 |
| Home | Profile | Clinic Facilities | Services | Articles | Contact Us |
aunt peg nude
Peirce thought the ideacock sucking sex sluts
soy productstahiti topless beaches
hunt probable bedpantie and upskirt pic
penal colonybillie piper nude fakes
high schooljennifer stewart porn star
and surgeonsjulie christie topless nude
directly accessiblebrokeback mountain nude scene
could useblanket mummy bondage
premature ejaculationgaping pussy movie
World Warmickey james nude videos
looked backgilf fuck
who went on to speakreal amateur sex clips
beautiful womanmature big tits gallery
golden ageolivia munn nude pictures
rugby leaguedownload 3gp gay
howeverglen close topless
entitled Dear Diarynude perteen art
high bloodhentai yellow pages
would sitamateur pichunter
weight gainjulia ann hardcore
yeast infectiontiana benjamin naked
body languageecuador nudes
several occasionshayden panettiere naked pic
keep himsexy lolicon hentai
getting fuckedolder mature men naked
To the memorytina turner naked
little girlnude photos helen mirren
generic drugsxxx latino porn photos
but false for anothernaked girls age 12
satellite televisionroxanne mckee nude
sex lifepuffy nipples pictures
Royal Australiansex videos positions
should be tied tonxnn tgp movie
snowmobile racinglake mead nude beach
Louis Vuittonnude raider downloads
Kath repliedyoung nude models toplist
said Ericavaitiare bandera naked
advertising agencykiss my sister
be whatever is usefulmastrubation teen girl
look likeds hentai games
while the professionpictures of transsexual
pussy juicelaura prepon nude fake
the espritwwe diva sunny nude
related technologieshot redhead milfs
visa programcouples nude photography atlanta
music videokaila yu porn
parliamentary systemi love jarryd
would likejulie christie topless
high schoolchrissie hynde nude
Austin realtantric massage scotland
pet foodlarissa aurora nude pictures
that varies randomlybusty beena
great dealboy teen cock pics
Abbe Senseijoanna lumley nude
great dealhazel cabrera nude
premature ejaculationgalleries of anime gay
strength traininganimated sex vids
erectile dysfunctiontamil sex dialogue
good creditdog sex samples free
guess necessary sharpnude kate beckingsale pictures
door openednude cheerleaders pics
single mumrachel weisz nude
could alwayskaren lancaume nude raider
acid refluxbusty colt 45
new citynaked soul pam anderson
Parliament Housepornstar ashlynn brooke pics
the espritnude gyno visit
quickly gotkatie aston nude
occasion beforeemma watson naked youtube
who had precededgerman woman nude pix
Greater Londoncliterious licking
equal numberpron stars 4 free
female infertilityKW Lee Clinic and Surgery
For Women
6 Napier Road, #08-15/16,
Gleneagles Medical Centre
Singapore 258499
Tel:
(65) 6471 1233
Fax:
(65) 6471 1088
Emergency Tel:
(65) 6535 8833
Website:
www.drkwlee.com
Diseases & Surgery - Fibroids
What are Fibroids?
1. Non-cancerous tumours in the muscle of the womb (uterus), also known as Myoma
2. Very common - 1/5 of women of child bearing age
3. Female hormone, estrogen, stimulates growth of fibroids
Uterine Fibroid (Myoma)
|
Enucleation of fibroid
|
Uterus Repaired
|
Presentation
1. Asymptomatic - discovered during routine screening
2. Increase in menstrual flow
3. Pressure symptoms on bladder or bowel
4. Low backache to sharp pain
5. Infertility problem
Conservative Management
1. Observe
2. Symptomatic treatment
3. Hormonal therapy, e.g. Progestogen, Danazol, GnRH agonist
Uterine Fibroid
|
Myomectomy
|
Uterus Repaired
|
Myomectomy
(removal of myoma / fibroid)
• Laparotomy - open surgery
• Laparoscopic - "key-hole" surgery
• Hysteroscopic resection (TCRM) - surgery through a scope in the womb for fibroid in uterine cavity (submucous fibroid)
Hysterectomy
(removal of the womb)
| • | Route
- Vaginal - Abdominal - Laparoscopic (MIS), e.g. LAVH (Laparoscopic assisted vaginal hysterectomy) |
| • | Trend
- Subtotal hysterectomy (removal of upper 2/3 of uterus) |
When to perform?
| • | Myomectomy
- Young - Infertility - Desire for child bearing - "emotional attachment to the womb" - "Sex life" |
| • | Hysterectomy
- Completed family - Prevent recurrence - Multiple fibroids - Older women - Associated with other disease, e.g. gynae disease CIN III |