Urethro-vaginal fistula diagnosis in University Hospital of Ludwig Maximilian University of Munich

About the department

The Department of Obstetrics, Adult and Pediatric Gynecology at the University Hospital of Ludwig Maximilian University of Munich offers the full range of preventive, diagnostic, and therapeutic services for girls and women. The department treats general gynecologic diseases, precancerous conditions, and cancers of the female reproductive system. It also provides medical care to patients with hormonal disorders caused by gynecologic diseases and infertility. The medical facility also offers top-class obstetric services for pregnancy, childbirth, and postpartum care. In addition, the department's gynecologists admit girls and young women with gynecologic problems and puberty disorders. The medical team specializes in conservative and surgical treatment, while almost all surgical procedures are performed using minimally invasive techniques. The department is awarded quality certificates for the treatment of endometriosis, cervical dysplasia, ovarian cancer, and other pathologies. More and more women entrust their health to the department's gynecologists every year, which also indicates the highest level of medical service.

The Head Physician of the department is Prof. Dr. med. Sven Mahner. The doctor enjoys a reputation as one of the best specialists in gynecology and obstetrics at the international level. He can boast of almost 20 years of successful clinical practice with impressive results. Prof. Mahner is the winner of many prestigious awards, including those from the European Society of Surgical Oncology and the American Society of Clinical Oncology. The doctor also conducts an active research activity, reflected in more than 300 publications in national and international journals.

The specialists in general gynecology admit patients with infectious lesions of the reproductive system, uterine fibroids, polyps, condylomas, ovarian cysts, gynecologic bleeding, irregular periods, and other pathologies. Depending on the severity of the detected pathology, a patient may receive drug treatment or undergo invasive procedures. For example, in the case of uterine fibroids, a woman may be indicated for drug therapy with hormones, birth control pills, etc. However, such a treatment is not always effective enough, so patients may require interventional procedures or a full-fledged operation such as uterine artery embolization, focused ultrasound therapy, uterine fibroid enucleation, and a hysterectomy. The optimal type of therapy is determined individually based on a particular clinical case.

Cancer diagnosis is a common thing in the department's clinical practice, so doctors have many effective methods to treat uterine, cervical, ovarian, vulvar, and vaginal cancers. A treatment regimen is developed for each patient individually at regular interdisciplinary tumor boards. As a rule, the treatment consists of surgical resection of the tumor or removal of the affected organ and adjacent anatomical structures (in advanced stages). The operation can often be performed with laparoscopic techniques without extensive skin and soft tissue incisions. In some cases, a transvaginal approach may be used. Uterine and cervical cancers can be treated with a robot-assisted intervention using the da Vinci surgical system. Such surgical procedures are characterized by minimal trauma rates and high efficiency. In addition, patients quickly recover and practically do not experience any pain in the postoperative period. When treating cancers in young women, the department's gynecologists do their best to preserve the reproductive function and give a woman the opportunity to become a mother in the future. The surgical intervention is usually supplemented with conservative treatments such as chemotherapy, radiation therapy, hormone therapy, etc. In addition, all patients are provided with qualified psychological care.

The department also admits girls and women with various gynecologic diseases and disorders. Here one can get a consultation and the necessary medical care for abnormalities in the development of the female reproductive system and mammary glands, infections of the reproductive system, tumors and cysts, vaginal bleeding before the onset of puberty, puberty disorders, irregular periods in girls, etc. Depending on the complexity of the clinical case, conservative therapy or surgical intervention may be the option of choice.

In the field of obstetrics, the department offers comprehensive medical care for pregnant women and young mothers. Doctors have rich and successful experience in managing high-risk pregnancies. The department is the Level I Perinatal Center, which indicates the highest quality of obstetric services and maximum safety for a mother and a child. More than 2,400 babies are born in the department every year. All delivery rooms are equipped with a special delivery bed and assistive devices such as balls, mats, wall bars, hanging ropes, etc. There is a special room for bath delivery. Thus, a patient receives all the possibilities for childbirth in any position convenient for her. Pain management is also of great importance. The most popular methods of pain management include homeopathy, acupuncture, and epidural anesthesia.

The department's range of medical services includes the following: