Symptoms
of illness are incontinence, sexual or coital problems due
to vaginal ampliation (e.g. after births) sink of vagina
wall and inner genital organ based on deficiency or injuries
of connecting tissues and pelvic diaphragm.
Treatment opportunities
In case
of mild incontinence and coital problems at the beginning,
intimate gyms based on experts' help can ease complaints;
in case of increasing complaint the use of vaginal (Mayer)
ring may help. In late phases the performed vaginoplasty based
on the right indication can provide solution.
One day surgery
"One
day surgery" means, that patients can leave the outpatient
center on their own feet, accompanied by a helper, within
24 hours of surgery (usually after few hours of observation),
and continue the healing process in the familiar confines
of their own home. "One day surgery" requires strict
professional, social, and various other preconditions that
are discussed at the stage of the consultation when the need
for surgery becomes clear. (I.e.: good general health, absence
of serious systemic disease, patient must take responsibility
for arrangement of transportation, home care, and must have
phone to contact the clinic or the surgeon if necessary,
etc).
Preparation for surgery
In every
case before operation gynaecologist specialist is
performed, containing inner (vaginal) examination, and cancer
control.
Cancer control means colposcopic examination - 'check of
os under magnifying glass' - and microscopic analysis
of the tissues gathered during the examination. Before operation
lab tests and may further physician check-up are required.
In case of incontinence decision is made
on the operation and on way of it whenever it is to be carried
out in one
day surgery, when the examination results are already in
hand and a consultation with the nephrologist is
once took place. After all these are all discussed with the
patient
and flowingly the date of operation is set.
Colpoplasty
Patient
after signing the operative declaration changes clothes and
is taken to operative room afterwards. We give patients an
injection containing pain-killer and sedative before intervention.
Operation is either performed with local1%-os Lidocaine),
epidural anaesthesia or narcosis. Colpoplasty has two parts
(front wall and rear wall) what are so separate, that depending
on complaints one or the other may can be left out. During
front colpoplasty the mycoderm under the urethra is prepared
on the two sides from longitudinal cut. The sunken urinary
is lifted and supported by special stitches (Stöckel and
Z). Afterwards redundant vaginal parts, tissues are removed
(narrowing) and scar ends of vaginal wall are closed with
glover's suture. During rear colpoplasty the redundant vaginal
tissue is removed from the operative area defined in rhombus
shape at the rear part of the vaginal entry. Flowingly the
two-sided muscles are bond by deep stitches that narrows
the vagina. The scar ends of the vaginal tissue are bonded
with glover's suture, outer nodded stitches.
Possible complications
No doctor
can guarantee that a surgical intervention is free from complication.
Even after the most careful medical intervention complications
may occur. Possible complications: urine excretion difficulties,
post-bleeding, inflame but these can be treated. Therefore
if you may recognise any chance of complication evolving
(e.g. bleeding, urine obstruction, fever, pain), please contact
your surgeon for 24/7; who will be at your help for solving
symptoms of complications.
Postoperative care
Surgery is commonly followed
by 6-8 hours of observation, during which
time the vital functions stabilize (blood pressure, urine
output), the sedative
effects of premedications wear off, and patients are able
to leave the center on their own feet, with the help of an
assistant.
The day following surgery, most of our patients can continue
their daily routine, taking days off work is not necessary.
The average time for recovery after Bartholin gland surgery
is 3-4 weeks. During this time, use of tampons or sexual
activity is not recommended. In uncomplicated cases
we ask our patients back for follow-up four weeks after surgery.
Fees
Charge for examination and consultation: 10.000
HUF > Euro
Surgery using local anesthesia:
Anterior colpoplasty: 110.000 HUF > Euro
Posterior colpoplasty: 110.000 HUF > Euro
Anterior and posterior colpoplasty: 140.000
HUF > Euro
Charge for spinal or general anesthesia: 30.000 HUF > Euro
50% of the total cost has to be paid
as a deposit before surgery.
These
prices are only representative, the final charge will also
depend on the severity of the
condition.
Appointments:
Monday-Friday, 8 am - 8 pm.
Telephone: + (36 1) 266-7766
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