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Cervical Cancer — Conization: treatment in the Best Hospitals of Germany

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Gynecology, Mammology, Obstetrics and Perinatal Medicine

As the center of advanced medicine, the Department of Gynecology, Mammology, Obstetrics and Perinatal Medicine offers the full range of services in these fields, providing patients with optimal treatment based on the latest scientific achievements and innovative technologies. The scope of the department's tasks includes the diagnosis and treatment of all gynecological diseases, breast pathologies, as well as the management of pregnancy, childbirth, postpartum care for the mother and baby, elimination of fertility problems.

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Helios Hospital Berlin-Buch

9.7/10
location_onGermany, Berlin

Department of Gynecology, Mammology and Obstetrics

The Department of Gynecology, Mammology and Obstetrics offers the full service range in these fields. The department specializes in the treatment of benign and malignant diseases of the female reproductive organs, breast, as well as comprehensive pregnancy management, childbirth and postpartum care. A treatment regimen is developed for each patient individually. Most surgical interventions can be performed using sparing surgical techniques. The department is certified by the German Cancer Society as the Center for Gynecologic Oncology, which indicates strict adherence to national treatment protocols and high quality of treatment.

University Hospital Tuebingen

9.2/10
location_onGermany, Tuebingen

Department of Adult and Pediatric Gynecology, Mammology, Obstetrics

According to the Focus magazine, the Department of Adult and Pediatric Gynecology, Mammology, Obstetrics is included in the ranking of the top German departments specializing in obstetrics and breast cancer treatment! The department offers the full range of diagnostics and treatment of diseases of the female reproductive system, breast pathologies. Also, the specialists of the department provide a comprehensive management of pregnancy, childbirth and postpartum care for both mother and child. Key attention is paid to the treatment of female genital cancers, as well as breast cancer treatment. For this purpose, the department has all the modern therapeutic techniques, as well as its our own innovative developments by the department doctors.

Leverkusen Clinic

10/10
location_onGermany, Leverkusen

Department of Gynecology, Urogynecology, Mammology and Obstetrics

The Department of Gynecology, Urogynecology, Mammology and Obstetrics offers the full range of high quality diagnostic and therapeutic services for patients with diseases of the mammary glands, internal and external genitalia. The department's specialists are distinguished by their special competence in the treatment of oncological diseases of the female genital organs and breast cancer. The department has high-tech operating rooms for sparing surgical treatment, namely laparoscopic interventions and da Vinci robot-assisted surgery. The department is a Level I Perinatal Center, so it provides an integrated management of pregnancy, including high-risk pregnancies and multiple pregnancies, as well as a safe delivery and a postpartum care. The department delivers more than 1,800 babies every year.

University Hospital Ulm

8.7/10
location_onGermany, Ulm

Department of Obstetrics, Adult and Pediatric Gynecology

The Department of Obstetrics, Adult and Pediatric Gynecology offers the full range of services in these fields and specializes in the diagnostics and treatment of general gynecological diseases, oncological diseases of the female reproductive system, breast, endometrial pathologies and urinary incontinence. In the clinical practice, only proven accurate diagnostic methods and effective therapeutic measures are used. In addition, the department is the Level I Perinatal Center, in which about 3,000 babies are born annually.

University Hospital Carl Gustav Carus Dresden

9.1/10
location_onGermany, Dresden

Department of Adult and Pediatric Gynecology, Mammology and Obstetrics

According to the Focus magazine, the Department of Adult and Pediatric Gynecology, Mammology and Obstetrics is included in the ranking of the top German departments specializing in obstetrics and breast cancer treatment! The department offers the full range of surgical and conservative treatment of the pathologies of the female reproductive system, breast, as well as first-class obstetric services, including pregnancy management and postnatal care for both mother and child. The excellent technical equipment of the department, highly qualified medical personnel and the availability of advanced treatments ensure optimal, tailored treatment at the highest level.

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

Department of Adult and Pediatric Gynecology, Obstetrics and Mammology

According to the Focus magazine, the Department of Adult and Pediatric Gynecology, Obstetrics and Mammology ranks among the top German departments specializing in the provision of obstetric services and breast cancer treatment! The department offers all diagnostic and therapeutic options for patients of all ages with diseases of the female reproductive system, mammary gland, as well as provides the comprehensive pregnancy management, childbirth and postpartum care in accordance with the highest standards of modern obstetrics. One of the priority focuses of the department’s work is the treatment of oncopathology in women. All specialists have excellent qualifications and tremendous experience, and therefore they achieve successful results even in extremely difficult clinical cases.

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of Adult and Pediatric Gynecology, Mammology

According to the Focus magazine, the Department of Adult and Pediatric Gynecology, Mammology ranks among the top German medical facilities in the fields of its specialization! The department offers all options of modern medicine for the diagnostics and treatment of diseases of the female reproductive organs and breast. Of particular interest is the treatment of cancers of the female reproductive organs and breast (certification of the German Cancer Society). In addition, the department's doctors have exceptional competence in the treatment of gynecological problems in children of all age groups, including surgical correction of congenital malformations of the reproductive organs. The department is proud of its outstanding treatment results achieved thanks to the professional skills of doctors and excellent technical base.

