Pronatal Ostrava Complex Care in Health and Fertility
www.posiv.cz ǀ 55
HEALTHCARE
Can you give us closer details regarding
the scope and variety of services you offer
women at the clinic in Ostrava?
The Pronatal Ostrava clinic is primarily specialized
in treating infertility. In this field we offer
the complete spectrum of modern diagnostic
and therapeutic procedures that are adapted to
establish and carry out the most optimal strategy
for a specific infertile couple. That is to say that an
individual approach is taken towards each couple.
Our treatment plans include options for the use of
either partner or donated germ cells (eggs, sperm,
or potentially even embryos). Nonetheless we also
have our own genetic laboratory that allows for
the genetic testing of embryos for various genetic
diseases if our clients are indicated for this kind of
testing.
We realize that conception is simply the beginning
of the journey towards having a child, and so we
also offer pregnant women a complete suite of
prenatal care.
Of course, our doctors also offer routine
gynecological care for women of any age category.
Our clients may also make use of our mammalogy
clinic led by an reconsider surgeon. Other than
all that I have already mentioned, we also have
a surgical room that allows for simple outpatient
gynecological or urological procedures.
Endometriosis is a disease that is difficult in
terms of both diagnosis and treatment. This led
you to join forces with the Ostrava University
and Nový Jičín Hospitals. What does this
partnership consist of, and how does it impact
the care you provide?
Endometriosis is a very severe chronic illness that
affects more than just the female reproductive
organs. The manifestation of clinical symptoms is
often reliant on the scope and activity of the disease.
Most often it causes very strong pain and infertility.
All of this means that treatment of this illness needs
to be complex, including surgical, hormonal, and
psychological care, rehabilitation, physiotherapy,
and last, but not least, infertility treatment, often
in the form of assisted reproduction. This is
a very important reason why we try to centralise
the care of these patients towards accredited
multidisciplinary healthcare facilities.
One such facility is the center for the treatment
of pelvic pain and endometriosis at the Ostrava
University Hospital led by MUDr. Jan Kümmel,
who holds the globally recognized EuroEndoCert
certificate. I have known Mr. Kümmel for a long
time now, and so our professional cooperation in
the treatment of endometriosis is based heavily
on mutual trust, which is something that reflects
positively in the quality of care we provide. We
adapt our treatment plans according to the specific
needs and issues of our patients.
We also established professional cooperation
with the center for infertility treatment at the Agel
Nový Jičín Hospital a.s., which is led by prim.
MUDr. Martin Trhlík, who is also a holder of
a EuroEndoCert certificate.
Your clinic offers a wide spectrum of services, it
is not only focused on assisted reproduction or
women specifically. What specialized care can
you offer to male patients?
Male infertility affects around 50% of the couples
we treat, which was the main purpose behind
founding a urological and andrological outpatient
clinic. Our doctors offer consultation services as
well as diagnostic and therapeutic care in the field
of male reproduction and related surgical fields,
such as surgical sperm retrieval from the testicles
or epididymis.
It is also important for me to mention that we offer
the possibility of performing vasectomies, which
is the surgical method of male sterilisation. This
procedure is performed at an outpatient basis at
the Pronatal Ostrava clinic, and recently, it has
become a sought-after form of anticonception after
the patient’s reproductive goals had been fulfilled.
Female oncological patients that want to have
children are often recommended to freeze their
eggs before beginning treatment. Is this service
something you also offer?
Yes of course, we offer this service to all female
patients. I might also add that male patients that
are scheduled to receive oncological treatment can
also choose to have their sperm frozen at our clinic.
Other than the specialised care you had already
mentioned, you also perform smaller surgical
procedures. What are you faced with most often?
Our surgical portfolio includes gynecological and
urological procedures that can be done on an out-
patient plan, which means that these are operations
under short-term general anesthesia with a very
low risk of complications and with a projected
patient discharge to home care around 2-3 hours
after the procedure.
I have already mentioned the urological out-
patient procedures we offer, which mainly include
the surgical retrieval of sperm from the testicles or
epididymis - through TESE or MESA, and vasectomie
- a method of male sterilisation performed only
under local anesthesia without the need for general
anesthesia.
Thank you for the interview.
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