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Gynecological diseases

Uterine Diseases

The most common diseases of the uterus are uterine cancer, metritis, uterine prolapse, myoma (benign nodes) and endometriosis.

An excision of the uterus might become necessary with the following diseases: cancer of the uterus or cervix, tumors of one or both ovaries, large or unfavorably situated muscle tumors (myomas) of the uterus, life-threatening bleeding (e.g. through a tear in the uterus wall or other complications during or after birth).

Excision of the uterus and ovaries might also be necessary in the event of constantly recurring bleeding, a uterus episode as well as severe inflammations and boils (abscesses) in the area of the internal sexual organs. However, through the use of conservative procedures, opening of the abdominal cavity can be avoided in many cases, meaning that the physical impairment caused by such an operation is reduced significantly and no visible scars are left behind. The HELIOS hospitals aim to use conservative vaginal or endoscopic operating procedures in as many cases as possible. Consequently, discharge from the hospital after a hysterectomy is often possible in less than seven days.

Other Clinical Pictures

The many other diseases in the field of gynecology include various forms of incontinence ("bladder weakness"). In addition, our scope of treatment includes diagnosis and, if possible, therapy of infertility. This also includes artificial insemination (in-vitro fertilization).

Uterine Diseases Operations: Hysterectomy Procedures

The uterus can be removed through various access paths. The decision which technique to use in any specific case has to be made in accordance with the disease in question, the uterus size and the anatomical situation.

Hysterectomy by abdominal incision (abdominal hysterectomy)

With this procedure, the stomach is generally opened by means of a cross-section in the area of the pubic hair boundary. The advantage of this method is that it gives a complete overview of the abdominal cavity and therefore, in addition to the ovaries, the intestine including the cecum can also be assessed. Very large uteri can also be removed via this access path.

Hysterectomy from the vagina (vaginal hysterectomy, laparoscopically-assisted vaginal hysterectomy).

In vaginal hysterectomies, the uterus is removed starting from the vagina. With this access path, the ovaries can also be seen. The advantage here is generally the faster postoperative recovery period in the absence of an abdominal incision. There are no visible scars. The method can be combined with a laparoscopy (laparoscopically-assisted vaginal hysterectomy, or LAVH for short). For example, if there are suspected changes to the ovary or adhesions, in the first step the adhesions can be detached and the operation on the ovary can be performed by means of the laparoscopy. Next, the uterus is removed starting from the vagina. In some cases, the subsequent hysterectomy through the vagina can also be prepared for and thus made easier as a result of laparoscopic preparatory steps.

Laparoscopic hysterectomy

With this method, the uterus is removed in a totally laparoscopic manner. The procedure is not suitable for a severely enlarged uterus.

Urogynecological operations

Operations to restore urinary continence including by means of TVT. TVT (tension-free vaginal tape) is a plaited, self-adhesive prolene tape that is placed around the urethra without exerting tension on the vagina in order to treat stress incontinence.)