Specialized medical services

Obstetrics

We provide medical care services to pregnant women based on a policy of "avoiding unnecessary medical intervention with women in good condition, while always being ready to quickly and thoroughly intervene if needed." We recommend that both high-risk pregnant women with complications and healthy pregnant women visit our clinic in order to ensure a safe delivery. We can provide all sorts of obstetrical services including epidural anesthesia during parturition.

Gynecology

Every year, we treat more than 200 gynecologic malignancies such as cervical cancer, uterine cancer, ovarian cancer, uterine sarcoma and vulvar cancer. We perform laparoscopic surgery for uterine cancer and cervical cancer on early stage patients. With due safety in mind, we treat women who wish to preserve their fertility during early-stage cancers by trachelectomy (cervical cancer), high-dose progestin therapy (uterine cancer), and uterine-sparing surgery (ovarian cancer), to preserve their reproductive capacity. For information on outcomes of these procedures by cancer type, visit our website (in Japanese). We also perform minimally invasive operations (e.g. laparoscopic surgery, vaginal procedures) on patients with benign diseases. We actively conduct clinical studies on recalcitrant cancers such as recurrent ovarian cancer, recurrent uterine cancer, and advanced-stage cervical cancer in cooperation with Osaka University and our affiliated hospitals.

Specialist clinics

We provide general and maternity examinations on both healthy women and women with complications. Moreover, to address a wide variety of patient needs, specialty clinics have been created where obstetricians and gynecologists with a higher level of knowledge and experience treat outpatients from the standpoint of their specialty. This includes the "Clinic for Fetal Diseases," "Clinic for CIN Management," "Radiotherapy Clinic," "Infertility Clinic," "Climacteric Clinic," "Adolescent Clinic," and "Fetal Ultrasound Clinic." For couples with infertility issues, the Center for Reproductive Medicine provides examinations in cooperation with urologists.

Features

In Obstetrics & Gynecology, our objective is to treat patients based on clinical evidence. We manage pregnancy complications and provide fetal diagnosis/treatment from an interdisciplinary perspective in cooperation with the doctors from Internal Medicine, Surgery, Pediatrics, Pediatric Surgery and the Department of Genetic Counseling. A full supply of transfusion blood is also available. We have also provided emergency treatment to many pregnant women with placental diseases (placenta previa/accrete) and massive postpartum haemorrhage.
We have been treating patients with cervical cancer by combining surgical procedures and concurrent chemoradiotherapy, and has achieved a high survival rate. We have treated patients with ovarian cancer using a combination of thorough vigorous debulking surgery and chemotherapy, and achieved a high 5-year survival rate. We do risk classifications of patients with uterine cancer based on the pathological findings during procedures, in order to conduct as minimally invasive surgery as possible. We apply fertility preservation therapy to patients with various types of cancers and provide outpatient chemotherapy.
As part of fertility treatment, we efficiently perform artificial insemination and laparoscopy. IVF and ICSI are provided in collaboration with other institutions. In addition, the medical care services are provided to treat uterine myoma, including laparoscopic surgery and embolotherapy.

More details can be found here (Japanese version only).

Considerations in referring your patients to Obstetrics & Gynecology

An obstetrician or gynecologist will examine the patient as a general consult on the first visit. Specialist clinics are operated as group clinics. Several OBGY residents and students are amongst the medical staff because of circumstances specific to university hospitals.