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Gynaecology Department

The Gynaecology Department provides comprehensive care for women and girls from the natural catchment area of Hořovice, but also from the wider surroundings. Gynaecology is a basic field of primary health care. It is focused on the prevention, diagnosis, treatment, dispensation of diseases of the female genital tract, as well as conditions related to the dysfunction of the female genital tract, management of the couple's fertility in a positive and negative sense. The spectrum of care of the gynaecological department consists in providing basic medical conservative and surgical care.

It provides diagnosis and treatment of gynaecological diseases - inflammations, tumours, sudden abdominal episodes. In surgical care, it performs small surgical procedures (curettage, abortion, conization, hysteroscopy), laparoscopic diagnosis of infertility - tubal patency, detection of endometriosis (adhesions in pelvic pain), laparoscopic surgery (sterilization, removal of pathologies on the ovary(s), fallopian tube(s), removal of the uterus), abdominal gynecological operations, surgical treatment of incontinence in women.
It also provides care for at-risk pregnant women - imminent miscarriage, imminent premature birth, internal complications - urinary infections, inflammation of veins, high blood pressure, pregnancy-related complications - eclampsia, fetal growth delay, placenta placement disorders.

Continuity of care with services of other departments

The gynaecologist and obstetrician collaborates with specialists of borderline disciplines, especially surgery, urology, internal medicine, endocrinology, neonatology, anaesthesiology, radiology, oncology, dermatovenerology, genetics, sexology and others.

Development plan

In the future, the department's development plan will focus on increasing the quality of service delivery in the field, expanding outpatient care and staffing.

Outpatient clinic

Ordering tel. no. 311 555 000
Results of examinations in the outpatient clinic tel. 311 554 203

DEPARTMENT

Contact the gynaecology department:

phone 311 554 207
E-mail gynekologie@nemocnice-horovice.cz

Information about postoperative status I only physician after 13:00:

After gynecological surgery tel. 311 554209 / 311 554 213,
311 554 222, 311 554 225

Ordering a superior room:

Gynecology Department tel. no. 311 554 207

Order system

In order to improve the organization of our inpatient care with regard to patients, an ordering system for small gynecological operations - hysteroscopy, curettage, conization, UPT and other gynecological procedures has been introduced. These procedures are performed daily by prior telephone appointment. Patients can make an appointment for the procedures on working days from 8:00 a.m. to 3:00 p.m. by calling 311 554 209 - the administrative worker of the gynaecological department, Ms. Antlová Renata. Acute cases will be dealt with on a priority basis.

Abortion pill

The gynaecological department performs non-surgical medical artificial termination of pregnancy using the so-called "abortion pill". This is an alternative method of terminating a pregnancy without instrumental intervention. Information about the procedure, conditions and price can be obtained from the gynaecology department at 311 554 209.

Where to come for an appointment?

On the day of your scheduled appointment, come to the gynecology department on the third floor between 7:00 am and 8:00 am.

Procedures for which written informed consent is required

  • Curettage
  • Cervical conization (LOOP)
  • Artificial termination of pregnancy
  • Laparoscopy diagnostic, operative
  • Hysterectomy vaginal, abdominal, laparoscopically assisted
  • TOT anti-continence tapes
  • Extirpation of cyst, Bartholin's gland abcess - chemical, surgical
  • Plastic surgery of the cervix
  • Hysteroscopy diagnostic, operative
  • Sterilization
  • Revision of the uterine cavity
  • Artificial interruption of pregnancy in the second trimester
  • Cerclage
  • Medical termination of pregnancy

Department structure


The gynaecology department consists of standard and superior inpatient rooms, IMCU rooms and a surgical theatre for minor gynaecological surgical procedures. No reservation is made for the use of the superior rooms.

