good outcomes and surgery is often combined with other treatment modalities such as chemotherapy to improve outcomes.
Cervical cancer
Cervical cancer is primarily caused by an infection with high-risk types of the human papillomavirus (HPV), a sexually transmitted infection. There are a range of different surgical treatment options for cervical cancer, and suitability will depend on the size and progression of the tumour as well as the patient’s desire to maintain fertility. Smaller, localised tumours that have not spread can be removed through a biopsy while more advanced-stage tumours that have begun to spread may be effectively treated through the removal of the uterus and cervix in what is known as a radical hysterectomy.
Ovarian cancer
Ovarian cancer starts in the ovaries, and is more commonly diagnosed in postmenopausal women. Symptoms include bloating or swelling of the abdomen, pelvic pain, fatigue and changes in bowel habit and appetite. As with all gynaecological cancers, the suitability of each surgical intervention will depend on progression, size and location of the tumour as well as individual wishes. Surgical procedures used to treat ovarian cancer include bilateral salpingo-oophorectomy, which sees the removal of the ovaries and fallopian tube and cytoreductive surgery which aims to removes all visible tumour mass from the ovaries and surrounding organs, such as the bowel and bladder. Hysterectomy may be recommended to ensure as much cancerous tissue is removed as possible.
Vulval cancer
This refers to cancer of the external genitalia, including the labia, clitoris and vaginal opening as well as the area between the vagina and anus, known as the perineum. Symptoms include pain or itching of the vulva, changes in the colour or texture of the skin in that area as well as the development of lumps or growths on the vulva. Surgical treatment options commonly include local excision or vulvectomy (partial or complete removal of the vulva) to remove cancerous tissue.
Peritoneal cancer
Peritoneal cancer is a fairly rare cancer that develops in the thin membrane that covers and protects the organs within the abdominal cavity. Surgery is often used to remove cancerous tissue. In some cases, all visible tumour mass will be removed from the peritoneum and other affected organs (cytoreductive surgery), and in other cases patients may require a peritonectomy, where a piece of the lining itself is removed. Surgery is often combined with other treatments, including chemotherapy to target remaining cancerous cells and prevent the cancer from recurring.
Endometrial cancer
Endometrial cancer refers to cancer that originates in the lining of the uterus, known as the uterus. Common symptoms include abnormal vaginal bleeding, including heavy periods and spotting, as well as pelvic pain, changes in urinary or bowel habits and weight loss. Surgery can be used to remove cancerous tissue within the lining and the uterus and in some more advanced cases nearby lymph nodes are also removed to assess whether cancer cells have spread.
Fallopian tube cancer
This is another rarer cancer, that is caused by cancerous cells developing within the fallopian tubes that connect the ovaries to the uterus. It is often asymptomatic at early stages, but can cause abnormal vaginal bleeding, pelvic pain, abdominal bloating and changes in urinary or bowel habits. Surgical resection of the affected tube can be carried out to remove the cancerous tissue, and in some cases both ovaries are removed to limit spread, along with nearby lymph nodes.
Impact of cancer on menopause and fertility
Cancer can impact menopause in different ways, depending on the type and stage of the cancer, and common cancer treatments such as chemotherapy can also impact menopause by impacting ovarian function, while hormonal therapies can impact hormone levels and lead to unwanted symptoms such as hot flashes and changes in libido.
Similarly, cancer treatments and surgery interventions can impair ovarian and uterine function, reduce fertility and lead to difficulty or inability to conceive. The impact of cancer on both menopause and fertility will be highly dependent on every individual’s condition and needs, as well as the treatments they undergo, but wherever possible Mr Sayasneh will carry out fertility preserving surgery for patients looking to conceive in the future.
Treatment Options
The type of surgical procedure will depend on each patient’s individual symptoms and medical history, the severity and location of any mass and also their own personal wishes, including the need to preserve fertility. Mr Sayasneh will be able to carefully outline the details of your surgery and answer any questions you may have about the procedure itself as well as aftercare.
Open surgery
Open surgery refers to the traditional approach to surgery. A large incision is made to access the organs and the tissue or mass that needs to be removed and hand-held instruments are used by the surgical team. A larger incision does mean that recovery times may be longer and patients may experience more post-operative pain. There may also be more scarring at the surgical site. However, the technique is often required in complex cases to access hard to reach surgical sites or large tumours and when a clearer view of the organs and tissue.
