As part of the scientific urogynaecology section, which will take place at Hotel “Tsar Samoil” in Strumica on 24 April 2026, Dr Hristijan Trpchevski will deliver a lecture on the topic:

“Laparoscopic Burch Colposuspension and ‘Burch-like TOT’ Modification in the Surgical Treatment of Stress Urinary Incontinence”

The lecture is focused on contemporary surgical approaches in urogynaecology, with emphasis on precision, minimally invasive treatment and the sharing of practical clinical experience.

What is stress urinary incontinence?

Stress urinary incontinence is a condition in which involuntary urine leakage occurs during coughing, sneezing, laughing, lifting, physical activity or other situations that increase pressure inside the abdomen.

Although this condition is common, many women accept it as something “normal” after childbirth, with age or after certain gynaecological changes. However, stress urinary incontinence should not be a subject patients feel they must remain silent about. With proper assessment and appropriate treatment, many patients can experience significant improvement in control, comfort and everyday functioning.

Why is urogynaecology important in modern gynaecology?

Urogynaecology is a field that connects gynaecology, surgery and the functional anatomy of the pelvic floor. It deals with conditions such as stress urinary incontinence, uterine or vaginal prolapse, impaired pelvic organ support and other problems that affect women’s health.

These conditions are not only medical diagnoses. They influence how a woman moves, works, exercises, travels, sleeps and feels in her own body. This is why the modern approach does not focus only on anatomical correction, but also on restoring function and improving quality of life.

Laparoscopic Burch colposuspension: a precise minimally invasive approach

Laparoscopic Burch colposuspension is a surgical technique used in the treatment of stress urinary incontinence. The aim of the procedure is to improve support of the urethra and the anterior vaginal wall, reducing involuntary urine leakage during physical effort.

The laparoscopic approach allows treatment through small incisions, with improved visualisation of anatomical structures and greater surgical precision. For patients, minimally invasive surgery often means less operative trauma, faster recovery and a shorter period before returning to daily activities, depending on individual condition and medical assessment.

In these procedures, the surgeon’s experience, knowledge of pelvic anatomy and appropriate patient selection are essential.

“Burch-like TOT” modification: clinical reasoning and surgical adaptation

The topic of Dr Hristijan Trpchevski’s lecture also includes the “Burch-like TOT” modification in the surgical treatment of stress urinary incontinence. This part is particularly important because it reflects surgical thinking that is not only technical, but also clinically adapted.

In urogynaecological surgery, there is no single identical approach for every patient. Differences in anatomy, previous childbirths, previous operations, degree of incontinence and pelvic floor condition require individual assessment.

This is why such lectures have real value: they do not only present theory, but also practical experience from the operating theatre, analysis of approach, selection of technique and the clinical reasoning behind each surgical decision.

The importance of sharing clinical experience

Scientific sections and professional meetings play an important role in the development of medicine. They create space for doctors to exchange experience, discuss contemporary approaches and compare different methods of treatment.

The lecture by Dr Hristijan Trpchevski at the urogynaecology section is an opportunity to present a practical surgical approach to a condition that is significant for many patients. The focus is not only on the technique, but also on the purpose of treatment: better function, greater confidence and improved quality of life for women.

Plodnost Hospital and the development of minimally invasive gynaecological surgery

At Plodnost Hospital, minimally invasive gynaecological surgery has an important role in the treatment of different gynaecological conditions. Laparoscopic procedures allow a contemporary approach, precise surgical work and treatment that is directed towards the patient, not only the diagnosis.

The participation of doctors from Plodnost Hospital in scientific sections, lectures and professional gatherings is an important part of continuous development, knowledge exchange and following contemporary medical standards.

The lecture by Dr Hristijan Trpchevski is another example of how clinical experience, surgical practice and scientific discussion connect in the interest of better treatment for patients.

Booking an appointment at Plodnost Hospital

Women who experience involuntary urine leakage when coughing, sneezing, laughing, exercising or during everyday activities should not accept this condition as something that must simply be tolerated.

With timely assessment, gynaecological examination and an individual approach, the most appropriate treatment options can be discussed.

For information and appointments at Plodnost Hospital, please call:

Telephone: +389 47 208 880
Viber/WhatsApp: +389 75 472 503

Plodnost Hospital remains committed to contemporary gynaecological care, professional assessment and treatment guided by the needs of each patient.

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The delivery was conducted under continuous medical supervision by Dr Pajakovska, Dr Mishik, midwife Diana, and nurse Natasha. This successful case reflects the growing demand for private maternity care in Europe, where natural birthing approaches are combined with strict medical protocols.