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of Obstetrics, Adult and Pediatric Gynecology

According to the Focus magazine, the Department of Obstetrics, Adult and Pediatric Gynecology ranks among the top departments in Germany specializing in obstetrics and breast cancer treatment! The department offers the full range of diagnostics and treatment of diseases of the female genital organs, as well as provides first-class obstetric services, prenatal diagnostics and comprehensive management of pregnancy, including high-risk pregnancy. As part of the National Cancer Center (NCT), the department ensures an individualized, interdisciplinary treatment of female oncopathology. All the therapeutic measures carried out by the doctors of the department meet the highest international standards. 

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

Department of Obstetrics, Adult and Pediatric Gynecology

According to the Focus magazine rating, the Department of Obstetrics, Adult and Pediatric Gynecology ranks among the top German clinics specializing in obstetrics and breast cancer treatment! The department offers the full range of diagnostics and treatment of diseases of the female reproductive system, urinary system, hormonal disorders, problems with conceiving a child, and first-class obstetric services. In addition, the department provides comprehensive consultations, diagnostics and treatment of puberty disorders and problems of the gynecological spectrum in girls and young girls.

University Hospital Erlangen

9.1/10
location_onGermany, Erlangen

Department of Adult and Pediatric Gynecology, Mammology, Obstetrics

According to the Focus magazine, the Department of Adult and Pediatric Gynecology, Mammology, Obstetrics ranks among the top German departments specializing in obstetrics and breast cancer treatment! The department offers the full range of services in the areas of its specialization and is one of the largest medical facilities of this kind in Germany. Of particular interest is the treatment of cancers of the female reproductive system, including breast cancer, medical care for hormonal imbalance of gynecological genesis, treatment of urinary incontinence and pelvic organ prolapse in women, top-class obstetric care and integrated pregnancy management. In addition, the department's gynecologists admit women suffering from infertility. They can undergo comprehensive diagnostics of the reproductive system and the further required therapeutic manipulations, such as uterine fibroid removal, treatment of endometriosis and other pathologies, which prevent the conception of a child. The department also specializes in the treatment of congenital malformations and acquired gynecological diseases in children. The highly qualified team of doctors with colossal experience, who keep pace with advanced innovations in medicine, take care of the patients' health. The specialists do everything possible to restore the health of patients, taking into account their needs and wishes.

University Hospital Halle (Saale)

9.6/10
location_onGermany, Halle

Department of Gynecology and Mammology

According to the Focus magazine, the Department of Gynecology and Mammology ranks among the top German departments specializing in breast cancer treatment! The department offers the full range of accurate diagnostics, conservative and surgical treatment of diseases of the female reproductive system, breast. The department’s state-of-art infrastructure, advanced diagnostic equipment and the highest professionalism of doctors allow for the achievement of excellent treatment results.

University Hospital Hamburg-Eppendorf

9.2/10
location_onGermany, Hamburg

Department of Gynecology and Mammology

According to the Focus magazine, the Department of Gynecology and Mammology ranks among the top German departments specializing in breast cancer treatment! The department offers the full range of diagnostic and therapeutic services in its areas of specialization. Due to its successful clinical activities, the department has the status of a supraregional Competence Center for Surgical and Conservative Gynecologic Oncology, as well as of the leading Breast Cancer Center. All therapeutic measures meet the modern standards of both national and international specialized societies.

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

Department of Adult and Pediatric Gynecology, Mammology and Obstetrics

The Department of Adult and Pediatric Gynecology, Mammology and Obstetrics offers the diagnostics and treatment of all gynecological diseases. The department specializes in the treatment of breast cancer and cancer of the female reproductive organs. All traditional and modern conservative and surgical methods are used for this purpose. The department also provides reliable and individual obstetric services at the Center for Mother and Child and offers all methods of prenatal diagnostics.

University Hospital RWTH Aachen

8.9/10
location_onGermany, Aachen

Department of Gynecology, Mammology and Obstetrics

According to the Focus magazine, the Department of Gynecology, Mammology and Obstetrics ranks among the top German medical facilities specializing in breast cancer treatment and provision of obstetric services! The department provides all modern medical services in the fields of its specialization. The gynecologists treat both general and oncological diseases of the female reproductive sphere. Should surgical treatment be required, minimally invasive techniques will be used. The department's mammologists specialize in the treatment of breast cancer using all the classic and innovative therapeutic options. The department is also the Level I Perinatal Center, in which the patient receives the highest quality pregnancy management, comfortable childbirth and postpartum care.

University Hospital Duesseldorf

9.5/10
location_onGermany, Duesseldorf

Department of Adult and Pediatric Gynecology, Obstetrics and Mammology

According to the Focus magazine rating, the Department of Adult and Pediatric Gynecology, Obstetrics and Mammology ranks among the top German departments specializing in breast cancer treatment! The department offers the full range of services in these medical fields. In the field of gynecology, it provides the diagnostics and treatment of all pathologies of the female reproductive system, including the gynecological problems in girls aged from 0 to 18 years. The department's obstetricians provide quality care for expectant mothers before, during and after pregnancy. The department's scope of activities also includes the management of high-risk pregnancies. The key focus of clinical activities is the treatment of oncological diseases of the female genital organs, including breast cancer.

