We offer a wide range of gynecological services in order to prevent and heal female genitals diseases.


The type of treatment is always individually selected according to the patient’s needs and expectations. The procedures performed are always minimally invasive. This enables a very quick recovery and guarantees the best aesthetic effect.


Here is our full gynecological offer:

 

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O.T.V.T.

 

 

Urinary incontinence (UI) is one of the main problems in urogynecology negatively affecting social, professional or sexual life of our patients.

 

OTVT is a procedure during which the doctor lifts the middle segment of the urethra using a special tension free prolen tape. This procedure allows to reconstruct the physiological vesicourethral angle. It aims to correct the uterus lifting organs- the bladder and urethra. This operation is performed in cases of primary and recurrent urinary incontinence. It may also be combined with other gynecological operations.

 

Stress urinary incontinence is any involuntary leakage of small amounts of urine. There might be two causes of the UI -  an anatomical defect of the vagina due to the changes within its walls (lower amount of collagen and elastin) or dysfunction of the structures surrounding the vagina (ligaments, muscles, connective vaginal tissue). A very common cause of urinary incontinence are pelvic tissue damage during a vaginal childbirth.

 

 

O.T.V.T. is a minimally invasive procedure which takes usually about 20-30 minutes and is carried out under local anesthesia. This treatment is characterized by a small number of complications and shorter recovery period. The result of this operation is immediate and is in 90% long terminal.

 

 

 

Risk factors of the UI:
 
 

 

  • Older age
  • Childbirths, especially numerous and of large fetuses
  • Gynecological procedures
  • Obesity(BMI> 30)
  • Chronic diseases with cough
  • Chronic constipations
  • Medications(diuretics, antihypertensive drugs, and anxiety)
     

 

Preoperative recommendations

 


The treatment is preceded by a consultation visit. The following tests must be performed (it is possible to conduct them on-site):


 
- blood group
- morphology
- urine analysis
- coagulation blood tests - APTT, INR, PT
- ECG after the age of 40
- HBS antigen
- electrolytes
- blood sugar level

 

 

Patients are not allowed to take neither aspirin (including its derivatives e.g. Acard), Vitamin E nor any cough and anti-flu medicine for the period of two weeks before the procedure. Thus these kind of drugs adversely affect the bleeding process.

 

Please limit smoking to 3-4 cigarettes a day 3 days prior to surgery.

 

Please inform the doctor about any infections that took place two weeks prior to surgery.

 

Patient should remain six hours of fasting (no eating or drinking) before the surgery

 

 

Post-operative period

 

 

After OTVT the patient stays at our Clinic for a few hours and is discharged home the same day. A follow up visit should take place after about 7 days. The patient regains her full physical activity after a few days– it takes about 7 days for the wound to heal completely and the swollen area to descent. Patients may feel a mild pain which should go away after OTC painkillers. A slightly increased body temperature (up to 37,5oC) is a completely normal reaction.

 

 

Scrupulous adherence to the recommendations described is a key operative for a rapid recovery and significantly affects the final result of the surgery.