Fertility conversations held early. Dignity kept throughout.
Ovarian, uterine and cervical cancers are operated here by Dr. Patel alongside gynae-oncology colleagues — radical surgery done to standard, with menopause management and family planning treated as core parts of the plan.
What are gynaecologic cancers?
These arise in the ovaries, uterus (endometrium), cervix, vulva, or in placental tissue (gestational trophoblastic disease). Each behaves differently — and each rewards a different sequence of surgery and chemotherapy, decided at a joint board rather than by one opinion.
In ovarian cancer the operation itself is treatment strategy: optimal cytoreduction — removing all visible disease — measurably improves what chemotherapy can achieve afterwards. That is why staging laparoscopy and careful planning come first.
Bleeding after menopause is never normal. It is usually something benign — but it always deserves an ultrasound and, when indicated, a biopsy. Endometrial cancer caught this way is typically cured by surgery alone.
For younger women, fertility is raised before treatment begins, not after it ends — fertility-preserving options exist for selected early disease, and the conversation about them belongs at the very first meeting.
Eight signals that deserve examination
Most causes will be benign — but every one of these deserves a proper look, promptly.
- ①Bleeding after menopause — even once, even spotting. Always investigated.
- ②Bleeding between periods, or periods that suddenly change pattern.
- ③Bloating lasting beyond two weeks — persistent, not tied to meals.
- ④Pelvic pain or pressure that doesn’t follow the usual cycle.
- ⑤Unusual discharge — watery, blood-tinged, or with an odd smell.
- ⑥Pain during intercourse, new and persistent.
- ⑦A feeling of fullness or a lump low in the abdomen.
- ⑧Any of these persisting beyond two weeks — time for an examination, not another wait-and-see.
Cancers and services covered
☀Ovarian Cancer
Staging and optimal cytoreduction — the completeness of surgery drives outcomes.
☀Uterine / Endometrial
Staging surgery with sentinel node technique; most early cases cured by operation alone.
☀Cervical Cancer
Radical hysterectomy (Wertheim’s) with pelvic lymphadenectomy, done to standard.
☀Vulvar & GTD
Vulvar cancer with sentinel-node staging; molar pregnancies managed by protocol.
☀Fertility Preservation
Selected early disease treated without ending the chance of pregnancy — discussed early.
☀Joint Team Approach
Operated with gynae-oncology colleagues within one shared tumour-board plan.
Operations performed here
- ☀Staging laparotomy / laparoscopyAccurate surgical staging — the foundation every later decision stands on.
- ☀Optimal cytoreduction for ovarian cancerRemoving all visible disease wherever safely possible, planned with the oncology team.
- ☀Radical hysterectomy (Wertheim’s)The standard operation for cervical cancer — precise, complete, nerve-aware.
- ☀Pelvic & para-aortic lymphadenectomyNodal clearance that stages truly and guides therapy rightly.
- ☀Fertility-preserving proceduresFor selected early disease — options discussed at the first visit.
- ☀Sentinel node techniquesFor endometrial and vulvar cancers — big answers through small operations.
From first visit to full recovery
Examination & imaging
Ultrasound first; MRI when anatomy needs mapping in detail.
Biopsy & markers
Tissue diagnosis and blood markers confirm what scans suggest.
Tumour board plan
Gynae-oncology, medical and radiation oncology agree the sequence together.
Fertility conversation
If relevant to you, it happens before treatment starts — never after.
Surgery
Staging or radical procedure performed with dignity and precision.
Recovery & menopause care
Hormone support where appropriate, physiotherapy, scheduled surveillance.
Families usually ask…
No — most cysts are functional and disappear on their own. Ultrasound features, blood markers and behaviour over time separate the routine from the concerning. Persistent complex masses are the ones that need surgical answers.
It depends on the type and stage — and you deserve the answer before treatment begins. Selected early disease can be treated while preserving fertility. Where it cannot, we say so plainly and discuss all options including family-planning support.
Periods end and pregnancy is no longer possible; if ovaries are removed too, menopause begins — sometimes abruptly. That is why hormone support, bone health and emotional recovery are built into follow-up here, not left unmentioned.
Nearly all cervical cancers follow persistent HPV infection — which makes vaccination and regular screening genuinely preventive, not just protective talk. Daughters and sons benefit most when vaccinated young.
Always — reports explained line by line, diagrams drawn, family welcome. Intimate concerns deserve words you are comfortable with.