The gynecological department at the Central Clinical Hospital of the Russian Academy of Sciences is widely known in Moscow for the highest level of treatment, qualified personnel, including doctors of the highest category, and an individual approach to each patient who turns to us for help. In the conditions of the gynecology center of our clinic, you can use paid diagnostic and treatment services, planned or emergency, which are affordable.

The gynecological department of the hospital has a capacity of 30 beds.

The department has 1 and 2-bed wards, as well as 1-bed superior wards.

Every year more than a thousand patients are treated in our department.

Diagnosis and treatment of a wide range of gynecological diseases are carried out in accordance with international standards, using modern diagnostic and treatment methods. Our hospital provides 24-hour emergency care and, if necessary, prepares and examines patients for planned surgical treatment.

Gynecological diseases treated at the clinic of the Central Clinical Hospital of the Russian Academy of Sciences

• Adenomyosis
• Atypical endometrial hyperplasia
• Genital prolapse (prolapse of the uterus and vaginal walls)
• Ovarian dysfunction during the reproductive and premenopausal periods
• Ovarian cysts
• External genital endometriosis
• Incipient miscarriage
• Urinary incontinence
• Non-developing pregnancy
• Acute pelvioperitonitis
• Acute, chronic salpingoophoritis

Treatment methods

Therapeutic treatment of gynecological diseases in our hospital carried out using medication and physiotherapy - ozone therapy, magnetic therapy, ultrasound.

The department performs the following types of operations:

• Diagnostic hysteroscopy, surgical hysteroscopy and separate diagnostic curettage (for endometrial pathology: hyperplasia, endometrial and cervical canal polyps). If the menstrual cycle is preserved, the intervention is carried out on days 5-7 of the menstrual cycle.
• Hysteroresectoscopy, polypectomy, myomectomy for submucosal uterine fibroid nodes, endometrial ablation, dissection of the intrauterine septum and synechiae.
• Radio wave surgery of the cervix using the Surgitron device, including conization of the cervix (ectopia of the cervix due to infection with the human papillomavirus, leukoplakia, dysplasia). High cervical amputation with severe cervical dysplasia.
• For prolapse (prolapse, prolapse) of the genitals, hysterectomy through vaginal access, colpoperineorrhaphy, levatoroplasty, and Manchester surgery are performed. Correction of stress urinary incontinence using free synthetic loop urethropexy.
• Removal of a large gland cyst of the vaginal vestibule.
• Laparotomy, hysterectomy, myomectomy for myomatous nodes and giant ovarian tumors.
• Operations on the appendages using laparoscopic access: external endometriosis, endometrioid ovarian cysts, benign ovarian tumors, ectopic pregnancy, inflammatory diseases of the appendages (including tubo-ovarian formations), tubo-peritoneal infertility, PCOS.
• Supravaginal amputation of the uterus, hysterectomy using laparoscopic access, myomectomy for subserous nodes using laparoscopic access.

The best gynecologists in Moscow

Doctors of the highest category see patients from the capital and regions. A deep understanding of the characteristics of the female body and many years of practical experience allow patients of the antenatal clinic to count on accurate diagnosis and an individual treatment plan for diseases of any complexity.

Outpatient appointment

Doctors obstetrics and gynecology clinics RAS provides consultations to patients on an outpatient basis. It is possible to receive recommendations on any gynecological pathology, including problems of hormonal contraception, hormonal treatment of various diseases, treatment of menopausal syndrome.

Hospital

Treatment

Our doctors, thanks to their high qualifications and extensive experience, treat all gynecological pathologies, infections, and diseases. In addition, in the early stages, it is possible to cure uterine cancer in our clinic. We treat this and other diseases comprehensively, that is, therapeutically, medicinally, and also surgically.

Treatment of cancer requires a clear understanding of the location, stage and type of the process. A dire diagnosis is always scary for the patient; the resulting fear and panic do not allow them to correctly assess their condition and make a decision on the necessary treatment. In our clinic, we can conduct any modern diagnostic tests to clarify the diagnosis, choose the optimal type of treatment, the necessary and radical extent of the operation, determine the need for chemotherapy, radiation therapy, and hormonal therapy before or after surgery. If continued tumor growth is detected after previously performed non-radical operations, there is always the possibility of a repeat operation aimed at eliminating the tumor and the resulting complications from adjacent organs, and improving the quality of life.

