Minimally Invasive Surgery for Gynaecological and Urogynaecological Conditions
Minimally invasive surgery has revolutionised the treatment of many gynaecological and pelvic floor conditions. Whether it’s managing complex fibroids, heavy menstrual bleeding, endometriosis, or prolapse, this approach offers faster recovery, less postoperative pain, and—when appropriate—fertility- or organ-sparing alternatives.
As a dual subspecialist in advanced laparoscopic gynaecology and urogynaecology, Dr Deb Karmakar brings tertiary-level expertise to women with both common and complex pelvic conditions. His surgical techniques are tailored, evidence-based, and informed by deep clinical experience and research.
Gynaecological Conditions Treated
Minimally invasive approaches are highly effective for many conditions traditionally managed with open surgery, including:
- Heavy Menstrual Bleeding (HMB) unresponsive to medical therapy
- Uterine fibroids, with a focus on fertility-preserving laparoscopic myomectomy
- Adenomyosis, especially in women wishing to avoid hysterectomy
- Endometriosis, with expert laparoscopic excision to relieve pain and preserve ovarian function
- Chronic pelvic pain, where diagnosis and treatment can be done in one procedure
Dr Karmakar routinely performs:
- Laparoscopic hysterectomy, including for large, distorted or complex uteri
- Myomectomy for fibroid-related infertility or symptomatic relief
- Endometriosis excision, targeting deep infiltrating lesions
- Uterine-sparing surgeries to preserve reproductive options and reduce recovery time
Urogynaecological Conditions Treated
Minimally invasive techniques also offer durable solutions for pelvic organ prolapse (POP) and stress urinary incontinence (SUI)—without reliance on synthetic mesh. Dr Karmakar performs:
- Hysteropexy, a uterus-preserving prolapse repair via laparoscopic or vaginal access, with >90% success at 3–5 years
- Uterosacral ligament suspension, suitable for apical prolapse and vault support
- Laparoscopic Burch colposuspension, a mesh-free, durable continence surgery with outcomes comparable to slings
- Autologous fascial slings, using a woman’s own tissue for continence without mesh
His 2016 review with Professor Peter Dwyer highlighted the need for clear patient education, appropriate consent, and goal-aligned surgery to avoid the mismatch of expectations that has contributed to global concern over mesh use. Karmakar, D., Dwyer, P.L. Failure of Expectations in Vaginal Surgery: Lack of Appropriate Consent, Goals and Expectations of Surgery. Curr Urol Rep 17, 87 (2016). https://doi.org/10.1007/s11934-016-0642-y
Why Experience Matters
Minimally invasive surgery requires more than just technology—it demands specialist training, surgical volume, and precision. Dr Karmakar’s advanced fellowship training means you benefit from:
- Dual accreditation in advanced gynaecology and urogynaecology
- Experience managing complex referrals, redo surgeries, mesh complications, and combined bladder-bowel-prolapse disorders
- Surgical planning that reflects your lifestyle, fertility goals, and long-term pelvic health
As shown in major outcome studies, surgeon experience directly affects results and complication rates, particularly in prolapse and continence procedures.
Recovery-Focused, Patient-Centred Care
Most procedures are day surgeries or short-stay, with many women resuming light activity within 1–2 weeks and full recovery by 4–6 weeks. Where hysterectomy is not essential, uterine conservation is offered as a standard part of shared decision-making—not an exception.
Whether you are seeking relief from bleeding, pain, incontinence, or prolapse, Dr Karmakar’s approach is evidence-informed, minimally disruptive, and always tailored to you.
