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Academic Prosper-Hospital Recklinghausen

location_on Recklinghausen, Germany
9/10 from 23 Votes

Department of Gynecology, Gynecologic Oncology, Gynecologic Surgery, Urogynecology, Mammology and Obstetrics (646865)

Matthias Losch

Dr. med.

Matthias Losch

Specialized in: gynecology, gynecologic oncology, gynecologic surgery, urogynecology, mammology, obstetrics

About the department

The Department of Gynecology, Gynecologic Oncology, Gynecologic Surgery, Urogynecology, Mammology and Obstetrics at the Academic Prosper-Hospital Recklinghausen provides high-precision diagnostics and comprehensive treatment of all diseases of the female genital organs and pathologies of the mammary gland in the fair sex. The department's key specialization is the treatment of malignant diseases of the female reproductive system and breast cancer. Both sparing minimally invasive and da Vinci robot-assisted surgery is widely used in clinical practice. These surgical techniques are innovative in modern surgery and allow performing gynecological operations with only a few small skin incisions. The department also offers professional pregnancy management at all its stages, including high-risk pregnancies, safe childbirth and postpartum care. More than 900 babies are born here every year. The department is headed by Dr. med. Matthias Losch.

The department's gynecologists are distinguished by their high professionalism in the treatment of benign and malignant diseases of the female genitalia. The most common benign pathologies in the department's clinical practice are uterine fibroids, benign ovarian tumors, endometriosis, cervical dysplasia and genital warts. To treat these pathologies, the department's medical team has an impressive arsenal of techniques – classical, robotic and minimally invasive surgical interventions, as well as progressive laser procedures. For example, the department removes uterine fibroids using the da Vinci robot. The robotic surgeon consists of several "slave manipulators", which serve to perform all kinds of surgical maneuvers. One of them holds a tiny video camera, thanks to which a high-resolution 3D image is broadcast on a large screen so that the surgeon can clearly see the operating field. The thinnest surgical instruments are fixed on the rest of the "slave manipulators". When performing the operation, the surgeon is sitting at a special control console, which he uses to give commands to the robot. Endoscopic instruments follow the movements of the surgeon's hands with millimeter precision, thereby avoiding serious damage to healthy tissue. The robotic interventions eliminate the need to resect the anterior abdominal wall, as in classical open surgery, which promotes early postoperative recovery and minimal pain in the postoperative period. In addition, robotic surgery excludes damage to the bladder, so the patient will not experience any problems with urination, which may sometimes arise after open interventions.

The treatment of malignancies of the female reproductive system, which include endometrial cancer, uterine cancer, cervical cancer, ovarian cancer and vulvar cancer, is a more complex clinical task and requires an interdisciplinary approach of specialists from several related fields. The department's specialists hold weekly tumor boards with the participation of oncologists, radiation therapists, chemotherapists, radiologists and other doctors. The treatment regimen for cancer of the female reproductive system is developed exclusively on an individual basis, taking into account the patient's needs and wishes. The department offers advanced treatment methods that can effectively cure gynecological cancers of various stages. If clinically indicated, the patients suffering from uterine and cervical cancer can undergo sparing robotic interventions using the da Vinci Surgical System. The lymph nodes can also be removed using robotic intervention. In the case of cancers of other internal and external female genitalia, the department's gynecologists have to resort to open surgery. After the operation, the patients are under close supervision in a modern Intensive Care Unit, and also undergo further treatment, which may include chemotherapy, radiation therapy, antibody therapy, etc.

Another important focus of the department's gynecologists is the treatment of urinary incontinence and pelvic organ prolapse in women. In this medical field, the gynecologists work closely with specialists in urology and coloproctology. Thus, patients can undergo interdisciplinary diagnostics and receive optimal therapy. The department specializes in the treatment of all forms of urinary incontinence and offers each patient an individual treatment plan elaborated with due consideration of her clinical situation. The therapeutic options include both conservative and surgical techniques. Conservative treatments for urinary incontinence include therapeutic exercises to strengthen the pelvic floor muscles, biofeedback, pessaries, electrical stimulation, etc. If these methods do not yield any positive results, the doctors have to resort to surgical treatment. Most surgeries for urinary incontinence are performed using sparing minimally invasive techniques. The specialists mostly perform TVT and TVT-O sling procedures. In case of pelvic organ prolapse, patients undergo such operations as Amreich-Richter sacrospinous fixation, anterior and posterior vaginoplasty with removal or preservation of the uterus, plastic surgery using biocompatible plastic meshes.

The department's team of mammologists focuses on breast cancer treatment. The therapy complies with the guidelines of the German Cancer Society, the Working Group on Gynecologic Oncology and the recommendations of the European Organization of Breast Cancer Specialists (EUSOMA). The department offers advanced medical equipment for comprehensive diagnostics of breast cancer, including digital mammography, high-resolution 3D and 4D ultrasound scanning, MRI, all types of breast biopsy. Once the doctor makes an accurate diagnosis and determines the stage of the pathology, he will prescribe the optimal treatment regimen, which is mostly based on a surgical intervention. In many cases, the department's mammologists manage to preserve the breast. If the disease has a progressive stage and breast removal is required, the patient will be offered a subsequent plastic reconstructive surgery to restore the mammary gland and maintain an attractive appearance. An integral part of therapy is also psycho-oncological support aimed at developing a positive attitude towards treatment.

A highly professional team of obstetricians and gynecologists takes care of the integrated management of pregnancy and the comfortable course of childbirth. The specialists have extensive clinical experience to ensure safe delivery to the expectant mother. Preference is given to natural childbirth, taking into account the needs and wishes of expectant mothers. If necessary, a caesarean section is performed in a state-of-the-art operating room adapted to this type of operation. There is also the possibility of giving birth in water. Due attention is paid to pain relief during childbirth, for example, with relaxation baths, homeopathy, acupuncture, pain relievers, etc.