Thanks to the use of various techniques - both traditional and innovative - effective and efficient treatment of female diseases is ensured. We carry out joint medical work together with the department of X-ray surgical methods of diagnosis and treatment of the Radiation Center of the clinic, which allows us to carry out a unique procedure for the treatment of uterine fibroids: embolization of the uterine arteries. We also use conservative myomectomy, extirpation and amputation of the uterus.

Operations:

The surgical unit of our clinic allows us to carry out all kinds of surgical interventions, including organ-preserving ones (removal of uterine fibroids, ovarian cysts with preservation of the diseased organ and preservation of reproductive function), using laparoscopic, endoscopic and other equipment.

• Recanalization of fallopian tubes. The RCM method allows you to restore the patency of the fallopian tubes. The procedure is carried out using an X-ray machine, under the control of which a special catheter with a balloon is inserted and advanced into the uterine cavity. Once at the mouth of the pipe, the balloon inflates and expands the lumen of the pipe. The catheter is advanced until the tube becomes patent. But the RCM method is not always effective: in cases where the pipe is significantly tightened with an external solder, the chances of solving the problem “from the inside” are reduced.
• Ovarian cyst removal
• Removal of polyps
• Hysterectomy
• Uterine artery embolization
• Uterine amputation
• Elimination of purulent-inflammatory formations, abscesses
• Plastic correction of the genital organs

Gynecologist– deals with the diagnosis, treatment and prevention of diseases of the female reproductive system.

Consultation with a gynecologist is necessary not only for those women who have discovered symptoms of the disease. As a preventative measure, it is recommended to visit a gynecologist at least once a year.

• Pain in the lower abdomen;
• Discharge from the genitals;
• Bloody discharge in the middle of the menstrual cycle;
• Menstrual irregularities;
• Itching and burning of the genitals;
• Discomfort during sexual intercourse.

• Pregnancy planning;
• Menopause;
• Beginning of sexual activity.

• Inflammatory diseases (vaginitis, colpitis, cervicitis, endometritis and others);
• Sexually transmitted diseases (STDs);
• Menstrual irregularities (amenorrhea, dysmenorrhea, PMS, menorrhagia);
• Menopausal syndrome;

Initial consultation

At the initial appointment, the gynecologist will listen to your complaints and conduct a thorough examination. If your disease requires urgent treatment, already at the first consultation the gynecologist will prescribe medications that will reduce symptoms and make you feel better.

To clarify the diagnosis, additional examinations may be prescribed -

• collection of biological material for flora,
• for diagnosing infections,
• colposcopy,
• Ultrasound – transvaginal or transabdominal.
• Blood tests that may be prescribed include: hormone analysis, enzyme immunoassay.

Repeated consultation with a gynecologist

At a repeated consultation with a gynecologist, changes in well-being and the results of the examination are taken into account. If the diagnosis is not completed and doubts remain about the accuracy of the diagnosis (for example, in complex cases of infertility), a decision may be made to conduct additional examinations - hysterosalpingography, hysteroscopy, laparoscopy.

In some cases, at this appointment the doctor decides to adjust the treatment to get rid of the pathology as effectively as possible.

Don’t underestimate the importance of a repeat appointment: even if your unpleasant symptoms have gone away, you should definitely see a specialist - after all, only he can cancel the appointment and tell you that you are healthy!

Diagnosis of gynecological diseases

The following studies can be used to diagnose gynecological diseases:

At the Central Clinical Hospital of the Russian Academy of Sciences, you will receive advice from a qualified, experienced gynecologist and will be able to undergo all the necessary tests at a time convenient for you at one base.

The CDC of the Central Clinical Hospital of the Russian Academy of Sciences (metro Leninsky Prospect) and the Treatment and Diagnostic Center (metro Yasenevo) are equipped with everything necessary for accurate and quick diagnosis of diseases - their own laboratory, ultrasound diagnostics, x-ray diagnostics, magnetic resonance imaging (MRI), multislice computed tomography ( MSCT), endoscopic diagnostics, experienced consultant doctors of all specialties.

It is also possible to carry out minor surgical interventions in the operating unit of the Day Hospital (without daily hospitalization). The advantage is that you do not need to stay in hospital around the clock - you are discharged a few hours after the operation.

Gynecologists of the CDC of the Central Clinical Hospital of the Russian Academy of Sciences in the conditions of the Day Hospital carry out:

• coagulation and conization of the cervix
• removal of condylomas, papillomas
• biopsy of the external genitalia
• cervical biopsy
• separate diagnostic curettage
• Bartholin gland cyst removal

If at the appointment the gynecologist identifies indications for inpatient treatment, he may offer you hospitalization in the hospital of the Central Clinical Hospital of the Russian Academy of Sciences.

