We provide urogynecological care.
Guarantee for the result

When urogynecology is required


The issue of urogynecological care arises in cases of combined disorders of the urinary and female reproductive systems, etc.

Urogynecological care is usually performed using specialized instruments and technologies, a wide range of instrumental and laboratory parameters, if necessary. This allows the doctor to accurately determine the nature of the disorders and provide appropriate medical care. Special equipment allows for medical interventions with minimal damage to surrounding tissues.

Timely and properly provided urogynecological medical care allows patients to return to normal life and maintain or restore its quality.

At the Valikhnovski Surgery Institute, we specialize in addressing a variety of issues, including: Get acquainted
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  • diagnosis of gynecological diseases
  • diagnosis of urological diseases in women
  • diagnosis of urogynecological diseases
  • treatment of gynecological diseases
  • treatment of urological diseases in women
  • treatment of urogynecological diseases
  • cervical ectopy
  • cervical dysplasia
  • endometrial pathology
  • uterine fibroids
  • benign ovarian neoplasms
  • ovarian cysts
  • multiple ovarian cysts
  • ovarian apoplexy
  • para-ovarian cysts
  • torsion of the uterine appendages
  • obstruction of the fallopian tubes
  • enlargement of endometrial tissue
  • endometrial and cervical polyps
  • endometriosis
  • problems with conception
  • infertility of unclear genesis
  • congenital anomalies of the genital organs
  • irregular menstruation
  • unusual bleeding from the uterus
  • ovarian tumors
  • inflammation of the appendages (tubes and ovaries)
  • hydrosalpinx
  • ectopic pregnancy
  • consequences of inflammation and sexually transmitted infections
  • abnormalities in the development of the internal genital organs
  • urolithiasis
  • urethritis
  • cystitis
  • chlamydia
  • trichomoniasis

If needed, our doctors provide consultations not only in Ukraine but also worldwide, both at our clinic in Kyiv and online through prior appointments. Comprehensive diagnostics, treatment, and prevention are offered.

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  • 25

    Years of experience

  • 511262


  • 850

    A modern clinic in the center

  • 13216

    Successful operations

  • 52

    Unique surgical techniques

  • 28

    Branch of surgery

  • 43

    Units of the latest equipment

  • 30 %

    Charitable surgical assistance


Consultation and examination concerning urogynecology

You should promptly consult regarding urogynecology if you experience the following symptoms:

  • pain in the lower abdomen
  • the appearance of abundant foamy or smearing discharge that causes discomfort
  • bloody discharge or bleeding from the genital tract
  • irregular menstruation
  • discomfort in the intimate area (dryness, itching, burning, pain, etc.)
  • appearance of masses in the genital area
  • unpleasant symptoms of the genitourinary system
  • urinary disorders
  • pain during urination
  • frequent urge to urinate
  • difficulty urinating
  • burning sensation during urination
  • enuresis
  • changes in urine (sediment, blood, discoloration)
  • manifestations of inflammatory and infectious diseases
  • pain in the area of the kidneys, perineum, external genital organs
  • discharge from the reproductive organs with a change in color or odor
  • metabolic disorders that lead to the formation of insoluble compounds and the risk of developing kidney stones
  • suspicion of neoplasms in the urinary system
  • the presence of chronic diseases of the genitourinary system
  • the need for an annual mandatory preventive examination
  • other signs that cause concern
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A urogynecology consultation includes:

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interview (the doctor asks about complaints, learns about medical history and life);

external clinical assessment (the patient will be thoroughly examined, palpated, all altered areas and the condition of each organ system will be examined)

laboratory examination (both general clinical tests and special tests);

instrumental examination (to determine both the general condition of the body and those areas where changes have developed);

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    Main methods of urogynecology

