Gynaecology

To the contacts

In our Gynaecology department, we treat all symptoms caused by benign as well as malignant diseases of the internal and external female reproductive organs, the peritoneum and the breast. We are particularly specialised in the treatment of gynaecological cancers and of both the female and male breast.

Malignant gynaecological diseases can affect the uterus, cervix, ovaries, fallopian tubes, peritoneum, vagina and vulva. After a comprehensive diagnosis, we create your individual treatment plan together with you. The therapy concept incorporates our high level of expertise in micro-invasive (laparoscopy, cystoscopy, rectoscopy) as well as open, if necessary radical and multi-visceral surgical procedures. The planning and implementation of your treatment plan is always interdisciplinary.

DYSPLASIA CONSULTATION
In our Gynaecology department, we treat all symptoms caused by benign as well as malignant diseases of the internal and external female reproductive organs, the peritoneum and the breast. We are particularly specialised in the treatment of gynaecological cancers and of both the female and male breast.
Malignant gynaecological diseases can affect the uterus, cervix, ovaries, fallopian tubes, peritoneum, vagina and vulva. After a comprehensive diagnosis, we create your individual treatment plan together with you. The therapy concept incorporates our high level of expertise in micro-invasive (laparoscopy, cystoscopy, rectoscopy) as well as open, if necessary radical and multi-visceral surgical procedures. The planning and implementation of your treatment plan is always interdisciplinary.
BENIGN GYNAECOLOGICAL CONDITIONS
Endometriosis, which can lead to severe impairments, is also a benign disease. It is a special disease that should be treated with a high level of interdisciplinary and inter-professional expertise, all of which is available at our hospital. In addition to a detailed history and special physical examination, we offer recommendations for medical or also high-quality surgical therapy. Organ-preserving, minimally invasive surgical techniques are at the forefront of the treatment concept. Drug therapy can be carried out with hormones, but also with approaches from complementary medicine. There are also therapy approaches involving mindfulness and behavioural therapy (relaxation, etc.), body-orientated (physiotherapy, nutrition, etc.) or physical (heat, cold, etc.) therapy approaches.
Other benign conditions include myomas of the uterus and diseases of the ovaries (such as cysts) and the fallopian tubes, which are treated in a minimally invasive and organ-preserving way wherever possible. Benign changes can also occur on the labia and vagina, which are treated in a way that is gentle on the tissue. We also carry out diagnostic procedures for those who wish to have children (uterine and abdominal endoscopy with examination of the patency of the fallopian tubes), as well as minimally invasive restoration of fertility surgery after severing of the fallopian tubes, if desired.
Weakness of the pelvic floor, which can be manifested by a prolapse and/or disturbances of continence, is diagnosed and treated in a specialised manner in our continence and pelvic floor centre, which is certified by the German Continence Society. In addition to conservative therapy with medication, aids (vaginal pessary, continence tampon, etc.), pelvic floor stimulation and biofeedback, we also offer surgical treatment. Conventional surgical methods are the main focus, but we also offer tape (TVT) and mesh-assisted vaginal and laparoscopic procedures. If possible, we recommend preserving the uterus.

Our therapeutic recommendations are always based on an integrative overall concept. For us, this means combining conventional medical procedures with integrative therapies that energise your self-healing powers and improve your quality of life. These include naturopathic anthroposophic medicines, art, body and movement therapies as well as complementary applications of anthroposophic care (link to Anthroposophic medicine). Other important components are nutritional, socio-medical and psychological counselling. Any surgical interventions required are carried out as minimally invasively (keyhole surgery) and gently as possible according to the latest technical standards. We always strive to preserve the organs in such procedures. In the case of malignant diseases, it may be necessary to proceed with radical surgery. We are also experts in this form of treatment.

It is particularly important for us to advise and support you. We will therefore discuss with you which therapies are best suited to your personal situation and what you can continue to do actively for your recovery after your inpatient stay.