Gynecologists of the Diagnostic and Treatment Center carry out:

The antenatal clinic based at the Central Clinical Hospital of the Russian Academy of Sciences is a reliable medical institution whose doctors you can trust with your health. If you notice signs of pathology, are planning a pregnancy, or are simply looking for the best gynecologist in Moscow, we recommend that you sign up for a paid consultation and professional examination with our doctors. You can find out any details about the work schedule of gynecologists, the price of medical services in the clinic, find out how to prepare for tests, or get other information by calling the hospital. If you have decided for the first time to make an appointment with a gynecologist at the medical center of the Central Clinical Hospital of the Russian Academy of Sciences, immediately indicate your wishes - should it be a female specialist, do you need an obstetrician-gynecologist or a gynecologist-endocrinologist, etc. Registration is also carried out online on the website of the Central Clinical Hospital clinic.

Consultation with a gynecologist and endocrinologist is indicated if it is necessary to diagnose and treat diseases caused by hormonal imbalance in the female body: excessive or insufficient production of certain hormones. We remind you that an endocrinologist is responsible for working with problems such as endometriosis, juvenile bleeding, severe premenstrual syndrome, menopausal symptoms, infertility due to hormonal reasons, etc.

An appointment with a gynecologist-oncologist should not be delayed if you suspect the development of a neoplasm in the pelvic organs. Good specialists at the Central Clinical Hospital effectively use complex therapy for cervical cancer, ovarian cancer and uterine cancer, including when it comes to the disease at serious stages.

It is necessary to undergo an examination and get advice from a reproductive specialist if within 12 months a married couple cannot conceive a child or there is a miscarriage. A reproductive technology specialist will conduct an examination, verify the diagnosis, and select effective treatment.

The gynecological department of Clinical Hospital No. 1 has 22 beds. The department has 1 and 2-bed wards, as well as 1-bed superior wards.

Every year more than a thousand patients are treated in our department. Our hospital provides 24-hour emergency care, and, if necessary, prepares and examines for planned treatment. The department performs the following types of operations:
Diagnostic hysteroscopy and separate diagnostic curettage (for endometrial pathology: hyperplasia, endometrial and cervical canal polyps).

Endometrial hyperplasia and endometrial polyps are observed in 5-25% of gynecological patients of all age groups. They predominate during premenopause. Clinically, endometrial pathology is manifested by menstrual irregularities and acyclic blood discharge from the genital tract. There are certain ultrasound signs of endometrial pathology. To make a diagnosis and develop the correct treatment tactics, the first step is necessary - separate diagnostic curettage of the uterine mucosa under the control of hysteroscopy with histological examination of the obtained material.

If the menstrual cycle is preserved, the intervention is carried out in phase 1 of the cycle.

Hysteroresectoscopy, polypectomy, myomectomy for submucosal uterine fibroid nodes, endometrial ablation, dissection of the intrauterine septum and synechiae.

Resectoscopy and endometrial ablation are used for recurrent endometrial polyps, allowing targeted elimination of the polyp stalk, while affecting its growth zone, for recurrent endometrial hyperplasia, infertility (malformations of the uterus (septum), synechia in the uterine cavity, submucosal (submucosal) myomatous nodes, that prevent conception or pregnancy). Resectoscopy allows you to eliminate the cause of pain and menometrorrhagia leading to anemia - submucosal (submucosal) myomatous nodes without opening and removing the uterus. The technique of hysteroresectoscopy for submucosal myoma consists of gradual fragmentation of the node with a resectoscope loop. If necessary, preparation for hysteroresectoscopy is carried out with hormonal drugs (gonadotropin-releasing hormone agonists, oral contraceptives, gestagens) to reduce the thickness of the uterine mucosa - the endometrium.

Radio wave surgery of the cervix using the Surgitron device, including conization of the cervix (ectopia of the cervix due to infection with the human papillomavirus, leukoplakia, dysplasia). High cervical amputation for severe cervical dysplasia and cervical cancer.

