El Dr. Pasquale Totaro coordina uno de los principales centros de reproducción asistida (MAR) de Italia, realizando más de 1.000 procedimientos al año. Está especializado en ginecología y obstetricia con _doctor_7220_years_ de experiencia, formado en la Universidad de Bari. El tratamiento de los miomas uterinos puede costar entre 4.900 y 6.700 dólares. La clínica se encuentra entre los mejores centros de Italia en servicios de salud femenina y cuenta con la acreditación del Servicio Sanitario Italiano.
Fundado en 1969, el Ospedale Santa Maria di Bari está acreditado por el Servicio Sanitario Italiano con numerosos servicios médicos de primera clase. Fundado inicialmente como clínica de maternidad en los años sesenta, el hospital continúa destacando hoy como centro de tratamiento de la infertilidad, prevención, diagnóstico y tratamiento de la salud de la mujer. El hospital alberga la Unidad de Mama, una unidad multidisciplinar dedicada a la prevención y el tratamiento del cáncer de mama, que atiende aproximadamente a 500 pacientes cada año.
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El Dr. Pasquale Totaro es endocrinólogo reproductivo en el Ospedale Santa Maria de Bari. Coordina un centro de fertilidad que realiza más de 1.000 procedimientos al año. Bajo su liderazgo, el hospital ocupa el primer lugar en Italia en ciclos de inseminación intrauterina (IIU). El Dr. Totaro se especializa en procreación médicamente asistida y ecografía obstétrico-ginecológica.
Fundado en 1969, el Ospedale Santa Maria di Bari está acreditado por el Servicio Sanitario Italiano con numerosos servicios médicos de primera clase. Fundado inicialmente como clínica de maternidad en los años sesenta, el hospital continúa destacando hoy como centro de tratamiento de la infertilidad, prevención, diagnóstico y tratamiento de la salud de la mujer. El hospital alberga la Unidad de Mama, una unidad multidisciplinar dedicada a la prevención y el tratamiento del cáncer de mama, que atiende aproximadamente a 500 pacientes cada año.
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Exploración ginecológica | El médico recoge una anamnesis de la enfermedad, sondea el tumor y orienta a la paciente para realizar pruebas y exámenes. |
Ecografía / ultrasonido intravaginal | Permite determinar la localización de los miomas e identificar las neoplasias y los nódulos más pequeños. |
La histeroscopia/colposcopia diagnóstica son métodos de examen del útero mediante un sistema óptico. | Permiten al médico ver el estado del útero y elegir un método para extirpar los miomas. |
Biopsia (toma de muestras de tejido) con análisis histológico | El procedimiento se realiza durante una colposcopia. Con un dispositivo especial, el médico toma una muestra de tejido del mioma y la entrega para su examen al microscopio. El análisis histológico revela células cancerosas, procesos inflamatorios en el sistema genitourinario y causas de infertilidad. |
Los métodos de tratamiento de los miomas se dividen en no quirúrgicos y quirúrgicos. Estos últimos incluyen la miomectomía (extirpación de los miomas) y la histerectomía (extirpación del útero). La ventaja de la extirpación quirúrgica de los miomas es que la posibilidad de recidiva es mínima, mientras que con la histerectomía es completamente inexistente.
Las desventajas de estos métodos son las cicatrices, las complicaciones postoperatorias, la pérdida de sangre y los fallos hormonales. La cirugía moderna de los miomas uterinos permite reducir todos estos riesgos al mínimo. Por eso, los especialistas de las clínicas extranjeras prefieren las técnicas mínimamente invasivas. Entre ellas se encuentran la laparoscopia (cirugía a través de punciones en el peritoneo) y la histeroscopia (cirugía a través de la vagina).
Embolización de las arterias uterinas. Se introducen pequeños globos (émbolos) a través del catéter en la arteria femoral. Obstruyen los vasos que alimentan el mioma y éste se contrae hasta alcanzar un estado normal.
FUS-ablación. El procedimiento consiste en calentar los miomas bajo control por resonancia magnética, tras lo cual se destruye la neoplasia.
Llegada
Diagnósticos
Desarrollo del plan de tratamiento
Tratamiento
Hacer un seguimiento
Rehabilitación
Tenga en cuenta que lo anterior es una guía general. Solo un proveedor de atención médica puede determinar el plan de diagnóstico y tratamiento preciso que se adapte a su condición individual. También se pueden considerar otras opciones de diagnóstico, como la laparoscopia o la biopsia endometrial, y opciones de tratamiento, como la terapia hormonal o la embolización de la arteria uterina.
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