Minimally Invasive Surgery

vNOTES: Gynaecological Surgery Without Abdominal Cuts

Need a hysterectomy or other gynaecological operation, but worried about scars, pain and a long recovery? vNOTES allows selected operations to be done through the vagina using keyhole instruments and a camera, with no cuts on the abdomen.

Dr Bob Achila led the introduction of vNOTES in Kenya. He is also Kenya’s first KMPDC-recognised urogynaecology subspecialist.

What vNOTES can be used for

  • Hysterectomy (removal of the womb)
  • Removal of the ovaries or fallopian tubes
  • Removal of some ovarian cysts
  • Selected prolapse repairs

Possible benefits

  • No visible scars on the abdomen
  • Often less pain after surgery
  • Often a shorter hospital stay and quicker return to normal activities

Is it right for me?

vNOTES is not suitable for everyone. It depends on things like the size of your womb, previous surgery, and the reason for your operation. Dr Achila will assess you and explain whether vNOTES, standard keyhole surgery or another approach is best for you.

Common questions

What does vNOTES stand for?

Vaginal Natural Orifice Transluminal Endoscopic Surgery. Put simply, keyhole surgery through the vagina.

Will it affect my sex life?

The vaginal wound heals inside. Most women resume sex after full healing, usually around six weeks. Dr Achila will advise you.

How much does it cost?

It depends on the operation, the hospital and your insurance. You will get an estimate after your assessment.

General information only. It does not replace a medical consultation.

Take the Next Step

Ready to book your consultation?

Call or WhatsApp the practice, or book online at any time, including evenings and weekends. Our team will help you arrange a suitable appointment time.

Online bookings and all appointments are confirmed directly by the practice team.