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Wrocław Medical Center

Gynaecology oncology

Malignant tumours of the female reproductive organs include endometrial cancer, cervical cancer, vulvar cancer, vaginal cancer and ovarian cancer. Early diagnosis is one of the most important factors in increasing the chances of a complete cure. Nowadays, we can detect many conditions from gynaecological oncology at very early stages in the 'pre-cancerous' phase by performing appropriate examinations on a regular basis.

At the WMC, we share with you our knowledge of current prevention in gynaecological oncology, perform the necessary diagnostic tests and qualify you for appropriate oncological treatment in accordance with European and worldwide recommendations of scientific societies.

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Specialists

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M.D. Piotr Lepka

OBSTETRICIAN / GYNAECOLOGIST / GYNAECOLOGIST ONCOLOGIST

Specialist in obstetrics and gynaecology and gynaecological oncology.

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Range of treatments and examinations performed

Septoplasty - corrective surgery for a crooked nasal septum.

The aim of the procedure is to improve nasal patency by removing crooked cartilaginous fragments of the nasal septum. The procedure is performed under general anaesthesia, less commonly under local anaesthesia. It uses an intranasal technique, i.e. the incision is made at the border between the skin and the mucosa in the nasal cavity, and the scar is not visible afterwards. At the end of the procedure, sutures are placed over the incision made and separators are placed over the nasal septum. After the procedure, dressings are placed in the nasal passages, which make nasal breathing much more difficult. The dressings are removed 2 days after the procedure. The recovery period lasts about three weeks, during which time you should refrain from physical exertion, lifting or hot baths, and avoid eating hot food.

Removal of the uterus is one of the most commonly performed gynaecological surgical procedures. Indications for hysterectomy, apart from malignant diseases of the reproductive organs, are uterine myomas, abnormal uterine bleeding, pelvic organ prolapse and endometriosis. A woman's internal reproductive organ consists of the uterus, ovaries and fallopian tubes. Anatomically, the uterus can be divided into the body of the uterus and the cervix. We distinguish between the following types of removal of the uterus: total removal (body and cervix), partial removal (removal of the body of the uterus but leaving the cervix), removal of the uterus with fallopian tubes and removal of the uterus with the fallopian tubes and fallopian tubes (appendages) The choice between the type of uterine removal depends on the indications for surgery. Removal of the uterus can be performed from three surgical accesses: classic so-called 'open', transvaginal or laparoscopic. The removal of the uterus is performed under general endotracheal anaesthesia. In the case of laparoscopic and transvaginal surgery, the patient leaves the hospital on the first or second postoperative day, while after classical surgery, discharge home is possible on day 3 or 4. Complete recovery after an abdominal hysterectomy takes about 6 to 8 weeks, while it is much shorter after a vaginal or laparoscopic hysterectomy. During this time, rest as much as possible and do not lift anything heavy, such as shopping bags, as the abdominal muscles and surrounding tissues need time to heal.

FAQ

How to prepare for colposcopy?

It is advisable to refrain from intercourse and to stop taking vaginal medication at least 48 hours before the examination.

 

The patient must not attend the colposcopy during menstruation, as this prevents the examination from being performed correctly.

How to prepare for a diagnostic hysteroscopy?

Hysteroscopy is not performed during menstruation, schedule your appointment preferably during the first phase of your monthly cycle. If you have symptoms of an intimate infection, contact your doctor for treatment before the scheduled procedure. It is not recommended to use irrigation, use tampons or take vaginal medications for 24 hours prior to the hysteroscopy.

How often is a cytology performed?

According to the recommendations of the Polish prevention programme, cytologies are performed from the age of 25 to 69 every three years. From the age of 30, the Polish Society of Gynaecologists and Obstetricians recommends a combination of cytology and a test for Human Papilloma Virus (HPV), which is responsible for almost 99% of precancerous conditions and cervical cancer. With a correct cytology result and a negative test for HPV, the interval between the next test can be extended to five years. Following the latest European trends and the dynamic development of cervical cancer prevention, our specialists recommend (for patients who have not been vaccinated against HPV in the past) a cytology and HPV test after the age of 25. In the case of a negative HPV test result, we recommend HPV vaccination and thus reduce the risk of developing cervical cancer by 80%. The vaccination is registered up to the age of 45. For more information for a consultation with our specialists.

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