COLUMBUS GYNECOLOGY UNIT CENTER

WOMAN’S PROJECT

The aim of the “Woman’s Project Centre” is a 360°  assessment of a woman’s wellbeing, studying not only specific disorders of the genital apparatus but also taking into consideration any dysfunction and/or diseases of other systems as well as any psychosocial stress.

 

The following professionals are involved:

  • Gynecologist/urogynecologist
  • Urologist
  • Proctologist and Gastroenterologist
  • Geneticist
  • Plastic surgeon
  • Pelvic rehabilitation therapist
  • Psychologist/sexologist

With their particular skills, these specialists form the so-called “PELVIC UNIT”.

Drawing on the collaboration of multiple specialists, the PELVIC UNIT at the Columbus Center is organized as follows:

  1. Center for the diagnosis and treatment of pelvic prolapse and urinary and fecal incontinence
  2. Center for the diagnosis and treatment of rectal and urogenital tract fistulas
  3. Center for the prevention and early diagnosis of genital system tumors
  4. Center for diagnosis and treatment of the menopause

 

1) Center for the diagnosis and treatment of pelvic dysfunction

 

The Center treats the following disorders:

  • Female urinary incontinence
  • Female fecal incontinence
  • Utero-vaginal and rectal prolapse
  • Bladder emptying disorders
  • Outlet constipation

 

Diagnostic and therapeutic strategies:

  • Urogynecological assessment
  • Rectal assessment
  • Diagnostic ultrasonography
  • Diagnostic urodynamics
  • Diagnostic endoscopy (cystoscopy – anal endoscopy)
  • Imaging (Urination-Defecation NMR)
  • Micturating cystography

 

Vaginal surgical treatment (DRG):

  • Vaginal hysterectomy with bilateral adnexectomy
  • Vaginal suspension
  • Repair of cystocele
  • Repair of rectocele
  • Colpoperineoplasty

 

Abdominal surgical treatment (DRG):

  • Repair of vaginal vault prolapse

 

Medical treatment and rehabilitation physiotherapy

2) Center for the diagnosis and treatment of rectal and urogenital tract fistulas

 

Disorders treated:

  • Vesicovaginal fistulas
  • Rectovaginal fistulas

 

Diagnostic and therapeutic strategies:

  • Urogynecological assessment
  • Rectal assessment
  • Diagnostic ultrasonography
  • Diagnostic urodynamics
  • Diagnostic endoscopy (cystoscopy – anal endoscopy)
  • Fistulography

 

Surgical treatment:

  • Transvaginal repair of fistulas (multilayer technique)
  • Transabdominal repair of fistulas

 

3) Center for the prevention and early diagnosis of genital system tumors

 

Disorders treated:

  • Vulvar dysplasia
  • Cervical dysplasia (CIN1-3)
  • Endometrial hyperplasia
  • Ovarian cystic tumors

 

Diagnostic and therapeutic strategies:

  • Gynecological assessment
  • Transvaginal ultrasonography
  • Colposcopy (PAP test – biopsy)
  • Hysteroscopy (+ endometrial biopsy)
  • Genetic counseling
  • Mutation screening (BRCA1-2)

 

Treatments:

  • Radiofrequency/Laser ablation (vulva/cervix)
  • Cervical LEEP
  • Laparoscopic removal of ovarian cysts
  • Progestogen hormone therapy (for endometriosis)
  • Mini-invasive surgery (laparoscopic, vaginal)

 

4) Center for diagnosis and treatment of the menopause

 

The perimenopause, the period of a woman’s life characterized by gradual cessation of gonadal function, induces more or less sudden changes in neuro-hormonal, metabolic and psychological conditions which overlie those caused by the biological aging of the body.

Consequently, metabolic, hormonal, cardio-circulatory and neuropsychological disturbances and/or dysfunction occur frequently, generating a series of chronic, non-contagious and often disabling disorders.

Given the chronic nature of these disorders, referred to as “non-communicable” In Anglo-Saxons terminology, continued and, therefore, expensive treatment is required with resulting social, healthcare and welfare costs.

Dysmetabolic syndrome, cardio-circulatory disorders, osteoporosis, eating disorders, depressive syndrome, and autoimmune diseases are the most common problems and their diagnosis and therapy require the diversified skills of various specialists.

For a complete, correct approach, an Endocrinologist, Nutritionist, Immunologist, Cardiologist, Neurologist as well as a Gynecologist must be available.

The prevention of these disorders relies on check-ups that are personalized according to the risk factors that can be identified in individual subjects.

 

 

The surgeons of the Gynecology Unit are:

  • Prof. Rodolfo Milani – Unit Responsible –  Gynecologist/Urogynaecologist–www.dottormilaniginecologo.it
  • Dott. Salvatore Garsia – Gynecologist
  • Dott. Claudio Beati – Proctologist
  • Dott. Vincenzo Rapisarda –  Plastic Surgeon
  • Dott. Franco Combi –  Physiatrist