Ginekološke operacije

Gynecological surgeries

In the field of gynecology, which covers one of the most intimate aspects of women’s health, we perform diagnostic and surgical procedures on the cervix, uterus, ovaries, fallopian tubes, vagina, and external genitalia. We use the most advanced and proven surgical approaches, including minimally invasive techniques that allow for precise diagnostics, safe treatment, and quick recovery. Our approach focuses on the individual needs of each woman, adapting to her stage of life and lifestyle, general health condition, anatomy, and tissue characteristics.

About the service

Due to increasing awareness, longer life expectancy, and the influence of the modern lifestyle, the need for comprehensive gynecological care is also growing. Modern gynecology is based on individualized treatment, precise diagnostics, and minimally invasive therapeutic approaches. In addition to advanced technologies that enable early detection and effective treatment of benign, precancerous, and cancerous changes, a respectful and humane approach to every woman remains essential, taking into account the sensitivity of this field and ensuring women’s trust and support.

We provide our patients with quick access to diagnostics and treatment, guiding them through the entire process – from the first examination to final care. The possibility of carrying out both diagnostic procedures and immediate treatment – whether outpatient or surgical – in one setting forms the foundation of a modern and efficient gynecological approach. We also collaborate with specialists from other fields, which allows for even more comprehensive and coordinated care.

Comprehensive, integrated, and at the same time individualized treatment is essential in managing many gynecological conditions, ensuring a positive patient experience and optimal treatment outcomes.

Gynecological Diagnostic Procedures and Surgical Interventions

External Genitalia and Vagina

Changes to the external genitalia (vulva) and vagina can be completely benign or a sign of more serious diseases, which is why accurate and immediate diagnosis is essential for timely and appropriate treatment.

Vulvoscopy and Vaginoscopy
A precise examination of the vulva and vagina under magnification using a special optical device in cases of visible changes (e.g., pigmented lesions, ulcers, growths) or suspicion of HPV infection, precancerous and cancerous changes, as well as problems such as chronic itching and pain.
Biopsy of the Vulva or Vaginal Wall
Removal of a small tissue sample for histological (microscopic) analysis. Performed when suspicious changes cannot be reliably defined solely by clinical examination.
Removal of Vulvar or Vaginal Wall Lesions
Surgical removal of pigmented, raised, or otherwise atypical changes (growths, suspicious pigmentation, ulcers). The removed tissue is sent for histopathological analysis to precisely define the change and plan further treatment.
Laser Treatment of Vulvar and Vaginal Lesions
Used to treat certain benign and HPV-related changes, such as condylomas, low-grade precancerous changes, or atrophic changes of the vaginal mucosa in postmenopausal women.

Cervix

Early detection of precancerous and cancerous changes of the cervix through preventive screenings and appropriate diagnostic procedures allows for timely and effective treatment.

Colposcopy
A detailed examination of the cervix under magnification using a special optical device (colposcope), which allows for a more accurate assessment of cervical changes. Performed in cases of abnormal cervical smear results (PAP test, HPV test), suspicious findings during a clinical examination, unusual discharge, or bleeding after sexual intercourse. It is often the first step in diagnosing precancerous changes.
Cervical Biopsy
Removal of a small sample of altered cervical tissue for histopathological analysis. Used to accurately determine the nature of the change – whether it is benign, precancerous, or cancerous.
Endocervical Curettage
Scraping of the mucosa of the cervical canal (endocervix) when there is suspicion of changes that cannot be reached or assessed by a regular smear or biopsy. Often performed alongside colposcopy and biopsy, or in cases of atypical PAP test results.
Conization (Classical or LLETZ Conization)
A surgical procedure in which a cone-shaped part of the cervix is removed where precancerous changes have been confirmed. Conization also allows for precise histological assessment of the lesion and serves as a therapeutic intervention. In most cases, we perform LLETZ conization (Large Loop Excision of the Transformation Zone) using an electrical loop, which is less invasive than classical conization.
Laser Treatment of the Cervix
Used for the treatment of certain low-grade precancerous changes and benign lesions. Allows for the precise removal of altered tissue with the aim of preserving as much healthy cervical tissue as possible and reducing the risk of complications in potential future pregnancies.

