Gynecology

• Doctor introduction
• Efforts in gynecology
• A word to patients
• Medical statistics

Doctor introduction

Efforts in gynecology

The gynecology department started medical treatment in 1999, following the functioning of our hospital as the Ibaraki Regional Cancer Center. From July 2022, four people, including Ken Nishide, Akiko Nozue, Wataru Takao, and a trainee doctor, will be in charge of medical care.

All three are certified as specialists by the Japan Society of Obstetrics and Gynecology. Nishide and Nozue are certified as specialists in the Japanese Society of Clinical Cytology and Japanese Gynecologic Oncologists. Takao is certified by the Japan Society of Obstetrics and Gynecology Endoscopy. .

In our outpatient and inpatient clinics, we diagnose and treat a wide range of gynecological diseases, not only cancer, but also infections, endocrine diseases, endometriosis, genital prolapse, and benign tumors such as uterine fibroids and ovarian cysts.However, please note that we currently do not offer prenatal checkups or infertility tests or treatments.

Surgical therapy is the mainstay of inpatient treatment for benign disease.We also actively perform laparoscopic surgery, uterine fibroid surgery using a hysteroscope, and other endoscopic surgeries with less burden on the body and faster recovery.For benign diseases, we take into consideration the patient's intentions, and we will propose the best method by carefully considering the balance between the burden on the body and the effect of treatment.We believe that it is important to determine a treatment policy that is fully satisfactory through consultation between the doctor and the patient.

For malignant diseases, we perform multidisciplinary treatment that incorporates surgery, radiation therapy, and chemotherapy if necessary, according to the latest evidence.We treat almost all gynecologic cancers, from early stages to advanced stages.For early cancer of the cervix, uterus-preserving treatment is performed by performing conization using a high-frequency electric scalpel during a one-night, two-day hospitalization.

A word to patients

Recommendation for cervical cancer screening

Uterine cancer can be detected early through cervical cancer screening.In particular, cervical cancer can be detected at the stage of cervical dysplasia, which is the stage before cancer.Dysplasia, as well as early cervical cancer, can be treated without a total hysterectomy, and pregnancy and childbirth are possible after treatment.

Cervical cancer has few symptoms in the early stages, so screening is very important for early detection.In particular, cervical cancer is increasing among young women who have never given birth, so it is recommended that women over the age of XNUMX actively undergo gynecological examinations.

The Tsukuba Medical Center has the Tsukuba General Medical Examination Center, where you can receive medical examinations.However, please note that hospitals do not provide cervical cancer screenings at resident medical examinations, which are subsidized by local governments.At the hospital, the focus is on secondary medical examinations such as detailed examinations for those who have abnormalities in medical examinations, and regular examinations after treatment for patients with dysplasia or cancer.

In recent years, uterine endometrial cancer, which develops in the back of the uterus, has increased rapidly.In contrast to cervical cancer, endometrial cancer often presents with irregular bleeding.If you have menstrual bleeding, especially after menopause, be sure to see a doctor.Also, even if you are premenopausal, you should be careful if you have frequent irregular bleeding or chronically irregular menstruation. (Since cervical cancer is rarely found in asymptomatic women who undergo cervical cancer screening, it is said that asymptomatic women do not need to undergo body cancer screening.)

It is very difficult to detect uterine cancer at a health checkup center (cervical cancer screening), so we recommend that those who wish to have a checkup undergo an examination at a hospital. (Examinations for endometrial cancer are also available at our outpatient clinic, so if you have any of the above symptoms, please see a doctor.)

Medical Statistics (2022)

hospitalization statistics

* Repeated hospitalizations due to the same injury or disease are counted as one hospitalization.

disease statistics

Surgery Statistics by Surgical Procedure

VH

vaginal hysterectomy

TCR-M(P)

Hysteroscopic fibroid (polyp) removal

T.L.H.

Total laparoscopic hysterectomy

TAH

Simple Abdominal Hysterectomy

BSO

bilateral appendectomy

pOMT

partial omentectomy

PLA

Pelvic lymph node dissection

SHOVEL

Para-aortic lymphadenectomy