Vulvar intraepithelial neoplasia diagnosis in Catholic Clinic Koblenz-Montabaur

About the department

The Department of Gynecology, Mammology and Obstetrics at the Catholic Clinic Koblenz-Montabaur offers the full range of medical services in the areas of its specialization. The department's gynecologists successfully cope with the conservative and surgical treatment of diseases of the female reproductive system. The department specializes in surgery for uterine, cervical, and ovarian cancers. When performing surgery, preference is given to low-traumatic minimally invasive and endoscopic techniques. The doctors are also especially competent in the treatment of urinary incontinence and pelvic organ prolapse in women. Mammology is an integral part of the department's clinical practice. The specialists in this medical field provide top-class diagnostic and therapeutic services to patients with benign and malignant breast diseases. The department also admits men with gynecomastia. The medical facility offers comprehensive obstetric services, including pregnancy management, childbirth, and postpartum care for both mother and baby. The department has an advanced technical base and comfortable infrastructure, as well as the most pleasant atmosphere in which the patient feels the care and empathy of the medical staff. The department is headed by Dr. med. Jan Dünnebacke.

The primary focus of the department's work is gynecology. The medical facility admits patients with diseases of the genital organs, urinary incontinence, and pelvic organ prolapse. Women's health is in the safe hands of experienced gynecologists, who have all the modern facilities for laboratory diagnostics, ultrasound scanning and other instrumental examinations, conservative therapy, and sparing surgical treatment. The specialists in the fields of urology and general surgery are actively engaged in the therapeutic process to provide patients with comprehensive medical care.

The team of the department's gynecologists has exceptional competencies in endoscopic and minimally invasive interventions for diseases of the female reproductive system. In some cases, the specialists perform operations using a vaginal approach that do not require any incisions on the abdominal wall and exclude damage to the vaginal mucosa. It is therefore important for the department's doctors to provide patients not only with the most effective surgical treatment but, at the same time, to choose the most sparing techniques for performing the operation. Surgery for malignant neoplasms of the uterus, cervix, ovaries, and vulva is also mostly performed using low-traumatic surgical techniques, which is a great advantage for patients.

The department's special offer is the innovative NovaSure endometrial ablation technique. This treatment is indicated for women suffering from hypermenorrhea (heavy menstrual bleeding), which carries the risk of developing anemia and other serious health problems. The essence of the NovaSure procedure is to remove the thin inner mucous layer of the uterine cavity, which provokes heavy uterine bleeding. The operation takes only about 5 minutes and is performed on an outpatient basis, usually with sedation, but sometimes general anesthesia may be used as well.

The department offers the services of a certified Breast Center, whose doctors treat women with benign and malignant breast diseases, as well as men suffering from gynecomastia. The Breast Center is certified according to the standards of the German Cancer Society (DKG) and the German Society for Senology (DGS), which indicates a top-class level of medical care provided and high treatment success rates. The doctors follow the clinical guidelines of the German Cancer Society (DKG) and the Gynecological Oncology Working Group (AGO) in their work.

Of key interest to the department's breast specialists is the treatment of breast cancer, which is the most common type of oncology in women. When a woman with suspected cancer is admitted to the department, she undergoes comprehensive diagnostics, which usually include mammography, ultrasound scanning, magnetic resonance imaging, and a biopsy. If the diagnostic results confirm that the patient has breast cancer, her clinical case is considered during a weekly interdisciplinary tumor board, in which breast specialists, radiologists, radiation therapists, oncologists, and plastic surgeons participate. A treatment regimen is developed for each patient individually based on her specific clinical data. As a rule, the first-line therapy is surgery, whose extent depends on the stage of the oncological process. Doctors strive to preserve the breast if possible, but in the case of indications for its removal, the patient will be offered a reconstructive surgical intervention to repair the aesthetic appearance of the breast. Such surgical procedures are performed using silicone implants or the patient's own tissues. Surgery for breast tumor removal is often supplemented with conservative treatments such as chemotherapy, hormone therapy, radiation therapy, and immunotherapy.

The department also has a team of experienced obstetricians who provide high-quality care and monitoring throughout pregnancy. The department holds pre-pregnancy planning consultations, carries out pregnancy monitoring with regular ultrasound scans and other tests, and provides childbirth and postpartum care for both mother and baby. The department's obstetricians prefer natural childbirth, but if necessary, a C-section can be performed. Childbirth takes place in modern delivery rooms equipped with everything necessary for a successful delivery. Obstetricians and nurses have deep knowledge and vast experience, so if any complications develop, they will immediately take all the necessary measures. Babies always stay with their mother after birth (bonding) to promote early bonding between mother and child. If desired, the patient can receive pain management by means of homeopathic medicines, acupuncture, relaxation baths, etc. Drugs and epidural anesthesia can also be used for pain management.

The department's key clinical focuses include:

• Gynecology
  • Minimally invasive and endoscopic interventions for gynecological diseases
  • Sparing interventions through a vaginal approach for gynecological diseases
  • Innovative NovaSure endometrial ablation procedure and classic endometrial ablation
  • Hysteroresectoscopy for uterine fibroids
  • Cervical conization
  • Laser interventions for pathological vulvar lesions
  • Urinary incontinence and pelvic organ prolapse surgery: placement of mesh implants, TVT sling procedures, etc.
  • Extensive surgery for female genital cancers
• Mammalogy
  • Diagnostics
    • General clinical examination, including palpation
    • Mammography
    • Ultrasound scanning
    • Magnetic resonance mammography
    • Histological examination
    • Biopsy
  • Treatment
    • Surgical treatment for breast cancer, including reconstructive surgery to repair the breast after its resection
    • Conservative treatment of breast cancer: chemotherapy, hormone therapy, radiation therapy, and immunotherapy
• Obstetrics
  • Comprehensive pregnancy management
  • Safe childbirth (natural childbirth and C-section), including pain management during childbirth
  • Postnatal care for mother and baby
  • Establishing an early bond between mother and child (bonding)
• Other medical services

Photo of the doctor: (c) Katholisches Klinikum Koblenz - Montabaur