Uterine Body and Endometrium

Changes in the uterus can significantly affect a woman’s quality of life, particularly due to problems with bleeding, pain, or fertility. Modern gynecology enables comprehensive management of these conditions through precise diagnostics and minimally invasive surgical approaches tailored to the individual.

Transvaginal and Transabdominal Expert Ultrasound of the Reproductive Organs
An in-depth and dynamic imaging examination used to assess the uterine body (myometrium) and the endometrium. It is applied in the diagnosis of fibroids, polyps, congenital uterine anomalies, adenomyosis, suspicious changes, and for monitoring uterine tumors, as well as in evaluating menstrual issues, fertility problems, or postmenopausal bleeding.
Hysteroscopy (Diagnostic and Therapeutic)
A minimally invasive endoscopic procedure in which a thin camera is inserted through the cervix for direct visualization of the uterine cavity. It allows precise evaluation of the endometrium, diagnosis of abnormal bleeding, infertility, or unusual ultrasound findings. Hysteroscopy often also enables simultaneous treatment – removal of polyps, small fibroids, congenital septa, retained pregnancy tissue, or endometrial ablation in cases of heavy bleeding. It is highly effective and typically performed without hospitalization.
Laparoscopy (Diagnostic and Therapeutic)
A minimally invasive endoscopic surgical technique in which, through small incisions in the abdominal wall, the reproductive organs and the entire pelvis are examined with a camera and fine instruments. For the uterus, it is used to diagnose and treat conditions such as fibroids, endometriosis, congenital anomalies, or suspicious masses.
- Myomectomy
  Surgical removal of fibroids (benign tumors) to relieve symptoms such as pain, pressure, heavy bleeding, or to improve fertility prospects. It is usually performed laparoscopically, but in some cases abdominally or hysteroscopically – the choice depends on the number, size, and location of the fibroids.
- Hysterectomy
  Removal of the uterus (with or without the cervix) for indications including fibroids, chronic and heavy bleeding unresponsive to other treatments, adenomyosis, uterine prolapse, and precancerous or cancerous changes. It is most often performed laparoscopically, but in some cases vaginally or abdominally. The approach is tailored individually based on the clinical picture, extent of changes, general health, and patient preferences.

Ovaries and Fallopian Tubes

Changes in the ovaries and fallopian tubes can be completely harmless and related to physiological, cyclical changes of the reproductive organs. However, if they persist, grow, change in appearance, or cause symptoms (such as pain, pressure, bloating, irregular bleeding, or suspicion of malignant processes), they require monitoring or immediate intervention. Modern management is based on high diagnostic accuracy and minimally invasive surgical approaches, with consideration for fertility preservation whenever possible and safe.

Transvaginal and Transabdominal Expert Ultrasound of the Reproductive Organs
An in-depth and dynamic imaging examination used to assess ovarian morphology and function, as well as changes in the fallopian tubes and surrounding pelvic structures. It is used to detect physiological changes related to the menstrual cycle, benign formations (endometriomas, dermoid cysts, cystadenomas), signs of inflammation (pelvic inflammatory disease, tubo-ovarian abscess), as well as to identify borderline malignant and suspicious tumors of the ovaries and fallopian tubes.
Transvaginal Ultrasound-Guided Aspiration
A targeted collection of fluid or tissue from the reproductive organs or pelvic changes under ultrasound guidance. Primarily used for diagnostic purposes when confirming the nature of a change is necessary to plan further treatment.
Laparoscopy (Diagnostic and Therapeutic)
A minimally invasive surgical technique that enables a precise examination of the reproductive organs and the entire pelvis. It is used for unexplained pain, infertility, detection of endometriosis, or suspicious masses. In addition to diagnostics, it allows simultaneous therapeutic procedures, such as:
- Removal of Cysts or Ovary (Oophorectomy)
  Surgical removal of benign or suspicious formations. If possible, only the cyst is removed (cystectomy or cyst enucleation), part of the ovary, or the entire ovary. Efforts are made to preserve as much healthy ovarian tissue as possible, provided it is safe given the nature of the change.
- Removal of Fallopian Tube (Salpingectomy) or Fallopian Tube with Ovary (Adnexectomy)
  Performed in cases of ectopic pregnancy, severe infections, chronic pain, or suspicion of malignant changes.

