ASSOC. PROF. DR.Gökmen SukgenOBSTETRICS & GYNAECOLOGY
OUR SERVICES

Gynaecological surgery

Surgical assessment begins with understanding why an operation may be considered and what other approaches exist. Decisions involve diagnosis, personal circumstances and expectations.

Educational anatomical model showing the uterus and ovariesIllustrative image

Surgical assessment begins with understanding why an operation may be considered and what other approaches exist. Decisions involve diagnosis, personal circumstances and expectations.

The basis of a decision

A finding alone does not automatically require surgery. Symptoms, previous treatment, imaging and health are considered together. Ask what problem an operation aims to address, whether observation is possible and what may happen without treatment. The intended scope should be clear. Discuss future pregnancy plans and preferences about organ preservation before a decision.

Approach and scope

Laparoscopic, vaginal and open approaches have different roles. A smaller incision does not guarantee suitability or lower risk for every operation. Ask why an approach is proposed and how the plan might change if circumstances differ. Preserving the uterus, ovaries or other structures are separate questions; one operation name may not explain them all. Write down the intended procedure and scope.

Benefits, risks and alternatives

Anaesthesia, bleeding, infection and recovery risks vary with the procedure. Health conditions and earlier operations can affect individual risk. Discuss what each risk means in your circumstances. Expected benefit is not a guaranteed result. Ask for time to review information before deciding. An informed decision includes understanding exactly what you are consenting to.

Recovery and follow-up

There is no single schedule for work, driving, exercise or sex after all operations. Discharge advice, medicines and review dates should be individualised. Discuss home support and work in advance. Follow-up can review pathology where relevant, healing and remaining symptoms. Know whom to contact for unexpected or worsening symptoms before surgery.

Distinguishing diagnostic and therapeutic procedures

Some procedures investigate a condition, while others treat an established problem. Both aims may arise in one discussion, making scope important. Ask whether the procedure is diagnostic only or whether intervention is planned at the same time. Laparoscopy names an approach and does not describe every action involved. Discuss how unexpected findings would be handled before surgery. Ask for clarification of unfamiliar consent wording. Previous operation reports may help planning. Clear information reduces uncertainty and helps you express your priorities before a procedure.

Fertility plans and organ preservation

Future pregnancy plans should be raised early in the surgical discussion. Questions about preserving the uterus or ovaries are not answered merely by hearing an operation name. Implications of removal or preservation need separate consideration in the context of diagnosis and scope. Ask how the proposed procedure affects reproductive plans and whether another approach is possible. Further investigation or another specialist opinion may sometimes be needed. Expressing preferences does not mean ignoring safety or treatment aims. The goal is understanding options and limitations, including irreversible consequences before consent.

How research can inform an individual decision

A publication shows that techniques and outcomes have been studied, but does not decide individual care. Participant characteristics, study size, follow-up and comparisons matter. An older technique appearing in a paper is not a reason to use it today. Ask what current evidence says and whether studied patients resemble your situation. Quality of life and sexual function are different from technical success alone. The site’s publications can help explain research areas; they should not be read as promises of a certain outcome or an individual treatment recommendation.

The purpose matters as much as the approach

Laparoscopy examines the abdomen, hysteroscopy the uterine cavity, and vaginal surgery uses another route. These terms are neither diagnoses nor interchangeable operation names. Explain what tissue will be preserved, removed or supported.

Discuss non-surgical choices, the likely course without intervention, pathology and follow-up. An operation through small incisions can still be extensive.

Common questions

Is keyhole surgery suitable for everyone?

No. Diagnosis, the planned procedure and individual circumstances affect suitability.

Are recovery times guaranteed?

Timelines are guides and may change with the operation and individual recovery.

Does “laparoscopy” describe the entire operation?

No. It describes an approach; the purpose and scope of the planned procedure need separate explanation.

Does a favourable study result guarantee my outcome?

No. Study conditions and your circumstances may differ. Findings need consideration alongside current evidence and individual assessment.

Topics in this area

AFTER YOUR CONSULTATION

Make your plan clear.

  • Describe how pressure or a bulge changes through the day.
  • Ask how observation, support devices and surgery differ for you.
  • Discuss an individual plan for daily activities and follow-up.

Follow-up, care and return to everyday activities depend on assessment and the approach chosen. Before leaving, clarify the next step and how to contact the clinic.

This information does not replace individual medical advice. Diagnosis and treatment require clinical assessment. For emergencies in Türkiye, call 112.
Care begins with understanding

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Pregnancy & birth

Pregnancy care follows maternal health and the baby’s development while creating space for questions and preferences. Appointments are planned around gestation and individual needs.

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Last editorial update: 19 October 2026
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