In our clinics we perform the following gynaecological procedures. We preferably choose minimally invasive surgical techniques.

Artificial termination of pregnancy in the first trimester

The procedure is done under general anaesthesia. It is performed through the vaginal approach. The contents of the uterine cavity are removed by suction or curettage. The procedure takes approximately 10-15 minutes. We do not recommend any sexual intercourse for about 2 weeks after the procedure. The menstrual cycle should return within 4-6 weeks after the operation.

Revision of uterine cavity after spontaneous or missed abortion, postpartum revision of uterine cavity

The procedure is performed from the vaginal approach, where the cervix is dilated and, using a curette and suction cannula, the contents of the uterine cavity are completely removed. The material obtained is subjected to histological examination. The procedure takes approximately 15 minutes. It is done under general anaesthesia. The usual hospital stay is 1 day.
After the procedure, you may experience a transient soreness in the lower abdomen similar to menstrual pain and light bleeding. Mild tenderness of the lower abdomen may persist for several days after discharge, as well as light bleeding or brownish discharge that may last up to 3-4 weeks.

Hysteroscopy with curettage

The most common reasons that require hysteroscopy are menstrual cycle disorders related to hormonal changes, excessive uterine bleeding, suspicion of pathological changes in the uterine cavity, suspicion of malignant tumour, diagnosis and treatment of infertility, etc.

Hysteroscopy is an examination in which the uterine cavity is completely examined using thin optics, focusing on deviations from the norm regarding the uterine lining or the shape of the uterine cavity itself. During the examination, samples are taken from the uterine cavity for microscopic histological analysis. The procedure is performed from the vaginal approach by inserting an optical probe – hysteroscope into the uterine cavity. Subsequently, samples of the uterine cavity mucosa and cervical canal are taken by curette for examination.

After the procedure, you may experience a transient soreness in the lower abdomen similar to menstrual pain and light bleeding. Slight bleeding or brownish discharge may last up to 3-4 weeks. After the procedure, we do not recommend physical exertion for about 1 week, bathing and sexual intercourse for about 3-4 weeks. The total length of hospital stay depends on your health condition.

Cervical conisation

The aim of the cervical conisation is to remove the part of the cervix with cellular abnormalities detected during cytological examination. During the procedure, performed from the vaginal approach, the cervix is cut, and if indicated, samples are taken from the uterine cavity for microscopic histological analysis to clarify the diagnosis. The cervical conisation is performed under short-term general anaesthesia. If the evaluation of the removed tissue shows that cellular abnormalities could persist in the unremoved part of the cervix, a repeat procedure (and, in some cases, removal of the entire uterus) is sometimes necessary.

Biopsies from the vagina, cervix or vulva

The purpose of the procedure is the collection of tissue samples from a designated area and their subsequent histological examination. The procedure is performed under general anaesthesia or local anaesthesia, depending on the extent of the procedure.

Surgical removal of genital warts

The aim of the procedure is to remove genital warts from the external genital area, possibly from the vagina or the surface of the cervix. The procedure is carried out under general anaesthesia.

Hysteroctomy – removal of the uterus

The most common reasons for hysteroctomy include myomatosis (the presence of muscle knots on the uterus), often associated with excessive bleeding during menstruation. Other reasons are conditions of uterine mucosa pathology also accompanied by heavy and/or irregular bleeding (mucosal hyperplasia). The discovery of serious precancer on the cervix is another reason for uterine removal. Removal of the affected uterus itself may be associated with removal of the fallopian tubes and/or ovaries.

The procedure is performed under general anaesthesia. The principle of the operation is the gradual release of the uterus from its suspensive apparatus to the pelvic wall and from the vagina. At the same time, the fallopian tubes and/or ovaries are removed, if indicated. Then the separated organs are removed from the abdominal cavity according to the chosen surgical approach. The choice of the surgical approach depends on the nature and extent of the disease, the size of the uterus, etc. Approach to the operation might be combined (laparoscopically assisted vaginal), laparoscopic, laparotomic (from abdominal incision), and vaginal.

Operative hysteroscopy

Hysteroscopy is recommended to the patients with disorders of the menstrual cycle, related to hormonal changes, or in case of excessive bleeding, suspicion of pathological changes in the uterine cavity, suspicion of malignancy, or diagnosis and treatment of infertility.

During the hysteroscopic surgery polyps, myoms, intrauterine lining, adhesions and possible uterine septum are removed with endoscopic instruments and tissue samples are taken. The operation is performed from the vaginal approach and requires general anaesthesia of the patient.

After major procedures in the uterine cavity, we usually discharge patients on the second post-operative day.