The International Agency for Research on Cancer has declared human papillomavirus (HPV) types 16 and 18 to be carcinogenic, and types 31, 33 and 35 to be possible carcinogens. Cervical dysplasia (cervical intraepithelial neoplasia CIN) is a precancerous disease of the cervix. Occurs against the background of HPV infection. The frequency of transition of CIN to cervical cancer reaches 40-60%. To carry out the prevention and timely treatment of cervical cancer, a screening examination is used: annual gynecological examinations from the age of 18 or from the first year after the first sexual contact. Mandatory: cytological examination of cervical smears (Pap test). If there are three negative Pap tests, cytological screening is then carried out once every 2-3 years until the age of 50, and once every 5 years until the age of 65. A screening test for HPV of oncogenic risk is advisable. If changes are detected during screening, a radio wave biopsy and conization (for CIN grades 2 and 3) of the cervix with curettage of the cervical canal are performed. The final diagnosis is established after receiving the results of histological examination. The use of the Surgitron radio wave scalpel allows you to completely remove the altered area of ​​the cervix and obtain high-quality material for histological study. In addition, after using the radio wave treatment method, scarless healing of the cervix is ​​noted, which is important for subsequent planning of pregnancy and childbirth.

The operation is performed in the first phase of the cycle (from 5 to 10 days from the start of menstruation). Specific prevention of HPV infection is vaccination.

Uterine artery embolization (UAE) for uterine fibroids.

Uterine fibroids (MM) are limited benign tumors consisting of smooth muscle and fibrous connective tissue elements of the myometrium. The tumor can be single, but more often multiple nodes are detected (sometimes up to 10 or more).

MM is a common disease and the most common tumor of the internal genital organs of women. The disease is detected in 15-35% of women over 30 years of age. During reproductive age, MM occurs in 13-27% of cases. It is detected in 4-11% of all women, in 20% of women over 30 years of age and in 40% of women over 50 years of age. In postmenopause, as a rule, the tumor reverses. Recently, MM often occurs at the age of 20-25 years. In recent years, a relatively new method of treating uterine fibroids has entered clinical practice—endovascular uterine artery embolization (UAE). When the blood supply to myomatous nodes is cut off, degenerative processes occur in them, which leads to an irreversible reduction in the size of the nodes. Spontaneous expulsion (birth) of submucosal nodes is observed in the first 2-6 months after UAE.

To determine possible contraindications to UAE, at the first stage an ultrasound examination is performed to determine the speed of blood flow in the fibroid nodes, hysteroscopy, and RDV. UAE is recommended to be performed in phase 2 of the cycle on days 22-25, since during this period the blood flow in the uterine arteries is most pronounced.

The intervention is performed by vascular surgeons in a cath lab with the participation of an anesthesiologist. A puncture of the femoral artery is performed, through which a special catheter is passed into the left uterine artery. Selective angiography is performed and a substance is injected that clogs the vessels of the fibroids - an embolisate. The most commonly used particles are polyvinyl alcohol particles with sizes of 355-710 microns. The catheter is then advanced into the right uterine artery, where the same process occurs. After embolization, the blood flow in the vessels of the fibroid nodes stops, while in the normal endometrium the blood flow remains. In the first 2-3 days, infusion, antibacterial, anti-inflammatory, and analgesic therapy is prescribed. The development of post-embolization syndrome is often observed: fever, pain in the lower abdomen, which is a natural reaction of the body to ischemia of the tissue of myomatous nodes. Until the next morning - bed rest. The punctured limb should remain in a straightened position for 6 hours. In the morning, the pressure bandage from the puncture site and the urinary catheter are removed, and the patient is activated. Follow-up examinations at 3, 6 and 12 months. Of particular note is the use of UAE in women who want to maintain or restore their ability to bear children. The probability of pregnancy after UAE is comparable to that after myomectomy. Moreover, in the group of patients in whom myomectomy is impossible or carries a high risk of conversion to hysterectomy, UAE represents the last chance to preserve fertility. EMA in our hospital costs an order of magnitude lower than in many medical centers in Moscow.

For prolapse (prolapse, prolapse) of the genitals, hysterectomy through vaginal access, colpoperineorrhaphy, levatoroplasty, and Manchester surgery are performed. Modern methods of treating prolapse and prolapse of the genital organs, allowing to avoid relapses of prolapse: extraperitoneal colpopexy using a prolene mesh through vaginal access (Perigi and Apoggi system from AMS). Correction of stress urinary incontinence using urethropexy with a free synthetic loop using a transobturator approach (Monark, TVT-O).

Marsupialization, removal of a cyst of the large gland of the vaginal vestibule.

Laparotomy, hysterectomy, operations for uterine fibroids, ovarian tumors, stage 1 uterine cancer, tubo-ovarian formations of inflammatory etiology.

Operations on the appendages using laparoscopic access: external endometriosis, endometrioid ovarian cysts, benign ovarian tumors, ectopic pregnancy, inflammatory diseases of the appendages (including tubo-ovarian formations), tubo-peritoneal infertility, PCOS.

