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Standard examination before gynaecological surgery*

* the list of examinations may be extended in the presence of a co-morbidity

Examination for minor gynaecological and therapeutic interventions

(office hysteroscopy, removal of bartholin cysts, cervical conisation under intravenous anaesthesia)


    Blood tests:

  1. Blood type and Rh-factor
  2. Blood tests for HIV, syphilis (RW), 6 months

  3. Examination of vaginal smears:

  4. Flora smear from the vagina and cervical canal, 1 month
  5. Cervical cytology smear, 1 month
Examination before a planned surgery

(surgical hysteroscopy, laparoscopy, vaginal surgery, laparotomy)


    Blood tests:

  1. Blood type and Rh-factor
  2. Blood tests for HIV, syphilis (RW), 6 months
  3. Blood tests for markers of viral hepatitis B and C, 6 months
  4. General blood test with formula, 14 days
  5. Blood sugar, 14 days
  6. Biochemical blood tests (bilirubin, creatinine, electrolytes, coagulogram), 14 days

  7. Urine examination:

  8. General urine analysis,14 days

  9. Examination of vaginal smears:

  10. Flora smear from the vagina and cervical canal, 1 month
  11. Cervical cytology smear, 1 month

  12. Colposcopy, 1 month
  13. An ultrasound of the pelvic organs, 1 month
  14. ECG, 1 year
  15. Chest X-ray (fluorography), 1 year
  16. Examination by a general practitioner, 1 month

If ovarian cysts are present: blood cancer marker tests CA-125, НЕ-4, index-ROMA. The term after the test should not exceed 1 month. MRI of the pelvis with contrast (optional).

If malignancy of the ovary, fallopian tube or uterus (including cervix) is suspected or present, an additional CT scan of the chest, abdomen and pelvis is necessary.

During the coronavirus pandemic, PCR testing for covid-19 is mandatory. Having a vaccination certificate does not exempt you from being examined.Validity period 7 days from the date of analysis.

The above tests and examinations can be carried out at any medical centre that is convenient for you. If you have a co-morbid chronic illness, you will need to see a specialist.


Preparing before surgery

Do not eat anything after 8 p.m. on the evening before the surgery, do not restrict fluids until 7 a.m. on the day of the surgery.
If you are constantly taking medication, take your medication on the day of surgery in the morning and drink a small sip of water.

An enema is not necessary, provided you have had a normal bowel movement on your own the day before the operation. Otherwise, a micro enema before bedtime.
If you are constipated, a bowel cleanser, Fortrans, must be taken (dilute a bag of Fortrans in 1 litre of drinking water 3 hours before going to bed the night before the surgery and drink it).

The hair in the area of the surgical field must be removed.

All patients undergoing surgery must have medical compression stockings (compression class I or II) up to the upper third of the thigh, or elastic bandages (2 pieces of 5 metres each).

Admission to the hospital at 9:00 a.m. All metal objects such as piercings and jewellery must be removed from your body. At least one thumb on your hand must be varnish-free. Scheduled surgery is performed on the day of admission to hospital.