Laparoscopic surgery
Laparoscopic surgery is also known as minimally invasive surgery. It involves making a small or several small incisions instead of a large incision and inserting a long thin instrument known as a laparoscope into the patient’s body. The laparoscope allows the surgical team to see a magnified view of the site on a monitor and move and control the instruments to perform surgery. The use of smaller incisions mean that recovery is often faster compared to open surgery but the technique is not always suitable. Mr Sayasneh works with every patient to assess their suitability for minimally invasive procedures.
Robotic-assisted surgery
Robotic-assisted surgery is another form of minimally-invasive surgery. The surgeon controls a robotic arm that holds and uses surgical instruments. This technique can allow for precise movements and dexterity in tight spaces and is therefore a useful tool during complex cases and accessing hard to reach tumours. As with laparoscopic surgery, recovery times can be shorter because smaller incisions are used but not all procedures can be performed using robotic techniques and open surgery is sometimes preferable for better access and control.
Innovative Hormonal Therapies
We provide evidence-based hormonal therapies to address menstrual irregularities, menopausal symptoms, and fertility concerns. These treatments are meticulously tailored to individual health profiles, ensuring the best possible outcomes.
Comprehensive Contraceptive Counseling
Our practice places strong emphasis on informed decision-making when it comes to contraception. We offer thorough consultations covering various contraceptive methods, including long-acting reversible options like intrauterine devices (IUDs) and contraceptive implants. Our aim is to align the chosen method with your unique lifestyle and preferences.
Holistic Management of Gynecological Conditions
Mr. Sayasneh specializes in the holistic management of gynecological conditions, including challenging cases such as polycystic ovary syndrome (PCOS). Our approach combines lifestyle modifications and evidence-based medications to address the underlying issues effectively.
Minimally Invasive Procedures
For your convenience and comfort, we perform minimally invasive procedures in an outpatient setting. This includes hysteroscopy and endometrial ablation, which are precise solutions for addressing concerns such as abnormal uterine bleeding. These procedures are grounded in scientific principles and offer efficient results.
Your Trusted Women’s Health Partner
Beyond being a gynecologist, Mr. Sayasneh is your dedicated partner in women’s health. We prioritize your well-being in a private and compassionate environment, ensuring that you receive care informed by the latest scientific research and medical best practices.
Integrating Advanced Diagnostics
At Mr. Sayasneh’s Gynecological Practice, we are pleased to introduce our One-Stop Gynecology Clinic, designed to streamline your healthcare journey by offering comprehensive diagnostic assessments all in one day. Our clinic combines expert medical care with cutting-edge diagnostic tools, including ultrasound scans, hysteroscopy, and colposcopy, allowing for swift and accurate diagnoses.
Advanced Ultrasound Scans
Our clinic is equipped with state-of-the-art ultrasound technology, providing detailed imaging of the pelvic region. Ultrasound scans play a pivotal role in assessing gynecological conditions, offering non-invasive insights into the uterus, ovaries, and surrounding structures. With our diagnostic capabilities, we can promptly identify and evaluate any concerns you may have.
Precise Hysteroscopy Procedures
Hysteroscopy is a minimally invasive technique that permits direct visualization of the uterine cavity. This procedure, performed by Mr. Sayasneh, aids in diagnosing and addressing various gynecological conditions, including abnormal bleeding, polyps, and fibroids. Our one-stop clinic ensures that hysteroscopy is seamlessly integrated into your diagnostic process.
Thorough Colposcopy Examinations
Colposcopy is an essential tool for examining the cervix, allowing us to detect abnormalities that may indicate conditions such as cervical dysplasia or HPV infection. Mr. Sayasneh conducts meticulous colposcopy examinations to provide accurate assessments and recommendations for further care when needed.
Comprehensive Diagnosis in One Day
The hallmark of our One-Stop Gynecology Clinic is efficiency. By integrating ultrasound scans, hysteroscopy, and colposcopy into a single visit, we aim to provide you with a thorough evaluation and diagnosis on the same day as your appointment. This approach ensures that you receive prompt answers to your gynecological concerns and minimizes the stress associated with multiple visits.
Mr. Sayasneh and his team are committed to delivering high-quality, evidence-based care with a patient-centric focus. Our one-stop clinic represents a significant advancement in women’s healthcare, offering a seamless experience that combines advanced diagnostics with compassionate medical expertise.
Discover the benefits of our One-Stop Gynecology Clinic by scheduling your appointment today. Experience the convenience of comprehensive diagnosis and personalized care in a single visit.