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Gynaecology and Obstetrics

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The Gynaecology and Obstetrics unit at Paideia International Hospital aims to provide patients with a complete care pathway, from diagnosis to medical or surgical treatment of all gynaecological conditions. Moreover, thanks to our specialists’ experience and the advanced equipment and technology at their disposal, women are offered support during pregnancy and, if necessary, in the post-partum period.

The gynaecological outpatient service provides a pathway of diagnosis and care that includes: general gynaecology (standard examination with possible Pap test),ultrasound (abdominal or trans-vaginal, hysterosonography), colposcopy-vulvoscopy, benign gynaecological conditions, urogynaecology and oncogynaecology.

Gynaecology and Obstetrics at Paideia International Hospital: surgical procedures

Most surgical procedures are performed using the minimally invasive technique, which, in addition to respecting a woman’s bodily integrity and appearance, reduces post-operative pain, length of hospitalisation and complications, with the same quality and effectiveness as traditional surgery, and when possible, surgery is also performed with the aid of the Da Vinci Xi robot

Main conditions treated by the Gynaecology and Obstetrics unit:

Gynaecological diagnostic tests

Vaginal laser therapy

Paideia International Hospital offers vaginal laser therapy with Ladylift Eufoton: this non-ablative diode laser treatment is a solution for atrophy and urinary incontinence. It is a non-invasive treatment, does not have the same side effects as hormone therapy, and is quick and painless. In addition, a special external handpiece can also perform the cosmetic treatment of non-ablative labiaplasty. As a natural and minimally invasive method, it is the best solution to counteract the effects of ageing in the gynaecological field.

Main conditions:

Antenatal diagnostics

TheBi-test is a non-invasive screening test that is performed in the first trimester of pregnancy and calculates the probability of risk of certain abnormalities.

The screening essentially investigates  trisomy 21 (Down syndrome)  trisomy 18 and trisomy 13, which are the most frequent chromosomal abnormalities (about 70%). If the screening test detects an increased risk of chromosomal abnormalities (such as Down syndrom), that risk must be confirmed by an invasive diagnostic test (chorionic villus sampling or amniocentesis) of the foetus. It is a very effective method for screening for the most frequent chromosome abnormalities (trisomy 21, 18 and 13), which uses a special ultrasound evaluation combined with specific laboratory tests, detecting approximately 98% of foetuses affected by these chromosomal disorders.

The combined test or Bi-test not only risk assess the main chromosomal diseases and excludes morphological abnormalities identifiable in the first trimester of pregnancy, but also identifies patients who are at risk of developing serious conditions that may occur during pregnancy. In this way, the physician can set up treatment at an early stage, which can significantly reduce the risk and monitor the patient in a more meticulous and targeted manner.

PrenatalSAFE, is a non-invasive test for the prenatal diagnosis of Down syndrome and major foetal chromosome abnormalities.

By simply taking a blood sample from the pregnant woman, who is at least 10 weeks into their pregnancy, the circulating cell-free foetal DNA isolated from a blood sample is analysed, and the most frequently encountered foetal aneuploidies in pregnancy, such as those related to chromosomes 21, 18, 13, X and Y, are identified.

PrenatalSAFE identifies the presence of the following foetal aneuploidies:

  • Trisomy 21 (Down syndrome)
  • Trisomy 18 (Edwards syndrome)
  • Trisomy 13 (Patau syndrome)
  • Monosomy X (Turner syndrome)
  • XXX (Trisomy X)
  • XXY (Klinefelter syndrome)
  • XYY (Jacobs syndrome)

The test also determines the foetal sex (XX or XY), which is very useful additional information for managing the risk of genetic conditions linked to the X chromosome, such as Duchenne muscular dystrophy or haemophilia.

The test can also be used as a second-level diagnostic tool, which detects the structural chromosomal alterations in the foetus and some common microdeletion/microduplication syndromes, such as DiGeorge syndrome, Cri-du-chat syndrome, Prader-Willi syndrome/Angelman syndrome, etc.

Foetal Magnetic Resonance Imaging (FMRI) is a third-level examination following a second-level ultrasound.  

It is an examination that is carried out after the 19th week of pregnancy in the case of doubt about a foetal malformation or in the case of malformative condition in a previous pregnancy or in couples with a high genetic risk. 

The examination is targeted at one region: 70-80% of examinations target the encephalic region. There is no reported damage to foetuses from exposure to electromagnetic fields for 1.5 or 3 T magnets.  

Based on the guidelines of several scientific societies, the most frequent indications for the encephalic region are ventriculomegaly, midline abnormalities (agenesis of the corpus callosum), the study of the posterior cranial fossa (the cerebellum), infectious diseases, ischaemic and haemorrhagic lesions and twin-to-twin transfusion syndromes.  

With regard to the abdominal region, the indications concern in particular neck lumps and diaphragmatic hernia. 

Another important indication for MRI in the foetal period are placental pathologies and in particular placental invasion pathologies (placenta accreta). In this case, the examination is recommended after the 28th week of pregnancy.   

Endometriosis

At Paideia International Hospital there is a special endometriosis centre in partnership with Malzoni International Centre. Endometriosis is a condition that is often difficult to diagnose. We have a team of physicians who are highly specialised in treating and diagnosing endometriosis,who will accompany you through all stages of the disease, from the discussion of your medical history to post-operative care.

MRI & Endometriosis

Endometriosis is a condition characterised by pelvic pain and infertility in a large proportion of cases. It is estimated that around 10% of women of childbearing age worldwide are affected by endometriosis.

Ultrasound has a highly sensitive and very specific, but for a complete evaluation before a treatment is decided, Magnetic Resonance Imaging (MRI) is the preferred examination.

Endometriosis is ubiquitous, multiple sites can be affected. Generally, ovarian endometriosis, the most common, is just the tip of the iceberg.  An MRI can assess all body parts in the pelvis that are affected thanks to a wide field of view and high spatial and contrast resolution thus also offering an excellent assessment of the anatomy of the surrounding structures (vessels and nerve structures). In particular, T2-weighted sequences are essential for the anatomical study of a patient with endometriosis, while T1weighted sequences with fat suppressed scans identify blood components.

MRI examinations in the case of suspected endometriosis or for patients with a known diagnosis of endometriosis, must be preceded by good bowel preparation, fasting for about 4-6 h, and the administration of antimotility agents to reduce bowel movements. Contrast medium is generally not used except for complex cases of endometriosis with suspected solid components and if the excretory tract is involved (ureters and bladder).

Adolescent gynaecology

Paediatric-adolescent gynaecology is dedicated to the prevention, screening and treatment of gynaecological conditions that can occur in girls and young women.

The paediatric/adolescent gynaecologist also takes on a guiding and supportive role in the growth of a young woman, who will find herself experiencing sometimes undesired bodily changes (with related mood swings), and who may need reassurance and advice, both in understanding and perceiving her change as normal and for any other concepts she may wish to learn about.

Situations leading children and adolescents to refer to a gynaecologist can include:

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Saturday: 8 am - 2 pm
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