All ovarian masses (cysts, tumors) existing for more than 3 months are subject to surgical removal. Laparoscopic access is the gold standard for operations on the appendages. If necessary, an emergency histological examination is performed during surgery, which allows you to correctly determine the extent of the operation.

Supravaginal amputation of the uterus using laparoscopic access (for uterine sizes no more than 9-10 weeks of pregnancy), myomectomy for subserous nodes using laparoscopic access.

Now in our clinic we treat a delicate problem - stress urinary incontinence.

The prevalence of urinary incontinence among women is 36%. When genital prolapse occurs, urinary incontinence occurs in 25-80% of patients. Shyness, as well as the attitude of women with urinary incontinence as a normal sign of aging, leads to the fact that women are poorly informed about possible treatment methods.

The following types of urinary incontinence are distinguished:
Urgency urinary incontinence (UI) is a complaint of involuntary leakage of urine that occurs immediately after a sudden strong urge to urinate.
stress UI (stress urinary incontinence) - involuntary leakage of urine during stress, coughing, laughing, jumping.
mixed NM - a combination of 1 and 2 types
other types of NM
Perhaps you yourself have noticed how urinary incontinence affects women’s professional, social and personal activities, leading to a deterioration in the quality of life, and sometimes to complete isolation. This is why it is vital to know that urinary incontinence can be treated.

In the gynecological department of Clinical Hospital No. 1 of the Presidential Administration of the Russian Federation, a modern method of treating stress urinary incontinence in women is used - TVT-O, or Free Synthetic Loop, which requires minimal surgical intervention.

There is virtually no postoperative pain, and the patient can return home 1-2 days after surgery. The result is achieved by supporting the middle part of the urethra in the correct position. The operation is usually performed under intravenous anesthesia or spinal anesthesia. Using needles, a loop is inserted through a small incision on the front wall of the vagina and placed under the middle part of the urethra, providing reliable support, thereby eliminating the cause of urinary incontinence. The effect occurs immediately after the operation.

The department provides treatment for patients with chronic inflammatory processes, therapy aimed at prolonging pregnancy up to 12 weeks of pregnancy. Physiotherapy is widely used; if necessary, ozone therapy and plasmapheresis are possible.

Before hospitalization for planned surgical treatment, it is advisable to consult with the head. department

Treatment

Our doctors, thanks to their high qualifications and extensive experience, treat all gynecological pathologies, infections, and diseases. In addition, in the early stages, it is possible to cure uterine cancer in our clinic. We treat this and other diseases comprehensively, that is, therapeutically, medicinally, and also surgically.

Treatment of cancer requires a clear understanding of the location, stage and type of the process. A dire diagnosis is always scary for the patient; the resulting fear and panic do not allow them to correctly assess their condition and make a decision on the necessary treatment. In our clinic, we can conduct any modern diagnostic tests to clarify the diagnosis, choose the optimal type of treatment, the necessary and radical extent of the operation, determine the need for chemotherapy, radiation therapy, and hormonal therapy before or after surgery. If continued tumor growth is detected after previously performed non-radical operations, there is always the possibility of a repeat operation aimed at eliminating the tumor and the resulting complications from adjacent organs, and improving the quality of life.

Thanks to the use of various techniques - both traditional and innovative - effective and efficient treatment of female diseases is ensured. We carry out joint medical work together with the department of X-ray surgical methods of diagnosis and treatment of the Radiation Center of the clinic, which allows us to carry out a unique procedure for the treatment of uterine fibroids: embolization of the uterine arteries. We also use conservative myomectomy, extirpation and amputation of the uterus.

Operations:

The surgical unit of our clinic allows us to carry out all kinds of surgical interventions, including organ-preserving ones (removal of uterine fibroids, ovarian cysts with preservation of the diseased organ and preservation of reproductive function), using laparoscopic, endoscopic and other equipment.

• Recanalization of fallopian tubes. The RCM method allows you to restore the patency of the fallopian tubes. The procedure is carried out using an X-ray machine, under the control of which a special catheter with a balloon is inserted and advanced into the uterine cavity. Once at the mouth of the pipe, the balloon inflates and expands the lumen of the pipe. The catheter is advanced until the tube becomes patent. But the RCM method is not always effective: in cases where the pipe is significantly tightened with an external solder, the chances of solving the problem “from the inside” are reduced.
• Ovarian cyst removal
• Removal of polyps
• Hysterectomy
• Uterine artery embolization
• Uterine amputation
• Elimination of purulent-inflammatory formations, abscesses
• Plastic correction of the genital organs