    Urogynecology include a variety of procedures such as: Get acquainted
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    • gynecologist consultation
    • consultation by urologist
    • consultation of an endocrinologist
    • consultation with a mammologist
    • consultation with an oncologist
    • consultation of a specialist in prenatal diagnostics
    • ultrasound examination (ultrasound)
    • compression elastography
    • radiography
    • metrosalpingography
    • mammography
    • computer tomography (CT)
    • magnetic resonance imaging (MRI)
    • colposcopy
    • colpocytology
    • electrocardiography
    • cardiotocography
    • folliculometry
    • cytological examination of exfoliative material
    • scraping from the cervical canal
    • urethroscopy
    • ureteropyeloscopy
    • cystoscopy
    • hysteroscopy
    • operations of the 1st category of complexity
    • operations of the 2nd category of complexity
    • operations of the 3rd category of complexity
    • laparoscopy
    • laparotomy
    • condyloma removal
    • papilloma removal
    • destruction of the cervical epithelium
    • hysterectoscopy
    • hysterectomy
    • endometrial aspiration
    • installation of an intrauterine device
    • removal of the intrauterine device
    • urolithotripsy
    • nephrectomy (removal of the kidney)
    • kidney resection
    • plastic surgery of the ureteric segment
    • removal of tumors
    • puncture nephrostomy
    • stenting of ureters
    • epicystostomy
    • resection of the kidney or bladder
    • treatment of prostate adenoma
    • removal of urinary stones, cysts of the epididymis and spermatic cord
    • fixation of a wandering kidney 
    • cervical canal dilatation (expansion) 
    • removal of papillomas, condylomas of the perineum and external genitalia
    • cervical canal buzzing, uterine cavity sanitation
    • reconstruction after post-traumatic tears
    • removal of cystically altered bartholin gland
    • removal of paraurethral cysts
    • removal of epididymal cysts
    • removal of urethral polyp
    • removal of a paraurethral cyst
    • endourethrotomy
    • transurethral resection of bladder tumor
    • transurethral resection of bladder tumor due to leukoplakia or polyp
    • ureterocele surgery
    • cystolithotripsy
    • trocar cystostomy
    • surgical cystostomy
    • TVT-O operation (inside-out tension-free vaginal tape – obturator, TVT-O)
    • transvaginal vesicovaginal fistula repair
    • vaginal vesicovaginal fistula repair 
    • combined vesicovaginal fistula repair
    • ureterocystostomy (reimplantation of the ureter)
    • cystolithotomy
    • laparoscopic removal of a kidney cyst
    • laparoscopic kidney resection
    • laparoscopic nephrectomy
    • laparoscopic pyelolithotomy 
    • nephrostomy
    • unilateral laparoscopic nephropexy
    • laparoscopic plastic surgery of the ureteric segment
    • laparoscopic ureterolithotomy
    • open ureterolithotomy
    • percutaneous nephrolithotripsy of a kidney calculus
    • fibroscopic transurethral nephrolithotripsy
    • laparoscopic adrenalectomy
    • resection of ureter (with tumor) laparotomy 
    • laparoscopic resection of ureter (with tumor) 
    • combined nephroureterectomy with transurethral resection of the ureteral meatus (laparoscopic and endoscopic)
    • laparotomy nephrectomy with transurethral resection of the ureteral opening
    • laser opening of ureteral stricture 
    • laparoscopic Boary ureteral plastic surgery
    • open Boary ureteral plastic surgery 
    • laparoscopic para-aortic lymphadenectomy (in combination with nephrectomy)
    • lymphadenectomy (in combination with nephrectomy) laparoscopic para-caval lymphadenectomy 
    • lymphadenectomy (in combination with nephrectomy) laparoscopic combined (para-aortic and para-caval)
    • internal optical laser urethrotomy
    • ureterocele surgery (laser dissection)
    • bladder wall resection 
    • revision of the kidney for paraneural hematoma lumbotomy 
    • revision of the kidney for paraneural hematoma laparotomy 
    • lumbotomy, kidney revision for purulent forms of pyelonephritis
    • lumbotomy, revision of the kidney in purulent forms of pyelonephritis with paranephritis
    • laparotomy revision of the bladder, suturing of the tear, cystostomy
    • bladder sanitation
    • replacement of nephrostomy
    • removal of a kidney cyst by open access
    • removal of a foreign body in the bladder
    • nephrostomy under X-ray control
    • Instillation of the bladder
    • change of epicystostomy
    • installation of a permanent urethral catheter
    • shock wave therapy
    • urethral buzzing 
    • cystoscopy
    • ureteral stenting
    • removal of ureteral stent
    • laser ureterolithotripsy
    • ureterolithoextraction
    • laser transurethral lithotripsy of renal pelvic calculus
    • percutaneous puncture of the kidney cyst with the introduction of sclerosant
    • laparoscopic plastic surgery of the ureteric segment
    • transurethral resection-biopsy of bladder neoplasm
    • urethral buccalization
    • removal of a permanent urethral catheter on an outpatient basis
    • sampling of biological material for research in urology
    • intraoperative use of a disposable flexible ureterorenoscope
    Preparation for operations in uroginecology follows general principles for surgical interventions: Get acquainted
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    in case of taking any medications, inform the doctor and agree with him/her (it may be necessary to limit them or change the dosage, regimen)

