Combined Gynecological Surgeries: Restoring Health and Quality of Life

What are combined surgeries, and who are they suitable for? Combined surgeries are surgical interventions that address multiple gynecological issues in a single procedure. This approach is particularly relevant for women who no longer plan to have children.

What problems can be solved?

Restoring the normal position of the uterus and vaginal walls

Pelvic organ prolapse, which involves the uterus and vaginal walls shifting out of their normal position, often leads to:

• Decreased sexual sensitivity,
• Recurrent vaginal infections,
• Air escaping from the vagina during intimacy (vaginal flatulence).

How is it treated?

The combined surgery restores the normal anatomical position of the uterus and vaginal walls. In cases of uterine prolapse, we usually perform a modern and highly effective laparoscopic procedure called lateral suspension of the uterus.

2. Vaginoplasty (vaginal tightening)

Vaginoplasty is a surgical procedure aimed at eliminating the effects of childbirth or age-related changes that lead to a loss of vaginal wall tone.

How is it treated?

Vaginoplasty is performed using the patient’s own tissues or modern surgical materials, ensuring maximum effectiveness with minimal recovery time. Additionally, rectovaginal fascia repair is performed, which helps alleviate discomfort and improves the quality of intimate life.

3. Treating urinary incontinence

Stress urinary incontinence is characterized by involuntary urine leakage during coughing, laughing, or physical activity, caused by weakened pelvic floor muscles.

How is it treated?

The most commonly used methods include the placement of sling systems (TOT or TVT), which support the urethra and prevent leakage.

Aesthetic and functional corrections of the external genitalia

Changes in the external genitalia can occur due to age, childbirth, or trauma, leading to:

• Hypertrophy of the labia minora (small lips),
• Loss of volume and elasticity in the labia majora (large lips),
• Scarring after episiotomy (a perineal incision during childbirth).

How is it treated?

• Labiaplasty: Reduction or reshaping of the labia minora.
• Restoration of labia majora volume: Achieved through lipofilling (the patient’s own fat tissue) or dermal fillers.
• Scar removal and tissue repair: Improves appearance and eliminates discomfort.

Who are these operations suitable for?

Combined surgeries are recommended for women:

• With significant pelvic organ prolapse that impacts their quality of life,
• Suffering from chronic stress urinary incontinence that does not respond to conservative treatment,
• Experiencing aesthetic and functional issues with the external genitalia,
• Who no longer plan to have children, as childbirth can negatively affect the results of the surgery.

Medical aspects and benefits of a combined approach

1. 1. Reduced recovery time

By addressing multiple issues in one procedure, the patient undergoes only one recovery period, significantly reducing total recovery time.

1. 1. Lower risk of repeated interventions

Simultaneously addressing several problems reduces the likelihood of requiring additional surgeries in the future.

1. 1. Optimized anesthesia

Performing one combined surgery instead of multiple individual ones minimizes the overall risks associated with anesthesia.

1. 1. Comprehensive treatment approach

Addressing both anatomical and functional issues in a single operation ensures the best possible outcomes.

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