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About the clinic: National Medical Research Center for Obstetrics, Gynecology and Perinatology was established as the Union Clinical Scientific-Research Institute for Obstetrics and Gynecology in 1944, as an important part of the policy of demographic revival of the country after the World War II, and since then is the leading scientific, medical and academic institution of Russia in the fields of obstetrics, gynecology, perinatology and reproductology. The Center is the major basis for development and implementation of governmental programs on maternal and child healthcare; producer of the clinical protocols, guidelines and standards of care; coordinator of integration of regional medical facilities.
About the clinic: I.M. Sechenov First Moscow State Medical University (Sechenov University) is the top medical university in Russia. Its history begins in 1758 as the medical faculty at Imperial Moscow University. For over two centuries Sechenov University has been a pioneer in the Russian healthcare system. A lot of outstanding physicians and scientists, who contributed significantly to the progress in medicine, worked at the University. In 2018, Sechenov University celebrates its 260th Anniversary.
About the clinic: Federal research and clinical center for specialized types of medical care and medical technologies of the FMBA of Russia (FSCC of the FMBA of Russia) is one of the largest multi — specialty medical institutions in Russia for providing specialized medical care, combining a consulting and diagnostic center and more than 40 departments.
About the clinic: Clinical hospital No. 1 (Volynskaya) of The Presidential administration of the Russian Federation is one of the oldest institutions of Kremlin medicine, which itself has more than 400 years of history. In may 1600, by Decree of Tsar Boris Godunov, a pharmacy order was created to "protect the health of the sovereign". The hospital began with a small reception House adapted for a medical institution Near the dacha of I. V. Stalin.
About the clinic: Yusupovskaya hospital is a continuity of traditions in the treatment of patients in combination with the latest achievements of modern scientific and evidence-based medicine and advanced expert experience. The Yusupov hospital carries out scientific activities — on the basis of the clinic there are scientific and practical centers aimed at solving patients' problems in a comprehensive manner.
About the clinic: P.Herzen Moscow Oncology Research Institute was founded on February 12, 1898. It became the oldest scientific and practical institution in Europe and the first oncology institution in Russia, where the foundations were laid for the Russian science and oncology services. The Institute is a recognized leader in providing high-tech medical care to patients with various types of cancer. The Institute performs a unique surgery, uses modern high-tech methods of diagnostics, comprehensive treatment and rehabilitation of patients.
The number of diagnoses of uterine myoma accounts for 12-25 % of the total number of gynaecological diseases. Disappointing statistics put this pathology at the forefront of gynaecological diseases. The risk group is women after 40 years old, who experience age-related changes in their bodies. Fortunately, medical technology is now well advanced, and this diagnosis does not sound as frightening as it was 15 years ago.
Pain in the womb
Difficulty in urinating
Pain of defecation
Pain during intercourse
Painful menstruation with high secretions
The main method of diagnosing uterine myoma is ultrasound (3D/4D technology) using transvaginal and transabdominal sensors. The use of color Doppler mapping (VDC) makes it possible to assess the quality and quantity of blood flow of myoma nodes.
Magnetic resonance tomography (MRI) is used to specify the localization, quantity, blood supply, structural changes of the myoma nodes, their location relative to neighbouring organs and the planning of radiosurgery treatment.
The choice of the treatment method depends on many aspects: the age of the patient, her desire to realize reproductive function, the clinical and morphological features of the pathological process, the presence of concomitant somatic and gynecological diseases, as well as the patient’s personal preference for a particular treatment method.
Uterine fibroid embolization (UFE). In the process of UFE, special balls – embolae – are introduced through the catheter into the uterine arteries. They are made of a special medical polymer and have a certain size with the help of which the blood flow to the myoma closes. After UFE, the growth and size of the myoma gradually begins to decrease.
Laparoscopic hysterectomy. If myoma is detected during menopause, as a rule, organ-preserving treatment is not used, the uterus is removed completely with the cervix, usually (but not always) with preservation of the ovaries. The operation is carried out minimally invasively, endovideoscopically through small incisions on the peritoneum. Advantages: low trauma, short hospital period, reduced service life, cosmetic effect and less risk of postoperative complications.
Hysteroscopic myomectomy is performed by introducing a special chamber and loop into the uterine cavity through the vagina, with which myoma is cut.
During focused ultrasound surgery, the node is remotely heated and coagulated, and with the help of MRI, the degree of heating and accuracy of the procedure are monitored. As a rule, FUSE-MRI is performed for patients from premenopausal age with 1-3 myomatous nodes. In fact, this procedure is not an operational intervention, on the same day, or the next day the patient can be discharged.