Operative procedures requiring hospitalization

So you know why we recommend surgery and what to expect

Deciding on surgery can bring worries — about pain, the hospital stay, recovery and how the procedure will affect your life afterward. At G‑Innova, we will first go through the reason for surgery and the treatment options with you. We take into account your symptoms, your health and your wishes for the future.

You will have room to ask about the expected benefits, the risks and whether there is a suitable treatment without surgery. It is important that you understand the recommended approach.

Where we perform surgery

Procedures that require full surgical, anesthesia and inpatient facilities take place at partner facilities. Our doctors personally perform selected operations at ISCARE, Roudnice nad Labem Hospital and Brandýs nad Labem Hospital.

We will agree on the location with you based on the type of surgery, your health and the follow-up care you need. Some procedures can be done on a same-day basis, while others require a hospital stay. Its length also depends on how you recover after the procedure.

Surgery in the uterine cavity

In operative hysteroscopy, we use a thin scope inserted through the cervical canal. Without an abdominal incision, it is possible, depending on the finding, to remove a polyp, some fibroids or adhesions, for example. We send the removed tissue for histological examination, which helps determine the finding precisely.

Laparoscopy, fibroids and cysts

Laparoscopic surgery is performed through small incisions in the abdomen. It can be used to remove an ovarian cyst or selected fibroids, or to clarify and treat certain findings in the pelvis. Whether it is suitable depends on the nature of the condition and your previous treatment.

When operating on a cyst, we try to preserve the healthy part of the ovary whenever possible. In some cases, fibroids can be removed while preserving the uterus. If you are planning a pregnancy or preserving the organ is important to you, we will discuss this when deciding on the extent of the procedure.

Removal of the uterus

A hysterectomy, or removal of the uterus, can be performed vaginally, laparoscopically or by a combination of these approaches, depending on the finding. Total laparoscopic hysterectomy involves removing both the uterus and the cervix. We choose the specific surgical approach based on the size of the uterus, the condition, previous surgeries and other circumstances.

After the uterus has been removed, it is no longer possible to become pregnant. However, removal of the ovaries is not automatically part of the procedure and is decided on separately. If the ovaries are preserved, the operation itself does not usually cause immediate menopause.

Urinary leakage and pelvic organ prolapse

Leaking urine when coughing or moving, a feeling of pressure in the vagina or a bulge can significantly limit everyday life. Based on a urogynecological examination, we will assess whether physiotherapy, a pessary or other non-surgical treatment can help, or whether a procedure is appropriate.

At ISCARE, our doctors perform a wide range of urogynecological operations: treatment of stress urinary incontinence, vaginal repairs, suspension procedures and combined procedures. They also perform selected repeat and corrective operations after previous treatment.

One option for treating prolapse is laparoscopic sacropexy, which restores support to the prolapsed organs by anchoring them in the area of the sacrum. We will explain whether it is suitable for you, what technique is planned and what its limitations and risks are.

When a specialized center is needed

If a gynecological cancer is suspected, your care continues at a gynecologic oncology center. Extensive endometriosis may also require specialized cooperation, especially if it affects the bowel or urinary tract. We will help you find your way through the next steps.

Preparation and recovery

Before surgery, you will receive instructions about tests, taking medications, fasting and admission. Do not stop any medications on your own. We will also discuss the expected recovery and practical questions in advance — sick leave, returning to physical activity or to your intimate life.

Surgery can be associated with bleeding, infection, injury to surrounding organs, a blood clot or an anesthesia complication. After pelvic floor procedures, symptoms may return, or new pain or changes in urination may occur. The risks vary depending on the procedure, and we will explain them with regard to your situation.

After discharge, follow the recommendations of the facility where you had surgery. If you have heavy bleeding, fever or worsening pain, contact them; if you experience sudden shortness of breath, chest pain or fainting, seek emergency help.

We will then discuss the results of the tissue examination and any further treatment with you. Care doesn’t end with surgery — healing, follow-ups and returning to everyday life are important too.