Pelvic Floor Reconstruction


Dr Johnston's area of expertise is Minimal Access Surgery (MAS), Laparoscopic or “Keyhole” surgery. This is now well established as the best surgical approach in terms of quicker recovery, less pain, less blood loss, less adhesions(internal scaring) and quicker return to work or normal life activities. In addition to these advantages it is also cosmetically very pleasing for women(i.e tiny scars). These points are becoming more and more important as women of all ages, who are becoming more discerning, demanding higher standards of health care, busier than ever with work, looking after children and grandchildren. This approach has replaced many traditional "open" (large abdominal scars) and vaginal surgeries amongst many leading gynaecologists worldwide. However traditional approaches do also have their place. Dr Johnston always in consultation with his patients, tailors the best individual surgical approach.

Dr Johnston has trained internationally in advanced Laparoscopic surgery; performed approximately 80% of his surgeries this way with over 10 years of experience.He has performed hundreds of Total Laparoscopic TLH and Laparoscopic Pelvic Floor Repairs (LPFR) and continues to keep up to date with the latest techniques.

Most of his patients who undergo surgery by this approach are discharged from hospital the next day and are back at work, driving and undertaking normal lifestyle activities 2 weeks after their operation.

Prolapse Treated.

Uterovaginal prolapse – descent of the uterus (womb) centrally through the vagina.
Cystocoele – prolapse / herniation of bladder through the front (anterior compartment) of the vagina.
Rectocoele – prolapse / herniation of rectum through the back (posterior compartment) of the vagina.
Vault prolapse – descent of the top of the vaginal (apex) through the vagina in women who have had a previous hysterectomy.
Perineal deficiency – weakness and loss of support of area between the vagina and rectum.