    for several days before the operation, follow a sparing diet, water and drinking regimen; if you have constipation, take laxatives, use enemas and do not drink alcoholic beverages - so that the body reacts more adequately and predictably to anesthesia and other drugs

    refrain from eating for 6-12 hours before the surgery, and 2-4 hours before the surgery do not drink, chew gum, smoke - to protect against the ingestion of stomach contents into the respiratory system during anesthesia

    on the day of surgery, take a shower, cleanse the intestines with an enema to prevent spontaneous passage of feces during anesthesia due to sphincter relaxation

    immediately before the operation –

    - removable objects (piercing jewelry, dentures) are removed from the mouth and face so that they do not accidentally get into the respiratory system or interfere with the surgical intervention during the operation
    - remove other items (contact lenses, hearing aids, jewelry.) to prevent accidental injury to the body and to prevent them from getting damaged
    - remove cosmetics (makeup, nail polish, false nails) from the body to facilitate visual assessment of the body's condition and automated registration with medical equipment
    - empty the bladder and, if necessary, the intestines to prevent spontaneous bowel movements during anesthesia
    - change into special clothes provided by the clinic.

    other preparatory measures can be taken in addition, taking into account individual characteristics of the body and the specifics of the surgical intervention

    How an uroginecology is performed


    The main stages:

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    • 1
      The patient is either brought to the operating room

      on a gurney or escorted on foot. At the gateway, they put on a medical cap and shoe covers (to protect against microorganisms in the air of the operating room).

    • 2
      Surgical operations are performed

      by an operating team of a certain composition, taking into account the specifics of each operation.

    • 3
      The patient is placed on the operating table

      (depending on the specifics of the operation, the body position may differ), and fixed to it with special straps to prevent accidental involuntary movements that would interfere with the operation, as well as to prevent accidental falling of the body from the table.

    • 4
      The nurse anesthetist

      punctures a vein in the arm, installs a catheter to administer the necessary drugs, places electrodes on the body to monitor the electrical activity of the heart, puts a blood pressure cuff on the shoulder and a sensor on the finger to determine the oxygen content in the blood. All this is necessary for continuous monitoring of the body's condition during anesthesia and surgery.

    • 5
      The further course of the operation depends on the specific task,

      the area of the body where the intervention is performed, and the specifics of the chosen surgical tactics, technique, etc.



    Postoperative period and rehabilitation

    After the operation, the patient wakes up in the ward for postoperative observation. If necessary, oxygen may be administered through a thin tube to ensure that the body has enough oxygen. The nurse will carefully monitor the patient’s condition and, if necessary, use medications agreed with the doctor.

    Before returning home, the doctor will examine the postoperative sutures, agree on the tactics of further rehabilitation, and give additional advice.

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      Oleksiy Sukhanov

      Journalist, radio presenter, TV presenter. Host of the talk show "Ukraine Speaks" on the "UKRAINE" TV channel.

