The treatment of gynecological diseases

Treatment of uterine myomas and endometriosis

Requests for treatment of gynecological diseases in Germany are about 60% of all requests in our company. There is no doubt that low-invasive methods of gynecologic operative surgery in Germany are known worldwide. Current developments allow carrying out a lot of surgical interventions on an outpatient basis. Of course, the surgical intervention is preceded by a detailed examination which takes about 2 days. This method saves a woman from the unpleasant disease for a short period of time and gives an opportunity to significantly reduce the cost of treatment.

About 10000 residents of the CIS countries had treatment in the German gynecological clinics last year (journal “Ärzteblatt”). German gynecology is very popular in Saudi-Arabia, Kuwait and the United Arab Emirates.

On this page we will have a short overview of the most common gynecological diseases and methods for their treatment.

Hysteromyoma: description

Hysteromyoma is a benign tumor growing from the muscle or connective uterine tissue. About 25% of women over 30 years suffer from this disease. The cause of uterine myomas is not known. The fact is that there is a direct correlation between the growth of uterine myomas and activity of estrogens (female sex hormones).

The clinic depends on the size, location and number of myomatous nodes. 25% of patients have no complaints. The diagnosis of uterine myomas is made in the course of routine gynecological examination. The most common complaints in case of hysteromyoma are:

• heavy and prolonged menstrual bleeding

• painful menstruation

• pain below the stomach

• increased demand of urination associated with pressure on the bladder

• constipation

Complications of hysteromyoma are:

• Chronic anemia

• Infertility

• Miscarriages

• Transition to a malignant form - sarcoma of uterus

Diagnosis of hysteromyoma is quite simple. Ultrasound of the pelvic or vagina allows to detect the nodes with the size of 5 mm.

Treatment of uterine myomas

The main method of treatment of uterine myomas is a surgical removal of myomatous nodes. Hormone therapy is used only to reduce the size of myomas for subsequent resection. There are the following surgical methods for the treatment of uterine myomas:

1. Laparoscopic myomectomy is the best minimally invasive method for removing myomatous nodes growing into the abdominal cavity.

1. Hysteroscopic myomectomy is used to remove subserosal or intramural intrauterine nodes.

These methods of treatment of uterine myomas allow a woman to retain her fertility function!

Open myomectomy is carried out in rare cases if the low-invasive methods of the treatment of uterine myomas are contraindicated. For example, in case of pre-hormone treatment there is increased bleeding during the surgical intervention. The open method of treatment of uterine myomas supports the optimal coagulation of blood vessels and the significant reduction of blood loss.

Percutaneous transcatherer embolization of the uterine arteries. Blood supply of myomatous nodes is decreased by closing uterine arteries. This causes a decline of myomatous nodes. This method of treatment of uterine myomas has become increasingly popular in Europe. This operation is often carried out outpatiently.

Transvaginal hysterectomy is a minimally invasive method used in case of a large number of myomatous nodes.

All of these methods for the treatment of uterine myomas require the surgeon's extensive experience and perfect technique.

Endometriosis

This growth of the tissue is similar in structure to endometrium (uterine lining). About 10% of women over 30 years have endometriosis. One third of these women suffer from infertility. Most of the time endometrial foci are located on the ovaries, fallopian tubes, peritoneum or other organs of the abdominal cavity.

The clinic of the disease depends on the localization of foci.

The following pains are most common:

• Strong pains accompanied menstruation and other strong pains

• Pain during intercourse

• Vaginal watery discharge

Diagnosis of endometriosis is made through laparoscopy with biopsy. Only subsequent histological analysis can make an accurate diagnosis. Often the disease is not diagnosed.

The treatment of endometriosis can be hormonal and surgical. The following groups of hormones are used in the hormonal therapy: androgens, progestagens, and analogues of regulatory factors of luteinizing hormone.

The surgical technique is a laparoscopic removal of the foci of endometriosis. The method is complicated and requires a large surgical experience.

Interview with Professor Simon

Hysteromyoma treatment by endoscopic method, cancer treatment (ovarian carcinoma, cervical cancer)