Does Surgical Volume Affect Gynaecologic Surgery Outcomes?

by Dr Yogesh Nikam I came across an interesting video that discusses Surgical volume while browsing Medscape. It is an old article but still relevant. In summary, high volume surgeon gynaecologist tends to have complex patients, fewer complications and improved outcomes. In contrast, low volume surgeons tend to have higher rates of intraoperative complications. This outcome appears to be…

Better living with Endometriosis

Hear Warren talk about Endometriosis in his radio interview on Talking Lifestyle Radio Dr Warren Chan radio interview You can also read this interview on the healthcare website by clicking here Download this podcast here At AEVAFEM, our specialists will take the time required to make you feel comfortable, alleviate the uncertainty of having a gynaecological procedure…

Adnexal masses (Ovarian cysts) in Pregnancy

by Dr Yogesh Nikam   Adnexal masses in Pregnancy Recently, I came across two very interesting cases of ovarian cysts in pregnancy. Both patients had similar pregnancy profiles, and both had a large ovarian cyst. One needed surgery to remove the cysts at 20 weeks of pregnancy, and the other carried on till the term, delivered…

DEEP INFILTRATING ENDOMETRIOSIS: CAUSE OF PELVIC PAIN

by Dr Yogesh Nikam Deep infiltrating endometriosis (D.I.E) is a particularly aggressive form of endometriosis that penetrates greater than 5mm beneath the peritoneal surface. D.I.E lesions are considered to be very active. They are strongly associated with pain, altering the quality of life. Pelvic pain, dysmenorrhoea ( severe pain with periods), dyspareunia ( pain with sex) or dyschezia (painful defecation / passing stool) are signs suggestive of D.I.E.…

Endometriosis – A Diagnostic Delay

by Dr Yogesh Nikam   Do you suffer from period pain? Have been told that it is a normal part of being a woman! Do you suffer from pelvic pain throughout the month? Do you have pain with sex? Is this affecting your relationship? Do you have pain when passing urine or opening your bowels? You…

Are you doing the right thing for your pelvic floor, every day?

by Dr Yogesh Nikam The increasing incidence of Pelvic Floor Dysfunction leading to increased incidence of urinary incontinence, recurrent bladder infections, irritable bowel syndrome, constipation and bowel cancer is concerning. Interestingly, these issues can be addressed by having a proper squatting posture. Curious….then read on…. Recently, I attended the AGES (Australian & Gynaecological Endoscopy Society) – Pelvic Floor Symposium, held in Sydney. Experts…