Cervical cancer is one of the most common diseases in gynecology. The disease refers to controlled pathologies. Although symptoms manifest themselves late, screening can early detect cancer or precancerous conditions. The timely performed surgical resection allows to cure the disease once and for all. Nonetheless, it is difficult to treat the disease at an advanced stage.

In what cases can conization become an option of choice? 

Conization is the removal of a fragment of the cervix in the form of a cone. This is an option of organ preservation surgery. Such surgical resection is less effective than total removal of the uterus. It often leads to relapses. Therefore, cervical conization has limited medical use in gynecology.

The benefits of the surgical procedure include: 

  • preservation of female fertility;
  • quick rehabilitation after surgery;
  • minimal risk of complications after surgical resection. 

Nevertheless, the procedure has downsides as well. As compared to a hysterectomy, the risk of relapse is higher, and therefore conization can be used in limited cases. As a rule, the operation is performed to treat the early stages of cervical cancer, which do not manifest any symptoms. One of the strongest arguments is the young age of the woman and her reproductive plans.

Stage 0. This is carcinoma in situ and it can remain at this stage for several years. There are no symptoms yet, so it is detected by chance, during a screening in the Department of Gynecology. The tumor does not spread beyond the mucosa. During the medical examination, a doctor takes a smear for oncocytology. Should malignant cells be detected, the second stage will include colposcopy and biopsy.

The process of carcinoma in situ treatment depends on the following factors: 

  • histological type of the neoplasm; 
  • desire of a woman to preserve fertility. 

There are mainly two histological types of cancer. These include squamous cell carcinoma and adenocarcinoma. The squamous cell carcinoma has a more favorable prognosis. The stage 0 usually does not require removal of the uterus. In this case, conization becomes an option of choice. The focus of tumor tissue can sometimes be simply destroyed by a laser. The squamous cell carcinoma of the uterus at stage 0 can be removed only in one case: if the neoplasm recurs after laser destruction or conization.

Adenocarcinoma is more aggressive. Even at stage 0, the hysterectomy is the method of choice. However, if a woman wants to preserve fertility, the doctors can perform conization.

Stage 1. The preferred operation is removal of the uterus. The stage 1A can be treated with conization. The removed sample will be necessarily examined. Should malignant cells be detected at the edges of the removed tissue, the scope of the operation will be expanded. In such situations, the patient is indicated removal of the uterus. If a woman insists on the need to preserve fertility, the surgeon will remove the cervix and part of the vagina.

At stage 1B, the hysterectomy is the only treatment option, while the conization is highly likely not to cure the disease.

Stages 2-4. The conization cannot be performed. Although at stage 2A1 another organ preservation operation may be used. It involves the surgical resection of a part of the vagina and the cervix. The uterus itself is preserved, which allows a woman to have a baby in the future.

Additional treatments 

The conization can be rarely combined with other therapeutic methods. If the cancer is in its initial stage, the tumor has a minimal size, the pathology can be cured with the help of conization alone. The additional techniques are simply not necessary. If the tumor is large, has metastasis, there is no sense in performing conization. In this case, the treatment methods may include hysterectomy, brachytherapy, remote radiation therapy and chemotherapy.

Nonetheless, there are many alternative operations that can be performed in the following cases: 

  • the disease has reached stage 1B or higher;
  • cervical cancer at the early stage, if there is no need to preserve fertility. 

The main operation to treat cervical cancer of any stage (except stage 0 of squamous cell carcinoma) remains hysterectomy. The uterus is removed with access through the vagina or abdominal cavity. In Germany, the specialists in the field of minimally invasive surgery perform laparoscopic organ removal surgery. It is less traumatic and safer, does not require long-term rehabilitation. The leading Medical Centers use robot-assisted surgery.

Organization of treatment in Germany 

To undergo cancer diagnostics or treatment in Germany, you can use the services of the Booking Health company. We will arrange your trip to any large clinic in Germany. You can have cancer diagnostics or treatment at an affordable price. We provide the following benefits: 

  • Selection of the best Medical Center for treatment in Germany, which specializes in the diagnostics of cervical cancer, surgical resection or conization, brachytherapy and chemotherapy.
  • Reduced cost of medical services due to the lack of overpricing for foreign patients.
  • Booking an appointment in the German clinic on the most suitable dates for you. 
  • Preparation of a program based on the results of previous cancer diagnostics.
  • Establishment of communication directly with your attending physician.
  • Monitoring of all stages of the treatment program in Germany.
  • Control of invoices, cost of services, return of unspent funds.
  • Buying and forwarding of medicines.
  • Organization of additional cancer diagnostics, rehabilitation or treatment in Germany.
  • Communication with the Medical Center and the doctor after treatment.

The Booking Health company will make the cancer treatment process easier, faster, more successful and reduce the overall cost of the procedures. We will provide you with all the necessary services. We will book a hotel and airline tickets, arrange a transfer from the airport to the German clinic and from the clinic to the airport upon the program completion.




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