Emergency service at the gynaecology department

The inpatient emergency service (IES) is provided on weekdays outside of the provider's regular office hours from 3:30 p.m. - 7:00 a.m. The provision of this service is regulated by a fee of CZK 90 for a clinical examination during the emergency period. On Saturdays and Sundays, including public holidays, the collection of the regulatory fee remains unchanged. The nursing staff is obliged to collect the following from clients or legal deputies in cases specified by law. In the case of emergency care provided by a physician on duty in the gynaecology and obstetrics department on the third floor, we ask clients to be patient.

The legal deputy and older sibling may visit at any time.

The recommended visiting hours in the gynaecology department are every day from 14:00 to 18:00.

Other visiting times can be arranged in consultation with the attending physician or nurse and taking into account the patient's health condition. In superior rooms, extended visiting hours are a matter of course if the treatment regime is respected. In the IMCU room (intensive care room), the recommended visiting hours are the same, the number of people and the length of the visit depend on the patient's health condition and the agreement with the nursing staff.

General instructions and information

Health information for the patient's relatives

Health information is confidential and can only be disclosed with the patient's consent to persons designated in writing by the patient at the time of admission to the hospital in the Consent for Hospitalization. It will be provided by the attending physician in the afternoon or by prior arrangement with the ward nurses.

  • Ultrasound machines (for three-dimensional (3D) and Live (4D) ultrasound examinations)
  • cardiotocographs
  • hysteroscope
  • resectoscope
  • colposcopes
  • vital signs monitors with central monitoring
  • nebulizer
  • defibrillator
  • suction devices
  • linear dispensers and infusion pumps
  • oximeter
  • ECG
  • glucometer

Urogynaecological outpatient clinic

Contact for outpatient clinic: 311 555 000

Specifics of the care provided:

The Urogynecology Outpatient Clinic offers women a comprehensive solution to pelvic floor static disorders - incontinence or urinary retention, various forms of pelvic organ descent and anal incontinence after childbirth, etc.


The equipment of the outpatient clinic enables advanced diagnostics including 4D ultrasound examination of the pelvic floor and is linked to urodynamic examination and cystoscopy possibilities at the urology department.


We advocate a modern approach whereby, after listening carefully to your concerns and carrying out a thorough examination, we are able to provide information which can inform your decision on what treatment you wish to undergo.


We very often discuss various non-operative solutions to problems in collaboration with the physiotherapy department, or through drug therapy. We offer surgical treatment when these methods have failed or are expected to have a high risk of failure. We always respect the woman's wishes regarding the retention or removal of the uterus as part of the reconstruction of the vaginal descent. We strive for a quick and adequate solution according to your possibilities and wishes.

 

Urogynaecological surgical procedures

Treatment of incontinence:

  • Retropubic Tape Tightening (TVT)
  • Transobturator Tape (TOT)
  • Application of Bulkamide to the urethral wall
  • Application of botulinum toxin into the bladder wall
  • Bladder distention
  • Management of TVT tape complications

Treatment of pelvic organ prolapse:

  • Vaginal reconstructive procedures without implant: anterior vaginoplasty, posterior vaginal wall reconstruction, perineal reconstruction, sacrospinal fixation, paravaginal defect surgery
  • Laparoscopic utero-vaginal suspensions with implant: laparoscopic sacrocolpopexy, laparoscopic sacrohysterocolpopexy, laparoscopic pectropexy
  • Management of complications of vaginal mesh surgery

Important information:

Attend your first appointment, if possible, with a referral from your treating physician, a negative urine culture and possibly a regular cervical cytology smear.


In case of urinary disorders, please, if possible, fill in a micturition diary, or at least count the number of times you urinate per day and night and the frequency of your problems.


If you need to have a urodynamic or cystoscopic examination, you will be given an appointment for this examination at the urology department, the results of which we will then consult in the outpatient clinic or by telephone.


After the urogynaecological procedures have been carried out, you will remain in the care of our outpatient clinic for the necessary time, after which we will transfer you back to the regular care of your gynaecologist.

 

Personnel

  • Physician prof. MUDr. Zdeněk Rušavý, Ph.D.

Office hours

Day Hours
prof. MUDr. Zdeněk Rušavý, Ph.D. Th 7:30 – 12:00 13:00 – 15:00