Dr John Esler is a gynaecology specialist in Queensland, Brisbane & Gold Coast. We provide treatments for female health problems such as gynaecological surgery, donor eggs & sperm.
More Info:- https://drjohnesler.com.au/
About Us
Dr John Esler & Queensland Fertility Group (QFG) Toowoomba
Dr Esler is one of Queensland’s most experienced gynaecologists and gynaecological surgeons. His services are personal and professional and his experience, knowledge and expertise ensure his patients have the best chance of achieving a positive outcome.
Dr Esler’s fertility practice – Queensland Fertility Group Toowoomba – offers a comprehensive range of services including fertility services for singles and same-sex couples. Dr Esler’s fertility services incorporate all the latest evidence-based, best practice, techniques and treatments (including advanced embryo selection) that are clinically and scientifically proven to give individual patients the best chance of producing a viable pregnancy. Dr Esler understands that patients seeking fertility advice dream of having a baby and his aim is to help them achieve that dream, safely and with minimum anxiety and cost. His success rates are amongst the highest in the country.
Gynaecology brisbane
Every woman is unique and deserves a personalised approach to her care from an experienced clinician. Dr Esler’s gynaecological expertise is extensive and he has grown to become one of Queensland’s most experienced gynaecological surgeons, in particular in vaginal surgery, which includes treatment of prolapse and incontinence. Evidence shows that vaginal surgery (where indicated) delivers greater benefits to patients than other forms of surgery. Vaginal surgery ensures patients have fewer complications, a faster recovery, a shorter stay in hospital and less pain. Dr Esler also performs all other forms of gynaecological surgery including advanced laparoscopic procedures, complex major surgical procedures involving abdominal pelvic surgery as well as vaginal surgery; pelvic floor reconstruction, prolapse repairs, vaginal and abdominal hysterectomy, and treatment for urinary incontinence.
Hysterectomy – The following information on hysterectomy is a summary of the excellent information about hysterectomy available on the Women’s Health Queensland website, and we thank them for their permission to share it.
For more information please visit https://womhealth.org.au/conditions-and-treatments/hysterectomy-fact-sheet.
Hysterectomy is one of the most common types of elective surgeries for Australian women. It is major surgery, and depending on your condition there are several different types of operations and several different ways the surgeon can perform your operation.
The different types of hysterectomy operations are:
* Hysterectomy with ovarian conservation – removal of the fallopian tubes, uterus and cervix but keeping the ovaries (this is the most common procedure performed).
* Hysterectomy with oophorectomy – removal of the fallopian tubes, uterus and cervix and one or both sets of ovaries.
Your surgeon can perform your hysterectomy in three different ways.
Total abdominal hysterectomy – performed when extensive exploration is required such as in the case of cancer, an enlarged uterus, obesity or if the woman has never had children.
A vaginal hysterectomy – this involves making an incision in the upper portion of the vagina and removing the uterus through the vagina. Evidence shows that a vaginal hysterectomy should be performed in preference to an abdominal hysterectomy, or a laparoscopic approach where possible and where indicated (i.e. for non-cancerous conditions) because it delivers the greatest benefits to patients – less pain, a shorter hospital stay and the absence of a visible scar.
Laparoscopic hysterectomy – three or four small incisions are made in the abdomen. A laparoscope is inserted through one of the incisions into the abdominal cavity enabling the surgeon to view the pelvic organs on a video screen and insert surgical instruments through the remaining incisions.
Disadvantages of a laparoscopic hysterectomy include the possibility of a longer operating time depending on how much of the operation is performed laparoscopically, higher costs and an increased risk of damage to the urinary tract and bowel. Women considering a laparoscopic hysterectomy are advised to ask specific questions about the surgeon’s training and experience in this particular procedure.
The surgical approach to hysterectomy should be decided by the woman in discussion with her surgeon. This discussion should cover the relative benefits and hazards. Before arriving at any decision, the woman also needs to take into consideration the experience of her surgeon, the number of successful procedures they have performed and their complication rates, as all these factors also have the potential to influence the outcomes.
Incontinence – Urinary incontinence occurs more often in women than in men. Pregnancy, childbirth, and menopause may contribute to urinary incontinence in women. Weak bladder muscles, overactive bladder muscles, and nerve damage may also cause urinary incontinence in women. Urinary incontinence in women is common and treatable.
Prolapse repairs – Vaginal prolapse is a common condition where the bladder, uterus and or bowel protrudes into the vagina. This can cause symptoms such as a sensation of a vaginal lump, constipation, difficulty emptying the bowel or bladder or problems with sexual intercourse. Dr Esler does not and never has used vaginal mesh.
Endometriosis – Endometriosis is one of the most common causes of pelvic pain and infertility in women. This condition can cause painful menstrual cramps, abnormal bleeding, pain during intercourse and infertility. Treatment will vary depending on the severity of the condition and the objectives of the patient. In the past surgical intervention was recommended in order to diagnose or treat this condition; however – if treatment is sought for fertility reasons – consensus is that surgery may not be the best approach (surgery can cause scarring and decreased ovarian reserve). Patients should discuss IVF prior to considering surgery.
Polycystic Ovary Syndrome – PCOS affects more than 10% of women. It causes infertility, menstral irregularity, acne, obesity, high blood pressure and diabetes as well as excessive hair growth.
Half of the women diagnosed with polycystic ovaries will have a substantially elevated BMI, which can not only affect their general health but also affect their fertility. Diagnosis is made using ultrasound, but more specifically with an Anti Mullerian Hormone (AMH) blood test.
Hysteroscopy – This procedure will investigate abnormal bleeding or infertility and is performed as day surgery procedure.
Treatment of abnormal PAP Smears (Colposcopy) – Dr Esler has treated abnormal smears for more than 30 years and is one of Queensland’s most experienced colposcopists.