TREATMENT FOCUS

General gynaecology: e.g. infection, unexplained pain, miscarriage, bleeding disorders, hormonal disorders
Endometriosis
Diseases of the uterus
Diseases of the ovaries and fallopian tubes
Fallopian tubes: e.g. ectopic pregnancy, inflammation and infection
Ovaries: e.g. cysts, adhesions in the abdomen: e.g. after previous illnesses, previous operations
Myomas
Prolapse of the female genitalia, disorders of urinary and faecal continence (certified continence and pelvic floor centre)
Metastasis surgery for metastases in the area of the internal genitalia (e.g. ovarian metastases in colorectal cancer)
Fistula surgery in the area of the genitalia and perineum, e.g. after operations, radiation, in inflammatory diseases (certified continence and pelvic floor centre and genital cancer centre)
Desire to have children: endoscopy of the uterus, examination of the patency of the fallopian tubes, diagnosis and treatment of malformations, lysis of adhesions in the uterus, restoration of fertility after sterilisation
Plastic and reconstructive surgery of the breast: reconstruction of the breast after cancer with an implant or in cooperation with our plastic surgery department with the patient's own tissue (flap-plasty)

RANGE OF SERVICES

Diagnosis

High-resolution ultrasound of the internal genitalia and breast (3D/4D), elastography
Pelvic floor ultrasound (3D/4D): introitus and pelvic floor sonography
Dysplasia consultation with differential colposcopy by qualified doctors
Punch biopsies of the breast, vulva, cervix, skin and lymph nodes
Sentinel lymph node removal for vulval or breast cancer (sentinel lymph node biopsy from groin or armpit)
Abdominal endoscopy to confirm the diagnosis of tumours in the abdomen by biopsy removal
Endoscopy of the uterus (hysteroscopy)
CT / MRI of the pelvis, abdomen, thorax, head
Breast ultrasound, mammography and MRI mammography with biopsy removal
Endoscopy (gastroscopy, colonoscopy and rectoscopy)
Endosonography of the rectum in endometriosis
Sphincter manometry after anal sphincter injury
Nuclear medicine diagnostics (scintigraphy) for imaging the sentinel lymph node in breast and vulval cancer and bone metastases
Rapid section diagnosis of removed tissue by pathologists during the operation
Genetic analysis and genetic counselling for familial breast and ovarian cancer risk (BRCA; cooperation: Familial Breast and Ovarian Cancer, Charité Centre, Berlin)
Molecular biological and molecular genetic analyses for therapy determination and in cases of familial risk for other hereditary diseases besides breast and ovarian cancer, e.g. hereditary non-polyposis colorectal carcinoma (HNPCC, Lynch syndrome)

Therapy

Minimally invasive surgical procedures (laparoscopy, keyhole surgery)
Major abdominal surgery with abdominal incision (interdisciplinary cooperation with Abdominal Surgery and Urology)
Breast surgery without/with implant or own tissue replacement (interdisciplinary cooperation with Plastic Surgery)
Tissue-conserving bipolar preparation and coagulation technique
Tissue-sparing argon plasma-assisted preparation and coagulation technique
Tumour destruction through argon plasma
Loop conisation (loop conisation, target conisation)
Scrape (abrasio/curettage)
Uteroscopy (hysteroscopy, diagnostic and surgical)
Endometrial sclerotherapy/ablation (endometrial ablation) with balloon method or snare
Drug-based tumour therapy (chemo-, hormone and antibody therapy, immune, biological and other targeted therapies)
Radiotherapy in cooperation
Mistletoe therapy
Hyperthermia (partial and whole body hyperthermia)
Psycho-oncological support
Integrative therapies to strengthen the self-healing powers: Art/music therapy, movement therapy (eurythmy therapy), rhythmic massage, physiotherapy
Nutritional counselling
Psychological counselling and support in stressful situations
Socio-medical counselling
Pain or neural therapy using local and conduction anaesthesia: intercostal block, pudendal block, paracervical block