Surgical resection of bartholin gland cyst in University Hospital Greifswald

About the department

The Department of Gynecology, Mammology and Obstetrics at the University Hospital Greifswald offers all the options of modern medicine in the areas of its specialization. Progressive methods of diagnostics and treatment of diseases of the female reproductive system and breast are available here. The focus of the department's doctors is on patients with gynecologic cancers, breast cancer, urinary incontinence, hormonal imbalances caused by gynecological pathologies, etc. Breast cancer treatment takes place in a highly specialized center certified according to DIN EN ISO 9001:2008 standards by the German Cancer Society (DKG) and the German Society of Senology (DGS). An integral part of the department's clinical practice is obstetrics. More than 1,000 babies are born in the modern delivery rooms of the medical facility every year. Obstetricians provide expectant mothers with personalized pregnancy management, safe childbirth, and high-quality postpartum care. The department regularly demonstrates high treatment success rates, which are facilitated by the use of innovative technologies and modern treatments. The Head Physician of the department is Prof. Dr. med. Marek Zygmunt.

The key task of the department's gynecologists is the treatment of malignant diseases of the female reproductive organs. The department's doctors have vast experience in providing medical care to patients with ovarian, endometrial, cervical, vulvar, and vaginal cancers. Cancer treatment is a complex clinical task and requires an interdisciplinary approach, so not only gynecologists are involved in the therapeutic process but also other specialists, including oncologists, surgeons, radiation therapists, radiologists, and experts in nuclear medicine. Doctors from related specialties cooperatively study the results of the patient's comprehensive diagnostics, after which they begin to develop an optimal treatment regimen. Ovarian cancer treatment involves a surgical intervention, during which gynecologists remove the tumor (in the early stages) or the entire ovaries and uterus (in the advanced stages). Almost all patients require chemotherapy. In some cases, targeted therapy may also be prescribed. The mainstay of treatment for endometrial cancer is also tumor resection surgery. In the advanced stages, radical surgery may be performed, during which the uterus, ovaries, and fallopian tubes are removed. Surgical treatment is complemented by chemotherapy, radiation therapy, and/or hormonal therapy. The department's gynecologists strive not only to provide effective treatment but also to make it as sparing as possible, so surgical interventions are most often performed using minimally invasive techniques. In addition, doctors tend to avoid removing organs of the female reproductive system in young women, thereby providing an opportunity to preserve fertility.

The team of the department's gynecologists admits women with benign pathologies, including uterine fibroids, endometriosis, cervical dysplasia, polycystic ovary syndrome, and infectious diseases. The specialists have vast professional skills in treating urinary incontinence in women. This pathology is quite common and causes significant discomfort in everyday life. In many cases, the department's doctors use only conservative therapy, including therapeutic exercises to strengthen the pelvic floor muscles, physiotherapy, electrical stimulation, drug therapy, and the placement of pessaries. If a woman suffers from stress urinary incontinence, surgical treatment is most often required. The department successfully performs minimally invasive TVT and TVT-O sling procedures, the essence of which is to strengthen the sphincter apparatus of the bladder with the help of an artificial loop. In some cases, good treatment results can be achieved with Botox injections. The department's doctors select the optimal type of treatment on an individual basis.

Breast cancer is one of the most common and complex oncological pathologies in women today. A highly specialized Breast Center operates in the department that treats this malignant disease. The therapeutic regimen is based on tumor resection surgery. In the early stages of breast cancer, an organ-preserving operation (lumpectomy) is performed, and in the advanced stages, radical interventions to completely remove the breast (mastectomy) are usually required. Surgical treatment can be supplemented with chemotherapy, radiation therapy, targeted therapy, hormone therapy, antibody therapy, etc. A specific complex of therapeutic measures is determined based on the stage of cancer, tumor location, type, and aggressiveness. The department also offers plastic reconstructive surgery to restore breast aesthetics after radical resections.

The department's competence includes the provision of high-quality obstetric services. The medical facility provides expectant mothers with high-quality prenatal and postnatal care, as well as safe childbirth. More than 1,000 babies are born in the department's delivery rooms every year, so the department's obstetricians have vast experience and do their best to make the childbirth go smoothly without any complications. Maternity rooms are equipped with everything necessary for a successful childbirth and meet the standards of modern obstetrics.

The department's main clinical focuses include:

• Gynecology
  • Diagnostics and treatment of benign diseases of the female reproductive system
    • Uterine fibroids
    • Endometriosis
    • Cervical dysplasia
    • Polycystic ovary syndrome
    • Genitourinary infections in women
    • Hormonal imbalances caused by gynecologic diseases
    • Urinary incontinence
  • Diagnostics and treatment of malignant diseases of the female reproductive system
    • Endometrial cancer
    • Ovarian cancer
    • Cervical cancer
    • Vulvar cancer
    • Vaginal cancer
• Mammology
  • Diagnostics and treatment of benign breast diseases (for example, cysts and mastopathy)
  • Diagnostics and treatment of breast cancer (including breast reconstruction after radical resections)
• Obstetrics
  • Integrated management of pregnancy, including high-risk pregnancies
  • Childbirth (also pain management, for example epidural anesthesia, acupuncture, and aromatherapy)
  • Postnatal care for mother and child
• Other medical services