The department's clinical focuses include:

  • Gynecology
    • Diagnostics and treatment of benign diseases of the female reproductive system
      • Removal of the uterus and/or ovaries through the vagina or a small transverse incision in the lower abdomen (in the case of contraindications for laparoscopic or robot-assisted surgery)
      • Removal of uterine fibroids with preservation of the uterus or surgical treatment of ovarian pathology through a small transverse incision in the lower abdomen (in case of contraindications for laparoscopy)
      • Abdominoplasty to tighten the skin of the anterior abdominal wall in the case of apron belly
      • Laser treatment of genital warts on the external genital organs
  • Gynecologic oncology
    • Diagnostics and treatment of malignant diseases of the female reproductive system
      • Organ-sparing surgery for precancerous conditions
      • Robot-assisted surgery using the da Vinci robot for uterine and cervical cancer, including lymph node removal
      • Classic and minimally invasive surgeries for endometrial, cervical, ovarian, vulvar, vaginal cancer
      • Chemotherapy
      • Radiation therapy
      • Antibody therapy
      • Psychological care
  • Gynecologic surgery
    • Minimally invasive surgery
      • Laparoscopy
        • Diagnostic laparoscopy for unclear pain syndrome with localization of pain in the lower abdomen
        • Diagnostic laparoscopy to determine the causes of infertility
        • Laparoscopy for the surgical treatment of uterine and ovarian diseases (cysts, fibroids, tumors, endometriosis, inflammatory and adhesion processes)
        • Surgical laparoscopy in the case of ectopic pregnancy (if possible, with the preservation of the fallopian tube)
        • Surgical laparoscopy for removal of the uterus and/or ovaries
      • Hysteroscopy
        • Diagnostic laparoscopy to determine the causes of infertility
        • Diagnostic and therapeutic endoscopy for uterine diseases (haemorrhage, myoma, polyps)
        • Uterine curettage in the case of hemorrhages (for the preservation of the uterus)
        • Cystoscopy and rectoscopy (if necessary)
    • Robot-assisted surgery using the da Vinci Surgical System
      • Uterine and ovarian surgery (fibroids, tumors, adhesions)
      • Removal of the uterus and/or ovaries
      • Surgical correction of pelvic organ prolapse
      • Surgery for uterine malignancies, including with lymph node removal
  • Urogynecology
    • Diagnostics and treatment of urinary incontinence, pelvic organ prolapse
      • Conservative treatments for urinary incontinence 
        • Therapeutic exercises to strengthen the pelvic floor muscles
        • Biofeedback 
        • Electrostimulation
        • Pessaries
        • Drug therapy
        • Diet therapy
      • Surgical treatments for urinary incontinence
        • TVT and TVT-O sling procedures
        • Burch colposuspension
      • Surgical treatment of pelvic organ prolapse
        • Corrective surgery for uterine and/or vaginal prolapse 
        • Anterior and posterior vaginal surgery with and without removal of the uterus
        • Amreich-Richter sacrospinous fixation
        • Pelvic organ fixation using laparoscopy or the da Vinci Surgical System with biocompatible plastic mesh placement
        • Pelvic floor muscle reconstruction in the case of relapses using biocompatible plastic meshes
  • Mammology
    • Diagnostics
      • Clinical breast examination
      • Digital mammography
      • High-resolution ultrasound examination, 3D/4D ultrasound scanning, Doppler ultrasound of the blood vessels
      • Breast magnetic resonance imaging (MRI)
      • Ultrasound-guided high-speed puncture biopsy
      • Ultrasound-guided vacuum-assisted breast biopsy
      • Stereotactic-guided vacuum-assisted breast biopsy
      • MRI-guided vacuum-assisted breast biopsy
      • Second opinion
    • Therapy
      • Drug treatment
      • Chemotherapy
      • Radiation therapy
      • Surgical treatment
        • Organ-sparing surgery, including methods of oncoplastic surgery using autologous tissues for defect closure 
        • Sentinel lymph node biopsy in the armpit
        • Classic axillary lymph node removal technique
        • Breast removal with simultaneous reconstruction
        • Breast reconstruction using autologous tissues or implants
        • Breast reduction or augmentation after tumor resection
        • Nipple reconstruction surgery
        • Aesthetic plastic surgery for breast augmentation or reduction
        • Corrective interventions for breast asymmetry or deformities
      • Psycho-oncological care
  • Obstetrics
    • Integrated management of pregnancy
    • Delivery (natural childbirth, water birth, cesarean section, etc.)
    • Pain therapy (homeopathy, acupuncture, analgesic drug therapy, relaxation baths, etc.)
    • Postpartum care for mother and baby
  • Other medical services

Curriculum vitae

Dr. med. Matthias Losch is the Head Physician of theDepartment of Gynecology, Gynecologic Oncology, Gynecologic Surgery, Urogynecology, Mammology and Obstetrics at the Academic Prosper-Hospital Recklinghausen. Prior to that, he worked in the Department of Gynecology and Obstetrics at the St. Vincent Hospital.

His clinical interests include gynecologic surgery, treatment of cancer of the female reproductive system, treatment of breast cancer, plastic reconstructive and aesthetic breast surgery, drug treatment of gynecologic tumors, as well as robot-assisted gynecologic interventions using the da Vinci Surgical System.

Photo of the doctor: (c) Prosper-Hospital Recklinghausen

Department of Gynecology, Gynecologic Oncology, Gynecologic Surgery, Urogynecology, Mammology and Obstetrics.
Academic Prosper-Hospital Recklinghausen:

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