Diagnostics and primary indications for surgery

Prior to planning any intervention, the gynecological surgeon performs a comprehensive clinical exam and outlines the required diagnostic scope. The basic baseline package typically includes a pelvic ultrasound, which can be supplemented with diagnostic hysteroscopy, CT scans, and specialized lab workups as clinically indicated.

At Helyos, the entire diagnostic workup takes place under one roof: we host a private laboratory, an AI-enhanced 128-slice CT scanner, and digital mammography with built-in AI support. If any simultaneous changes are detected in the breast tissue, a cross-consultation with our expert mammologists is instantly arranged.

Surgical consultation is indicated for the following conditions:

• Uterine fibroids (myomas) accompanied by abnormal bleeding, pelvic pain, or rapid growth kinetics;
• Ovarian cysts that fail to regress naturally over observation cycles or require precise histological typing;
• Endometrial polyps and endocervical polyps;
• Endometriosis with severe, debilitating clinical symptoms;
• Tubal-peritoneal factor infertility and intrauterine adhesions (Asherman's syndrome);
• Pelvic organ prolapse (rectocele, cystocele);
• Ectopic pregnancy (an emergency condition);
• Cervical dysplasia requiring radical tissue clearance.

Important! A sudden, sharp, or severe pain in the lower abdomen — particularly when combined with a delayed menstrual cycle or a spike in body temperature — requires immediate emergency medical evaluation. The Helyos inpatient hospital and emergency operating rooms run 24/7 without exceptions. Our private ambulance fleet 7-103 is available for dispatch round the clock.

Primary classifications of gynecological operations

Helyos covers the entire operational spectrum within gynecology. The choice of the surgical approach depends on the diagnosis, the anatomical extent of the lesion, and the patient's individual reproductive plans.

• Laparoscopic Surgery: laparoscopic myomectomy, cystectomy, adnexectomy; advanced excision of endometriosis foci, and tubal sterilization.
• Hysteroscopic Procedures: hysteroscopic polypectomy, removal of intrauterine adhesions, resection of submucosal fibroids, and diagnostic/therapeutic curettage.
• Vaginal Surgery: anterior/posterior colporrhaphy, surgical correction of pelvic organ prolapse, and excision of Bartholin's gland cysts.
• Cervical Interventions: loop electrosurgical excision procedure (LEEP), radiofrequency conization, cervical biopsy, and treatment of high-grade dysplasia.
• Open Abdominal Surgery (Laparotomy): abdominal hysterectomy and open staging/resection for exceptionally complex multi-organ pelvic masses.

At Helyos, our surgical philosophy centers on prioritizing endoscopic approaches — specifically laparoscopic and hysteroscopic access paths.

Laparoscopy ensures superior, magnified visualization of the pelvic field, which vastly cuts down post-operative pain, limits tissue scar formation, and drastically speeds up the hospital discharge timeline compared to legacy open surgeries.

Hysteroscopic interventions are carried out completely transcervically — directly through the cervix without any abdominal incisions or punctures, providing the ideal approach for treating intrauterine pathologies.

Advantages of choosing a gynecological surgeon at Helyos Medical Center

Our gynecological surgeons provide continuous care across all milestones of treatment — from the primary consultation to the final post-operative follow-up. Following an intervention, a customized recovery protocol is designed, taking into account the surgical scope, age, and coexisting medical conditions.

Helyos is a comprehensive, multidisciplinary health center offering world-class services across diverse specialties: gynecology, mammology, endocrine care, vascular and general abdominal surgery, urology, bariatrics, orthopedic traumatology, ophthalmology, and ENT care. This allows us to resolve interconnected pelvic or systemic issues seamlessly within the same facility.

To check consultation fees, review the costs of gynecological operations in Dnipro, or book a medical appointment, you can reach out via our online scheduling portal or call the numbers on our website.