Dr Etherington performs a wide range of gynaecological surgery. If your problem is outside the scope of his area as a generalist, we have excellent relationships with a group of specialists in Brisbane and can refer you to see one of them.
The range of gynaecological surgery that Dr Etherington performs includes:
Large loop excision of the cervical transformation zone – LLETZ
This is a treatment for women who have a major Pap smear abnormality. The affected area will have been identified by a colposcopy examination in the clinic. The treatment can be easily performed under local or general anaesthesia.
Cone biopsy of the cervix
This is another treatment for women with major Pap smear abnormalities.
This is a telescopic examination of the inside of the uterus to assess its shape and the lining tissue. The telescope is passed up the vagina and through the cervix. Polyps and small fibroids can be removed this way.
Endometrial ablation techniques
These are day case procedures that are performed after hysteroscopy. They aim to permanently destroy the lining tissue of the uterus and as a result lighten or stop periods altogether. Dr Etherington uses Novasure and Cavaterm techniques.
Laparoscopic “key-hole” surgery
These techniques can be used for a number of gynaecological conditions such as endometriosis, ovarian cysts, the treatment of internal scar tissue, the removal of Fallopian tubes or putting clips across these tubes as a method of permanent birth control. Laparoscopic techniques are also used for some hysterectomy procedures.
Procedures to control stress urinary incontinence
Some urinary incontinence problems can be managed surgically by placing a hammock-like sling made from a synthetic material under the urethra or “water-pipe”. These procedures are minimally invasive and usually only involve a single night’s stay in hospital.
Vaginal repairs for prolapse
Dr Etherington carries out repairs for prolapse of the vagina and uterus using your body’s natural tissues. He does not use synthetic mesh in prolapse repairs. If we think this is necessary it may be that you will be referred on to a specialist for such a procedure.
This is the removal of the uterus or part of it. It may be recommended as a way to manage a variety of issues such as fibroids, period problems or more rarely cancer. Some women wish to have their ovaries removed at the same time and some choose to keep them. There may be medical reasons why the ovaries should be removed and this can be discussed with you. Dr Etherington performs hysterectomies in a number of ways:
- Vaginal hysterectomy. This is where the uterus is removed through the vagina. There are no cuts on the outside of your body and all the stitches are inside.
- Laparoscopically-assisted vaginal hysterectomy. In these cases the uterus is removed through the vagina after tissue has been dissected from the top by “key-hole” surgery.
- Abdominal hysterectomy. Here the uterus, or part of it, is removed through an abdominal incision. Usually this is a small “bikini-line” cut. Sometimes, because of the size of the uterus, a midline incision below the belly-button may be needed. This will have been discussed with you prior to surgery.
We hold a range of very helpful patient information leaflets published by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists and are happy to provide this where appropriate.