Gynaecology Clinic

A full range of modern obstetric services is offered, including:

Care during normal and high-risk pregnancies
Care during normal and high-risk births

• Fetal pulse oximetry
• Doppler ultrasound
• CTG monitoring (external, internal) including telemetry monitoring of the child until right before labour
• All standard analgesic procedures during labour, including spinal and epidural anaesthesia
• Gentle caesarean technique (Misgav-Ladach)

Special obstetric techniques

• Alternative birth positions (birth stool, on all fours, birth mat)
• Water births
• Acupuncture (also to prepare for labour)
• Aromatherapy
• Back flower therapy
• Reflexology
• Massage
• Qualified breastfeeding and lactation consultation (IBCLC)
• 24 hour rooming-in
• Integrated puerperium care

In cooperation with the Paediatric and Adolescent Clinic

• 24 hour presence of a paediatrician
• 6 incubators
• Neonatal hip ultrasound
• Neonatal hearing screening
• Phototherapy for hyperbilirubinemia

Pre-registration for childbirth
Pre-registration takes place in the maternity ward in a consultation with a midwife. The consultation generally lasts 30-45 minutes and consists of the midwife recording your personal data, noting your medical history and the course of your current pregnancy. Your personal preferences for the birth are discussed and, if necessary, a specialist appointment is arranged. An antenatal check-up can also be performed during the pre-registration.

To view the midwife website (in German only), please click on the following link: www.hebammen-starnberg.de

An appointment can be arranged online or by calling 08151/18-2576 Wednesdays to Fridays between 12 and 1 pm.

The department offers the entire spectrum of surgical and conservative gynaecology, including diagnostics and aftercare.

Diagnostics

• Diagnostic hysteroscopy
• Diagnostic laparoscopy
• Modern vaginal, abdominal and breast ultrasound diagnostics, including colour Doppler
• Ultrasound-guided biopsy of breast tumours (also punch biopsies)
• Colposcopy
• Cystoscopy

Operations

• Oncological surgery with lymphadenectomy for ovarian cancer, cervical and endometrial cancer, vulva cancer and vaginal cancer, including oncoplastic reconstruction (e.g. myocutaneous flap surgeries: Gracilis, tensor fasciae latae flaps, etc.)
• Incontinence and prolapse surgery, functional pelvic floor reconstruction (including TVT (Tension-free Vaginal Tape surgery)
• Breast surgery, including reconstruction (Latissimus dorsi, TRAM flap)
• All established minimally-invasive surgical procedures (laparoscopy and hysteroscopy)
• All standard gynaecological surgeries (hysterectomy, endometrial surgery, myoma enucleation etc.)

Other

• Outpatient and inpatient chemotherapy

Appointments
Gabriele Beringer
Tel.: (0 81 51) 18-23 10
Fax: (0 81 51) 18-23 27

Within the gynaecology department, the centre for paediatric and adolescent gynaecology headed by Dr. med. Sabine Anthuber has regular consultation hours for girls from birth to their late teens.

Diagnostics of

From birth to puberty

• Genital infections
• Skin changes and genital diseases (e.g. lichen sclerosus)
• Labial fusion (fusion of the labia minora)
• Removal of foreign bodies (also under general anaesthesia)
• Vaginal bleeding
• Precocious puberty
• Precocious partial puberty (premature thelarche/pubarche)
• Delayed puberty
• Gonadal dysgenesis (Turner syndrome, Swyer syndrome)
• Ruling out and recognizing malformations of the outer and inner genitalia and the chest
• Ovarian cysts and tumours
• Suspected sexual assault

For girls from puberty until late teens

• Pubertal development disorders
• Bleeding disorders
• Primary and secondary amenorrhea (irregular cycle)
• Hormonal imbalances
• PCOS, AGS
• Malformations
• Total or partial obstruction or missing vagina and uterus (MRKH, androgen insensitivity)
• Breast development disorder
• Gonadal dysgenesis
• Ovarian cysts and tumours

Diagnostic methods

• Examination
• Vaginoscopy
• Ultrasound (abdominal and/or vaginal)
• All modern radiology methods (MRI, CT, x-ray)
• Laboratory tests

Surgical therapy and correction of congenital malformations

• Malformations of the labia minora and majora
• Hymen malformations (microperforate or septate hymen)
• Imperforate hymen
• Vaginal septum (longitudinal or transverse)
• Introital stenosis following adrenogenital syndrome in infancy
• Neovagina creation using the Vecchietti procedure
• Breast malformations (tuberous breast, breast asymmetry, amastia)

Surgical therapy of the ovaries

• Ovarian cysts and tumours
• Protection of the ovaries in other malignant diseases (ovarian transposition and ovarian tissue freezing)
• Endometriosis in adolescence
• Laparoscopic diagnostics and therapy
• Removal of the gonads in gonadal dysgenesis

Consultations
Thursdays
Time: 12:00 – 15:00

For appointments:
Gabriele Beringer
Tel.: (0 81 51) 18-23 10
Fax: (0 81 51) 18-23 27

The certified breast centre offers:

• A modern and broad spectrum of diagnostics and therapy
• Interdisciplinary examination and treatment process
• Strong links with self-help groups
• Seamless care from diagnosis to treatment, rehabilitation and aftercare
• A free breast examination course (MammaCare Method)
• The guarantee of an individual, up-to-date, experienced and humane care and consultation program
• Psycho-oncological care

Consultations
Mondays, Tuesdays and Thursdays by appointment
Time: 13:00 to 15:00

For appointments:
Gabriele Beringer
Tel.: (0 81 51) 18-23 10
Fax: (0 81 51) 18-23 27

The certified gynaecological cancer centre works in accordance with national and international standards and guidelines and the most up-to-date scientific knowledge.

Diagnostics
o All modern radiology procedures (ultrasound, x-ray, computer tomography, PET-CT (in cooperation), MRI, nuclear medicine)
o All standard endoscopic procedures (colonoscopy, gastroscopy, ERCP)
o All minimally invasive procedures for pre-surgical diagnostics

Modern anaesthesia procedures
o All current procedures in regional and general anaesthesia (intra and postoperative)
o Experienced postoperative analgesia by specially trained pain therapists

Surgical therapy for local/regional removal of cancer
o All established surgeries for the treatment of female genital cancer
o Sentinel technique for vulvar cancer (removal of sentinel lymph nodes)
o Reconstructive procedures to preserve the sexual function of the female genitalia

Modern systemic therapy
o Chemotherapy
o Antibody therapy (‘targeted therapy’)
o Hormone therapy
o Consultations for ‘alternative treatments’ (e.g. mistletoe therapy)

Consultations
Mondays, Tuesdays and Thursdays by appointment
Time: 12:00 – 15:00

For appointments:
Gabriele Beringer
Tel.: (0 81 51) 18-23 10
Fax: (0 81 51) 18-23 27