      Andrii Danylevich

      Journalist, presenter of the programs "Applies to everyone", "Coolest of all" on the "INTER" TV channel.

      Gennady Fuzailov

      A pediatrician and anesthesiologist, he works at the Shriners Hospitals for Children Boston clinic, which belongs to Harvard University. Is a leader in the field of children's medicine.

      Larisa Dyatlyuk

      Participant of the project "I am ashamed of my body" TV channel "STB".


      What is treated in urogynecology?

      Urogynecologic surgeons treat conditions that include stress urinary incontinence, urinary dysfunction, pelvic organ prolapse, complications from childbirth or surgery, chronic pelvic pain, and genital disorders related to urological and gynecological conditions. They also diagnose and treat disorders related to the bladder and other pelvic organs, using both conservative and surgical methods of treatment. These specialists can not only restore the functionality lost due to a pathological condition, but also recreate the appearance.

      What are the symptoms to visit a urogynecologist?

      A visit to a urogynecologist is recommended for the following symptoms pain in the lower abdomen, heavy foamy or smearing discharge that causes discomfort, bloody discharge or bleeding from the genital tract, irregular menstruation, discomfort in the intimate area, including dryness, itching, burning and pain, the appearance of neoplasms in the genital area, unpleasant symptoms from the genitourinary system, urinary disorders pain during urination, frequent urge, difficulty urinating, burning sensation, enuresis, changes in urine, pain in the kidneys, discharge from the reproductive organs, decreased sexual desire, metabolic disorders, suspected neoplasms in the urinary system, chronic diseases, sexual dysfunction and other signs of concern. If you have these symptoms, timely medical attention can ensure effective treatment and prevent possible complications. In addition, you can visit a urogynecologist as part of a preventive examination.

      When is urogenital surgery necessary?

      Indications for urogenital surgery are serious diseases of the urinary and/or reproductive systems, conservative treatment of which has either already proved ineffective or is highly unlikely to achieve the desired results. These are mostly significant neoplasms (e.g., tumors of the kidneys, bladder, ovaries, uterus), complicated forms of urolithiasis, genitourinary abnormalities, endometriosis, severe pelvic organ prolapse, severe forms of stress urinary incontinence, etc.

      Is there a guarantee for urogynecological treatment?

      The warranty for urogynecological treatment covers implants and other medical consumables and equipment. It guarantees the provision of surgical treatment services in accordance with modern medical advances, the high level of qualification of the clinic’s specialists and the technical equipment of the clinic. The final clinical effect is influenced by many factors that depend not only on the doctor and the clinic, such as individual characteristics of the body, lifestyle, environmental circumstances, and stress factors.

      How to prepare for urogynecological surgery and what are the possible complications?

      Preparation for urogynecological surgery includes a preliminary examination and consultation with a surgeon, a comprehensive examination with photo and video analysis of appearance, anthropometry, consultation with related specialists (if necessary), etc. Immediately before surgery, the principles of preparation do not differ significantly from those generally accepted in surgery.
      Possible complications after urogynecological operations include general surgical complications (bleeding and thrombosis, infectious and inflammatory conditions) and more specific to this particular area (postoperative defects of the urogenital area, etc.). Careful preparation for the operation, highly qualified experienced medical staff, modern high-tech equipment and well-coordinated work of the team of doctors and other clinic staff minimize the risks of complications.

      What are the contraindications to urogynecological laparoscopic surgery?

      Relative contraindications to facial surgery are conditions whose severity critically increases the risks of surgical treatment, such as infectious, mental, gastrointestinal diseases, as well as unstable hemodynamics, shock or coma, obstructive respiratory diseases, respiratory failure, purulent peritonitis, pregnancy, third (severe) degree obesity, exhaustion, diaphragmatic hernias, malignant tumors, repeated interventions in the past, acute respiratory viral infection, etc.

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      Find out the cost of services or get a consultation by filling out the form