Marika Otkhozoria is a highly qualified surgeon-gynecologist whose continuous medical and surgical practice spans a successful 20-year history. Her extensive clinical experience accumulated over the years, along with her commitment to evidence-based medicine, makes her a trustworthy and reliable specialist in the field of women’s health care.
International practice and experience The main foundation of the doctor’s professional development is her many years of experience gained abroad. In order to implement international standards and master innovative surgical approaches, she has successfully worked in leading medical institutions of various countries:
- Israel: Practical work in minimally invasive and endoscopic surgery, using ultra-modern technologies.
- Russia: Extensive clinical practice in multidisciplinary hospitals, surgical management of complex gynecological pathologies, and large-scale operative experience.
- Ukraine: Close collaboration with renowned specialists in operative gynecology and integration of modern surgical guidelines into everyday practice.
Main areas and competencies
- Conservative and surgical treatment of the full spectrum of gynecological pathologies.
- Modern endoscopic surgery (laparoscopy, hysteroscopy).
- Organ-preserving and minimally invasive surgeries focused on maintaining reproductive health.
- Gynecological endocrinology and preventive medicine.
Professional vision
“My main goal is to offer each patient safe medical care that is tailored to their individual needs and meets international standards. Working in the medical systems of different countries and my 20 years of operative experience have shown me that the best outcome can only be achieved through a combination of high professionalism and genuine care for the patient.”
I provide comprehensive patient consultations, examinations, interpretation of test results, diagnosis, and development of individualized treatment plans.
I diagnose and treat inflammatory diseases of the uterus and adnexa, sexually transmitted infections, menopausal syndrome, ovarian dysfunction, and menstrual disorders. I also offer selection of contraception and hormone therapy for menopause, as well as diagnosis and treatment of infertility, hyperplastic processes (endometrial hyperplasia), endometriosis, ovarian cysts, uterine fibroids, and adenomyosis.
I diagnose and treat cervical diseases (erosion, polyps, papillomatosis, leukoplakia), vulvar and vaginal hypoplasia, and determine body mass index and hirsutism index. I provide therapy and follow-up for high-oncologic-risk persistent human papillomavirus (HPV), non-surgical treatment of stress urinary incontinence, treatment of vulvodynia and vaginismus (vaginal muscle hypertonus syndrome), as well as treatment of oligo- and anorgasmia.
Reconstructive, plastic, and aesthetic gynecology
I perform reconstruction, resection, and plastic correction of the labia minora and labia majora, including conservative correction with mesogel. I carry out plasmolifting and plasmatherapy of the mucosa of the vulva, vagina, and labia minora, as well as mesolifting and mesotherapy of these areas.
I offer conservative treatment of kraurosis, dryness of the vulva and external genital mucosa using individualized schemes. My services also include G-spot augmentation, individualized treatment of female anorgasmia and decreased libido, post-vulvoresection reconstructive surgery, perinelevator plasty, and botulinum therapy.
Gynecological procedures
- Collection of biological material from the urethra, cervix, and vagina for microscopic and microbiological examination
- Colposcopy
- Vaginoscopy and vulvoscopy
- Insertion and removal of intrauterine contraceptive devices, including intrauterine therapeutic systems
- Hysterosalpingography (assessment of tubal patency under ultrasound guidance)
- Vaginal and vulvar biorevitalization
- Injection of mesogel into the small pelvis
Surgical treatment of cervical diseases
- Conical amputation of the cervix using classical and Sturmdorf techniques
- Radio-surgical conization of the cervix
- Cervical plastic surgery by Braude and classical methods
- Radio-surgical coagulation and ablation of the cervix
- High amputation of the cervix
Surgical treatment of vulvar and vaginal diseases
- Excision of vaginal and vulvar papillomas and condylomas using laser and radio-surgical methods
- Treatment of vaginal and vulvar dryness
- Hymenoplasty (restoration of the hymen)
- Plastic surgery of the labia minora and labia majora
- Excision of lipomas, atheromas, and fibromas of the vagina, vulva, and labia majora and minora
- HIFU (ultrasound) therapy for vulvar and vaginal hypoplasia and vulvar kraurosis
- Plastic surgery of the vaginal walls
- Excision of hypertrophic scars of the vagina and vulva
- Removal of vaginal synechiae and septa
- Excision of vaginal and vulvar cysts and abscesses
- Anterior and posterior colpoperineolevatoroplasty of the vaginal walls (fixation of pelvic floor muscles and fascia in case of prolapse of the vaginal walls)
- Correction of vaginal volume
- Excision of Bartholin gland cysts and abscesses
- Vulvar, vaginal, and Bartholin gland cyst marsupialization
- Vulvectomy
Minor gynecological surgeries
- Hysteroscopy
- Hystero-resectoscopy
- Diagnostic curettage of the cervix and uterine cavity
- Curettage of the uterine cavity in cases of early interrupted pregnancy
- Targeted biopsy of the cervix and external genitalia
- Excisional (extended) biopsy of the cervix
- Electrocoagulation, laser, and radio-surgical treatment of cervical pathologies
- Excision of cervical and intrauterine polyps
- Treatment of cervical dysplasia and cancer using photodynamic therapy (innovative American methodology)
Gynecological surgeries by laparoscopic and laparotomic methods
- Laparoscopic myomectomy
- Laparoscopic surgery for ovarian neoplasms (endometriotic cysts, cystadenomas, fibroadenomas, ovarian teratomas)
- Laparoscopic tubotomy and tubectomy
- Assessment of fallopian tube patency
- Extirpation of the uterus with or without adnexa
- Amputation of the uterine body with or without adnexa
- Laparoscopic surgery for ectopic pregnancy
- Plastic surgery of the fallopian (uterine) tubes
- Adhesiolysis of pelvic organs
- Surgical treatment of ectopic pregnancy
- Surgical treatment of endometriosis of various localizations
- Ovariotomy and ovariectomy
- Wedge resection of the ovaries
- Adhesiolysis of ovarian cysts
- Conservative myomectomy
- Technique of placing a “sleeve” on the vaginal portion of the cervix in cases of cervical cancer
- Ovarian transposition (autotransplantation of the ovary for preservation)
Oncogynecology
- Highly qualified oncological screening using innovative, high-standard American, European, and Israeli protocols
- Diagnosis and treatment of uterine body pathologies
- Diagnosis and treatment of cervical pathologies
- Diagnosis and treatment of uterine adnexal pathologies
- Diagnosis and treatment of vulvar and vaginal pathologies
- Laser, plasma, and photodynamic surgery
- Minimally invasive, organ-preserving surgical treatment
- Embolotherapy
