Gynecology

Every year, the Center for Gynecology, Mammology and Obstetrics, designed for 35 hospital beds, treats more than 2,600 patients, and the surgeons of the Center perform up to 2,500 surgical interventions of various complexity: from minimally invasive to ultraradical. The range of medical services of the Center covers all the most important aspects of gynecology and is aimed at maintaining a woman's well-being in all periods of life. One of the main areas of specialization of the Center is the treatment of oncological diseases of the female genital organs. Given the specifics of the tumor - cancer of the uterus, ovaries or external genitalia - and also, based on the stage of development of the disease, experts select the most effective therapy.

Minimally invasive surgery

Hysteroscopy is used to diagnose and treat pathological changes in the uterine cavity (polyps, fibroids). Laparoscopic methods have proven themselves in the treatment of cystitis, adhesions and endometriosis changes in the ovaries, fallopian tubes and uterus. Both of these methods of diagnosis and surgical treatment make it possible to perform most surgical interventions on an outpatient basis. 99% patients leave the Center on the day of surgery and can lead their normal lives the very next day with very few restrictions. Treatment of benign tumors of the uterus is associated, very often, with the removal of this organ. When choosing the tactics of surgical removal of the uterus (through the abdominal cavity or through the vagina), surgeons take into account many factors that affect, in one way or another, the operation. Diagnostic laparoscopy helps doctors decide on the type of operation.

Oncogynecology

The Gynecology Center also provides care to patients with malignant tumors that have spread from the genitals to other organs, such as the bladder or rectum; treats cancers of the cervix, uterine body, ovaries, vulva. For the treatment of malignant diseases of the female genital organs, an individually selected and appropriate to the patient's diagnosis program of surgical treatment for the complete removal of the tumor is of decisive importance. To do this, the Center uses modern surgical techniques, including minimally invasive techniques and laser surgery. In addition, in ovarian and uterine cancer, special techniques are used to spare the sensitive nerves in the pelvis and thus preserve bowel and bladder function. Of course, doctors have at their disposal all the latest methods for diagnosing and planning surgical intervention. Necessary medical treatment (for example, chemotherapy, antihormonal and antibody therapy), as well as radiation therapy, are agreed and carried out in conjunction with the relevant specialists.

Diagnosis and surgical treatment of dysuria

The Center for Gynecology is part of the Clinical Continent Center (Incontinence Center), which is part of the All-German Society for the Treatment of Incontinence. The doctors of the center work together with specialists from the urological clinic and conduct all types of urodynamic studies of the functions of the female bladder and ureters in female incontinence:

• uroflometry
• cystometry
• urethral profilometry
• multichannel urodynamics
• video urodynamics urethrocystoscopy
• bladder ultrasound

As surgical methods for the treatment of urinary incontinence, the Center performs pubic-vaginal loop operations using a prolene mesh and operations performed using the TVT method (plasty of a free synthetic loop) and its derivatives TVT-O, TO-T. All TVT spectrum methods are universal and can be used in combination with other vaginal surgeries. Birch laparoscopic colposuspension is a minimally invasive surgical technique indicated for patients with stress urinary incontinence.

Reconstructive gynecology

In severe stages of prolapse (prolapse of the female pelvic organs: bladder, uterus, vagina and rectum), the pelvic floor is reconstructed using the patient's tissues or foreign materials - "mesh". To solve the problems associated with prolapse, the surgeons of the Center use the following surgical interventions:

• pelvic floor plasty for cystocele and rectocele
• colpography for prolapsed vaginal walls
• vaginal fixation to the posterior wall of the small pelvis in severe cases of prolapse of the walls of the vagina.