vaginal prolapse SURGERY

Dr Sivanesan


Dr Siva is a gynaecologist with special interest in vaginal prolapse & urogynaecology and provides wide ranging urogynaecological assessment and surgery for vaginal prolapse and urinary incontinence. This includes urodynamics service in the rooms at Ipswich, investigation and management of female urinary incontinence including minimally invasive surgery for urinary stress incontinence such as sling procedures (tension free vaginal tape) and urethral bulking agents, management of overactive bladder, conservative management of prolapse, pelvic organ prolapse (POP) surgery - (cystocele, vault prolapse, rectocele, enterocoele and uterovaginal prolapse), surgery for recurrent vaginal prolapse, management of bladder pain syndrome/interstitial cystitis & recurrent cystitis.

Dr Siva performs uterus preserving prolapse surgery (vaginal sacrospinous hysteropexy, Manchester operation for uterine prolapse). This is a fertility preserving procedure and associated with less blood loss and quick recovery when compared to vaginal hysterectomy.  Most prolapse surgeries require just one night stay in the hospital and could be performed with NO GAP. 

Dr Siva offers BOTOX for overactive bladder (OAB) and detrusor overactivity (DO) conditions at the St. Andrew's Ipswich Private Hospital. Botox treatment is very beneficial when initial treatments with medications does not work (refractory detrusor overactivity). Botox can be injected into the bladder wall under cystoscopic vision under light sedation or general anaesthesia. Please check the resources section under botox for more details.

Both sling procedures and Botox injections are usually a day case procedures and does not usually require overnight admission. 

Dr Siva does not use synthetic mesh for vaginal prolapse surgery.