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+7 (499) 404-18-04
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+38 (044) 379-28-04
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+49 (211) 924-17-649

Gynecology


GHCA Gynecological clinic covers the entire range of conservative and surgical treatment of gynecological diseases. However, they specialize in the treatment of uterine diseases, the treatment of urinary incontinence and vaginal prolapse, as well as in the treatment of benign and malignant tumors of the female genital organs.

Diagnostics.

Combination of such investigations as detailed anamnesis, mammography, breast ultrasound investigation, and, if necessary, other methods (MRI) allow significantly to improve the recovery of changes. The recovery of ganglions in young women by means of the ultrasound investigation is somewhat higher rather than by means of the mammography itself. Color coding of blood supply parameters and three-dimensional image of ultrasonographic data allow experts more effectively diagnosing tumors in mammary glands and oophoron as well as anomaly in development of unborn children. Radiologists, pathologists, oncologists, geneticists, and specialists in the field of alternative medicine (traditional Chinese medicine)as well as other specialists are involved in every investigation.

Therapeutic methods.

Moreover, these Clinics for Women are specialized in treatment of hysteropathy, treatment of incontinence of urine and colpocele as well as treatment of benign and malignant tumors of female genital organs. One widely uses method of minimally invasive surgery both during the diagnostics and during the surgery in case of non-malignant diseases of female genital organs, in case of inflammations, adnations, oothecoma (cystic lesion), endometriosis, and extrauterine pregnancy. A special direction of specialization is interdisciplinary treatment of diseases of female genital organs. Operative therapy taking into account the individual peculiarities of a patient, if necessary, in combination with medicinal treatment or radiation treatment leads in many cases to the complete recovery.

Minimally Invasive Surgery:
  • Diagnostics for the purpose to find out reasons of pains in hypogastrium or childlessness.
  • Conservative ovariotomy and salpinges surgeries in case of benign changes.
  • Extrauterine pregnancy treatment.
  • Organ-sparing metrofibroma erasion.
  • Partial or complete hysterectomy (so called LASH or TLHE (partial or total laparoscopic hysterectomy)).
  • Surgeries in order to determine stage of cervical cancer.
Some surgeries can be performed upon imaging of alvus, so called hysteroscopy. In this case we are talking about uterine cavity imaging. As a rule, alvus imaging is carried out in case of curettement according to diagnostic or therapeutic reasons, for example, in case of myomectomy from the uterine cavity or endometrial ablation along with long-lasting escape of blood, so called endometrial ablation.

Conservative Treatment (Treatment Without Surgeries).

In case of symptomatic muscular tumors (pain or escape of blood disorder) it is possible to apply conservative treatment of alvus without any surgeries by means embolization of muscular tumor. Moreover, alvus is spared, only vascular occlusion is carried out that feeds a muscular tumor, in such a manner, a muscular tumor dies away and does not cause symptoms. Sure enough, this method is contraindicated for those women who want to deliver a baby.

Incontinence of Urine Treatment.

If the diagnosis made requires an operative therapy, one will apply both classical and state-of-the-art methods of surgery performance. In case of classical surgeries we are talking about both vaginal and abdominal methods of lifting of neck of the urinary bladder without the use of foreign materials. In case of the state-of-the-art methods I am referring to both application of synthetic tape under the urethra (the so-called tension free vaginal tape technique), and insertion of a gel into the urethra, the so-called Bulkamid treatment.

Colpoptosis Treatment.

Here one also proposes both classical surgeries and state-of-the-art methods using meshes. In case of classical surgeries a vagina is stretched, spread, and fixed at the posterior wall of the small pelvis, therefore, a vagina is lifted and remains functionally able. In case the state-of-the-art methods a synthetic mesh is applied depending on the necessity under the urinary bladder or over a bowel (the so-called Prolift System or transvaginal mesh).

Mammary Tumor Treatment.

In case of breast cancer treatment in the most cases one can exclude complete mastectomy. If necessary, depending on the size of nodes as well as according to the individual desire of a patient the removed or partially removed mammary gland can be recovered by means of different methods during this surgery. Non-malignant breast diseases sometimes require performance of operative therapy. Due to the well-adjusted diagnostics this treatment can be carried out purposefully (targeted therapy) and with minimal load. There are a lot of opportunities therefor, from cut of tissues under local anesthesia (vacuum biopsy), erasion under the X-ray inspection (stereotactic biopsy) to the open surgery under the general anesthesia. In every case during the treatment performance in the focus of attention there is an aspect of safety as well as cosmetic result and saving of healthy neighboring tissues.

Treatment of Carcinoma of Genital Organs.

A special direction in the specialization is interdisciplinary treatment of malignant diseases of female genital organs. Due to the modern opportunities and joint work of various specialized departments, fortunately, the prognoses of treatment have improved. A condition for successful treatment is a certain diagnostics and good planning of treatment. Operative therapy taking into account the individual peculiarities of a patient, if necessary, in combination with medicinal treatment or radiation treatment leads in many cases to the complete recovery.

Conservative Surgical Methods.

Laser therapy: if the erasion of cone-shaped segment of cervix uteri is required (the so-called cone biopsy), it will be carried out by means of a laser beam. This method of treatment spares cervix uteri, does not cause cicatrization and prevents large blood loss. Of course, this method is contraindicated in case of some classifications of scrapes. Bi-Clamp method: This method allows to perform operation without puncturing. Prior to be departed tissue is blocked. Therefore, there is no suture material on the body. By means of it there are far less pains after the surgery. This method is applied in all kinds of laparoscopy and in the most kinds of hysterectomy.
  • Dr. Nikolaus Heilper, MD.
  • Dr. Monika Nemes-Coenen, MD.
  • Alfried Krupp Hospital.
  • Evangelical Hospital.
  • Duisburg Clinic.
  • St. Maria Hospital (D).
  • St. Maria Hospital (G).
  • Aachen Region Medical Center.
  • Dr. Heilper MD, Mammology Center.
  • Frauenärztlichen Gemeinschaftspraxis im Klemensviertel.