Gynecology and Senology

The Gynecology and Senology Department provides a high standard of professional and technological assistance equipped with beds that are electronically controlled, with anti-decubitus devices and real-time registration of computer-based medical data all of which can be found in an environment of high level comfort. The Gynecology and Senology Operational Unit is made up of specialized doctors focussed on a conventional and invasive diagnosis, medical-pharmacological management and surgical treatment of female reproductive system diseases. The combination of the gynecology and senology disciplines demonstrates the team’s true strong point which distinguishes itself for its ability to understand and manage the biological and pathogenic complexity of the various issues tied to women’s health in all its uniqueness. Specifically, the team works in close collaboration with a specialist in Plastic Surgery in order to treat women affected by gynecological and breast cancer, in addition to congenital diseases of a system, by planning diagnostic analysis or minimally invasive outpatient services as well as surgical treatments within specific medical procedures.

• Base diagnosis and a highly complex instrumental analysis (invasive diagnostic procedures under ultrasound, colposcopic and endoscopic guidance) incorporated with highly technological procedures of radiological diagnosis
• Gynecologic oncology surgery which is supported in the operating room by integrated display technology with 3D/4K vision and by infrared cameras in order to search for the sentinel lymph node under the fluorescent indocyanine green tracer guidance
• Gynecologic surgery to treat benign diseases (such as polyps, fibromas, benign ovarian formations and endometriosis) through a minimally invasive endoscopic and laparoscopic approach and high tech support
• Senologic and oncoplastic breast surgery supported by magnetically guided technology in order to locate small injuries and by a fluorescent tracer to search for the sentinel lymph node
• Plastic reconstruction through implants, adipose tissue grafts or flaps
• Lymphatic revascularization procedures in order to prevent or treat lymphedema in the arms
• Post-operative rehabilitation and prevention of lymphedema
• Medical and radiological monitoring procedures for women with genetic mutations or coming from families considered at risk who are also given the possibility to undergo preventive or risk reduction surgery (such as a mastectomy with reconstructive surgery and laparoscopic oophorectomy)
• Surgery of congenital gynecological and breast malformations
• Psychological and nutritional support during the various treatment phases

• General gynecology outpatient services - routine and preventive check-ups, endocrinologic gynecology, diagnostic placement of a benign gynecological disorder (uterine polyps, uterine myomas/fibromas, benign ovarian formations)
  • gynecological visit
  • pap test
  • HPV DNA test
  • Vaginal swab
  • Transvaginal ultrasound
  • Hysterosonography
  • Post-operative medication

• Outpatient services for first surgery visits  - gynecological disorder needing surgery
  • Gynecological visit 
  • Transvaginal ultrasound
  • Surgery consulting

• Outpatient services for vulvar diseases - diagnostic and therapeutic placement of a vulvar disease: benign diseases (such as vulvar lichen planus and vaginal atrophy), neoplastic diseases (VIN and dysplasia), neoplastic diseases of morphological/congenital abnormalities of the vulva 
  • vulvoscopy
  • vulval biopsy 
  • ultrasound of inguinal lymph nodes 
  • invasive ultrasound-guided diagnosis (fine needle aspiration, needle biopsy of inguinal lymph nodes)
  • surgery consulting 
  • oncological follow-up of vulval diseases

• Colposcopic outpatient services  - diagnostic classification of female lower genital tract diseases: pap test abnormalities, pre-neoplastic and neoplastic diseases of the vagina and cervix 
  • colposcopy
  • cervical and vaginal biopsy under colposcopic guidance
  • pap test
  • HPV DNA test

• Oncological gynecology outpatient services  - diagnostic and treatment strategy (medical and surgical therapy) classification of female reproductive system malignancies (ovaries, uterus, cervix, vagina and vulva); monitoring and prophylactic/protective surgery regarding cases of family history of ovarian and endometrial cancer 
  • first gynecologic oncologic visit 
  • oncologic transvaginal ultrasound 
  • oncologic gynecology surgery consulting 
  • consulting regarding family history of ovarian and endometrial cancer 
  • multidisciplinary consulting
  • oncologic gynecologic follow up

• Endometriosis outpatient services - diagnostic and treatment strategy (medical and surgical therapy)
  • gynecology visit
  • transvaginal ultrasound 
  • surgery consulting

• Outpatient senology services - breast and axillary lymph node diseases: malignancies (breast cancer); family history for breast cancer; benign diseases (cysts, fibroadenomas, inflammatory diseases); breast malformation disease
  • Senologic visit 
  • Breast and lymph nodes ultrasound 
  • Invasive ultrasound-guided diagnosis (needle aspiration, needle biopsy of breast, axillary and supraclavicular lymph nodes) 
  • Oncologic and oncoplastic surgery consulting for breast cancer 
  • Plastic and reconstructive breast surgery consulting 
  • Senologic surgery consulting for benign diseases 
  • Multidisciplinary consulting
  • Oncological follow-up 
  • Family history consulting regarding breast cancer 
  • Post-operative medication