Modern technologies allow minimizing the traumatism of operations, the length of stay in a medical institution (from 2 to 12 hours) and the period of postoperative recovery.

We offer our patients medical, diagnostic, and aesthetic gynecological operations.

Diagnostic operations:

Cervical biopsy

Taking a small portion of the pathologically altered cervical epithelium for histological examination; Is performed under local anesthesia.

Endometrial biopsy

Taking a small portion of the uterine mucosa from one or more zones for histological examination; Is performed under local anesthesia.

Echosalpingoscopy

This is a diagnostic manipulation to determine the patency of the fallopian tubes and the state of the uterine cavity. With the help of a thin soft catheter, a solution is inserted into the uterine cavity and the state of the uterine cavity and fallopian tubes is assessed under the ultrasound apparatus. For maximum patient comfort, the study is conducted under intravenous anesthesia. The duration of echosalpingoscopy is 15-20 minutes.

Hysteroscopy, endometrial biopsy

Hysteroscopy - a modern low-traumatic visual method of diagnosis and treatment. In this case, through the cervix, a thin tube (hysteroscope) is inserted into the uterus cavity with an optical system and a special conductor for the instruments. Thus, we obtain an enlarged image of the cervical canal and its cavity, and we perform an endometrial assay for histological examination.

Diagnostic procedures:

Hysteroresectoscopy

Hysteroscopy - a modern low-traumatic visual method of diagnosis and treatment. In this case, through the cervix, a thin tube (hysteroscope) is inserted into the uterus cavity with an optical system and a special conductor for the instruments. Thus, we obtain an enlarged image of the cervical canal and its cavity, which allows us to identify and eliminate the intrauterine pathology, remove the foreign body, remove polyps, myoma nodes, septa, septa, if necessary, supplement the scrapings of the mucous membrane of the cervical canal and the uterine cavity for histological examination.Conization of the cervix

 

It is a surgical procedure in which the pathologically altered external (vaginal) part of the cervix and partially the canal channel in the form of a cone is excised. The resulting material is sent for histological examination. This allows you to clarify the extent and depth of pathological changes and to completely eliminate the lesion.

Cryoapplication of the cervix

This is the most non-traumatic way to actively treat cervical disease. This leads to a superficial freezing of the cervix, which leads to the subsequent rejection of diseased tissues, and independent replacement by healthy ones. The procedure is almost painless, does not require additional anesthesia, and most importantly does not leave scars on the cervix, that is, it can be used for women who do not give birth.

Indications for hysteroscopy

- Violations of the menstrual cycle (bleeding, poor menstruation, lack of menstruation) in women of reproductive age

- Postmenopausal bloody discharge

- Endometrial tissue damage (endometrial pathology - polyps, internal endometriosis)

- Infertility

- Repeated miscarriage of pregnancy

- Preparation for the IVF program

- Control of the dynamics of treatment for hormonal diseases

- Complicated postpartum period

- Suspicion of an abnormality in the development of the uterus, synechia (adhesions) and septa in the uterine cavity

- Submucous uterine myoma (diagnostic hysteroscopy)

- Suspicion of the presence of tumors in the uterus

- Clarifying the position of the intrauterine device, removing the IUD or foreign bodies

Aesthetic operations:

Restoration of the hymen (hymenoplasty)

The operation is carried out for personal, family reasons or for religious reasons. Restoration of the hymen is carried out due to the remnants of the hymen or tissues of the entrance to the vagina (the so-called three-layer hymenoplasty - the formation of a new chaff). Performed under local anesthesia (anesthesia - at the request of the patient) for 20-40 minutes. Within 1 to 2 hours after the operation, you can leave the hospital. Limitation of sexual activity 5-10-14 days.

Small labia minora

Allows you to change the shape and size of the labia, the clitoral hood, which can be the result of trauma, pregnancy and childbirth, age and hormonal disorders, changes in body weight. Performed under local anesthesia (anesthesia - at the request of the patient) for 20-40 minutes. Within 1 to 2 hours after the operation, you can leave the hospital. Limitation of sexual activity 2 4 weeks.

Vaginal  wall surgery  with Vaginal Relaxation

When atony the walls of the vagina with an increase in its volume, the lowering of the uterus, the walls of the bladder, the rectum. The operation is performed within 40-90 minutes in conditions of general anesthesia (intravenous), does not leave scarring, does not require a long stay in the hospital and recovery. The main advantages - a significant reduction in the volume of the vagina, correction of cicatricial changes in the vagina and perineum, gaping gap - after one operation. Hospital - 1 day. Rehabilitation - 1 - 1,5 months.

 

Contraindications

  • common infectious and inflammatory diseases (influenza, angina, acute thrombophlebitis, pyelonephritis, etc.)
  • acute inflammatory diseases of the genital organs
  • vaginal dysbiosis, 4 degree of purity of vaginal smears
  • severe diseases of the cardiovascular system, liver, kidneys in the stage of decompensation
  • pregnancy
  • common cervical cancer
  • profuse uterine bleeding

Planned hysteroscopy is desirable to carry out the proliferative phase (7 – 13 day of the menstrual cycle). To assess the state of the endometrium – 3-5 days before menstruation.