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asist. Mateja Lasič, dr.med.

specialist in gynecology and obstetrics

Head of the gynecology and obstetrics department at MD Medicina. She performs specialist examinations and a wide range of gynecological procedures, focusing on a comprehensive, individualized approach for each patient.

Opinions of satisfied customers

Our patients' opinions testify to the trust, professionalism, and personal approach that we implement in our work every day.

MD Medicina has friendly and, above all, professional staff. The anesthesiologists make sure you feel really safe. The surgeon gives you all the information and does his job professionally, taking care of you until you leave and of course afterwards. The nurses, physiotherapist and others make sure you don't miss anything, even if you really can't do anything at that time. Professionalism, friendliness, homeliness. This is probably all that we as patients want and deserve when we need surgery. And that's how I felt too, because everything, from the preparation for the procedure, the surgery and the postoperative care, was carried out superbly. Thank you to the entire team and all the best!

Katarina Sinkovec

Thank you to all of you who use the latest medical devices, methods and forms of work in your medical work. At the same time, you are training a new generation of doctors because you are personally convinced that a collaborative approach with the patient is not only beneficial for you, but also for us. This makes us feel "important".

Alenka Čurin Janžekovič & Marijan Janžekovič

When you enter the MD medicine building, you feel more comfortable than not, because you don't immediately have that familiar and unpleasant feeling and smell of a hospital. You are greeted by a friendly nurse who greets you kindly and explains everything you are interested in. Everything has a relaxing effect, so that that last feeling of anxiety before a doctor's examination or surgery really goes away. The doctor you visit is a top expert who devotes himself entirely to you, really listens to you, has time for you and, in the end, gives you professional advice. I always leave the premises of MD medicine calm and with a clear picture that there are people here who will always take care of you. Therefore, a sincere thank you to all of you.

Neda Fabrizio

I have had a personal doctor at MD medicine since 2017. From the very first visit, I entered the above-standard world of the health concession: a polite reception at the clearly arranged main entrance, a bright waiting room without crowds, an examination time at the agreed time in a modern and pleasantly equipped clinic, a friendly nurse who knows me by name, a relaxed and highly professional doctor who has time both to listen and to treat me. In the same building, I can also have a laboratory and many other health services performed. I can arrange orders, referrals, prescriptions, advice via email or by phone, which someone always answers... The high-quality system of MD medicine works not only for the benefit of the patient's health, but also dignity.

Maja Ivanic

Frequently asked questions

Do you have questions? Here you will find answers to the most frequently asked questions related to our services and procedures. If you cannot find the answer, please contact us - we are happy to help you.

Most outpatient procedures, such as LLETZ conization, diagnostic hysteroscopy, and laser removal of lesions, are performed under short local or superficial anesthesia. Depending on the patient’s preferences and the extent of the procedure, short general anesthesia without hospitalization can also be chosen.

After laparoscopy, most patients return to light activities within 3–5 days and usually resume work after 10–14 days. Recovery after traditional abdominal surgery is longer, typically 4–6 weeks for full return to normal function.

Yes. All surgically removed tissue (polyps, fibroids, skin lesions, cervical cone, etc.) is always sent for histopathological examination to determine the exact nature of the change and plan further management.

Typically, a specialist gynecological examination, transvaginal ultrasound, basic laboratory tests, and, if necessary, MRI or CT are performed if the location or size of the mass is not clearly visible on ultrasound. The anesthesiologist will also assess your overall health condition.

If healing has progressed without complications, pregnancy can usually be planned about three months after the procedure. During pregnancy, the length of the cervix is regularly monitored to detect any risk of preterm birth in time.

Gynecological surgeries

About the service

Gynecological Diagnostic Procedures and Surgical Interventions

Book an appointment

Expert team

Opinions of satisfied customers

Frequently asked questions

Will minor procedures (e.g., conization, hysteroscopy) be performed under local or general anesthesia?

How long is the recovery after laparoscopy compared to traditional surgery?

Do you always send removed tissue for histological analysis?

Which examinations will I need before surgery for a fibroid or cyst?

How soon after conization can I become pregnant again?