Department of Obstetrics, Gynecology and Mammology - Nuremberg Hospital

About the Department of Obstetrics, Gynecology and Mammology at Nuremberg Hospital

The Department of Obstetrics, Gynecology and Mammology at the Nuremberg Hospital offers all modern diagnostic and therapeutic options for women with reproductive system diseases and breast pathologies. An important focus in the department's clinical practice is on the comprehensive management of pregnancy, the provision of safe childbirth, and postnatal care for mother and child. One of the key focuses of the department's doctors is the comprehensive treatment of gynecologic cancers. The department houses a specialized center certified in accordance with the requirements of the German Cancer Society (DKG) and DIN EN ISO standards. The department also offers the full range of services for patients with breast cancer, which is the most common cancer among women worldwide. The department is one of the few in Germany and Europe where robot-assisted interventions using the da Vinci Xi surgical system are performed with excellent results. These operations are distinguished by their highest precision and low trauma rate, providing the same effectiveness as classic surgery. The department's specialists perform robot-assisted interventions for both benign and malignant diseases of the female reproductive system. The department's gynecologists treat more than 2,460 inpatients and about 3,000 outpatients every year. The department is headed by Prof. Dr. med. Cosima Brucker.

The department's team of doctors has unique professional skills in the treatment of gynecologic cancers, such as cervical, ovarian, endometrial, and vulvar cancer. Patients with suspected cancer are treated at a specialized center where gynecologists, oncologists, radiologists, radiation therapists, and other specialists cooperate closely. The department's doctors always give preference to customized treatment and thoroughly plan the upcoming therapy at regular interdisciplinary tumor boards. In the majority of cases, surgical resection of the malignant tumor is the primary treatment option. Thanks to the availability of state-of-the-art equipment in the department, operations for gynecologic cancers are performed using minimally invasive laparoscopic and robot-assisted techniques.

It is worth noting da Vinci robot-assisted surgery, which not every Gynecology Center in Germany offers because it requires expensive equipment and special training for doctors. The department's gynecologists have been performing robot-assisted surgery to treat cancers of the female reproductive system for more than 5 years and can be proud of their vast experience in this field since robot-assisted surgery is an innovative treatment method nowadays. Robot-assisted interventions are performed with the da Vinci manipulator arms equipped with miniature instruments. All manipulations of the robotic system are controlled by the surgeon, who can see even the smallest anatomical structures on the screen due to multiple zooms with 3D imaging of the operating field. When performing the operation, the surgeon is at the control console of the robotic surgical system and gives it commands, which it performs with impeccable accuracy with almost no damage to the healthy tissues. The da Vinci surgical system makes a 1-2 cm skin incision to approach the pathological focus, so postoperative risks are almost zero. With the high efficiency of robot-assisted surgery, it also provides an excellent aesthetic result, leaving few visible scars.

Another important field of competence for the department's team of doctors is the provision of medical care to patients with breast cancer. This cancer is one of the most common and life-threatening among women. Therefore, since 2006, the department has been operating a specialized Breast Center certified by the German Cancer Society (DKG) and the German Society for Senology (DGS). All modern diagnostic procedures are available here for patients with suspected breast cancer, including digital mammography, breast sonography, tomosynthesis, magnetic resonance imaging, needle biopsy, vacuum-assisted stereotactic breast biopsy, etc. As for the treatment, it is developed for each patient individually, taking into account their needs and wishes as well as the requirements of German professional associations and modern clinical protocols. As a rule, the first-line treatment is a surgical resection of the malignant tumor, and in the advanced stages, breast specialists resort to a mastectomy. The department's doctors perform intraoperative radiation therapy if clinically indicated. Most patients with breast cancer also receive chemotherapy before or after surgery. Antihormone therapy is often included in the treatment regimen as well. Although radical breast resection surgery is extremely rare in the department, it is sometimes unavoidable. If a woman undergoes a radical surgical procedure, it will be followed by reconstructive plastic surgery with the use of silicone implants or autologous tissues, which plastic surgeons use to successfully restore breast aesthetics.

The department offers high-quality obstetric services. The specialists in this medical field take care of pregnancy management and successful childbirth. They are also responsible for high-risk and multiple pregnancies. The department's delivery rooms are equipped with everything necessary to alleviate the process of childbirth, including soft music and aroma oils. The baby's father or a close family member can be present during childbirth, if desired. Epidural anesthesia, acupuncture, and homeopathic medicines are used to relieve pain during childbirth. The department has the status of a Level I Perinatal Center, which indicates outstanding quality of medical care.

The department's range of medical services includes:

• Gynecology
  • Diagnostics and treatment of malignant gynecologic diseases
    • Uterine cancer
    • Cervical cancer
    • Ovarian cancer
    • Endometrial cancer
    • Vulvar cancer
  • Diagnostics and treatment of precancerous conditions
    • Cervical dysplasia
  • Diagnostics and treatment of benign gynecologic diseases
    • Endometriosis
    • Uterine fibroids
    • Ovarian cysts
    • Urinary incontinence
    • Pelvic organ prolapse
• Mammology
  • Diagnostics and treatment of benign breast diseases
    • Benign breast tumors
    • Mastalgia
    • Breast cysts
    • Breast inflammation
  • Diagnostics and treatment of malignant breast diseases
    • Precancerous conditions
    • Early breast cancer
    • Advanced breast cancer
  • Diagnostics and treatment of developmental abnormalities of the breast
    • Breast deformities
    • Breast hypertrophy
    • Breast hypoplasia
• Obstetrics
  • Comprehensive pregnancy management, including childbirth preparation courses
  • Childbirth: natural childbirth, C-section, and water birth
  • Postpartum care for both mother and child, including emergency care for complications
  • Pain management during childbirth: epidural anesthesia, acupuncture, homeopathy, and aromatherapy
• Other medical services