What Is a Water Birth?
A water birth is a modern obstetric method in which labour and delivery take place in a specially designed birthing pool filled with warm, temperature-controlled water. Unlike alternative home births, a hospital water birth is carried out in a fully equipped clinical environment with continuous monitoring.

At Plodnost Hospital Bitola, water births are offered to carefully selected low-risk pregnancies, ensuring safety for both mother and baby. Vital signs, foetal heart rate, and labour progression are continuously assessed throughout the process.

Benefits of Water Birth in a Private Hospital Setting

1. Gentler Transition for the Newborn
Moving from the amniotic fluid to warm water may allow a smoother physiological adaptation compared to conventional delivery.
2. Reduced Labour Discomfort
Warm water promotes muscle relaxation, improves circulation, and may help reduce perceived pain levels during contractions.
3. Increased Mobility for the Mother
The buoyancy of water allows easier movement and positioning, potentially supporting a more efficient labour process.
4. Controlled & Safe Clinical Environment
Choosing a private hospital water birth in Europe ensures immediate access to medical intervention if required. At Plodnost Hospital, emergency protocols are in place, and the medical team remains present at all times.

Safety Protocols & European Medical Standards

Water birth at Plodnost Hospital follows internationally recognised obstetric guidelines. Each patient undergoes detailed prenatal evaluation before approval for water delivery.

Safety measures include:

• Continuous foetal monitoring
• Maternal vital sign monitoring
• Strict hygiene and sterilisation procedures
• Immediate transfer capability if complications arise

This approach aligns with European best practices for safe childbirth in private maternity hospitals.

Who Is a Candidate for Water Birth?

Water birth may be considered in cases of:

• Singleton pregnancy
• Full-term gestation
• Low-risk obstetric profile
• No significant maternal or foetal complications

Final eligibility is determined by a specialist in obstetrics and gynaecology after comprehensive assessment.

Why Choose Private Childbirth in North Macedonia?

Plodnost Hospital – Bitola is recognised for:

• Advanced obstetrics and gynaecology services
• Modern delivery techniques including water birth
• Personalised maternity care
• Neonatal support and monitoring
• International patient experience

Increasingly, families from across the Balkans and Europe are choosing private childbirth in North Macedonia due to the combination of high medical standards, experienced specialists, and competitive healthcare costs.

Water Birth at Plodnost Hospital – Bitola

The birth of baby Matej is another example of how water birth in Bitola, North Macedonia can provide both a natural and medically supervised start to life. The hospital’s multidisciplinary team ensures that each delivery meets strict safety and quality standards.

For expectant parents exploring water birth in Europe, Plodnost Hospital offers a structured, safe, and professionally managed approach within a fully equipped private maternity facility.

The post Water Birth in North Macedonia – Safe & Modern Delivery at Plodnost Hospital Bitola appeared first on Hospital Plodnost.

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What Is Emotional Intelligence in Healthcare?

• Doctor–patient communication
• Treatment adherence
• Patient satisfaction
• Reduction of pre-procedural anxiety
• Institutional trust

Psychological Immunity and Resilience in Medical Treatment

• IVF treatment in North Macedonia
• Obstetrics and gynaecology
• High-risk pregnancy monitoring
• Surgical procedures
• Long-term diagnostic processes

 Empathic Communication as a Measurable Clinical Standard

• Reduces patient stress
• Improves clarity of medical explanations
• Enhances shared decision-making
• Strengthens long-term institutional credibility

Interdisciplinary Healthcare in North Macedonia – A Forward-Looking Model

• Strategic integration of psychology into clinical medicine
• Support for patient resilience during complex treatments
• Development of emotionally intelligent medical teams
• Alignment with European private healthcare standards

The Future of Holistic Private Healthcare in Europe

• Transparent communication
• Emotional understanding
• Psychological support during treatment
• Evidence-based medical expertise

The post Plodnost Hospital Introduces an Interdisciplinary Model with Prof. Dr Ljupcho Kebereski appeared first on Hospital Plodnost.

• Inflammation of the urinary or reproductive system
• Fertility problems in both men and women
• Complications during pregnancy, including preterm birth or infection of the fetus
• Increased risk of recurrent infections

• Burning or pain during urination
• Discomfort or pain in the lower abdomen
• Unusual discharge from the urogenital tract

The post Ureaplasma – why timely diagnosis and treatment matter appeared first on Hospital Plodnost.

• Dr. Kristinka Pajakovska, obstetrician-gynaecologist
• Prim. Dr. Anica Apchevska Vasileva, neonatologist
• Nurses Frosina, Natasha, and Biljana
• Midwives Irena, Zaneta, and Fiona

The post The 500th baby born in 2025 appeared first on Hospital Plodnost.

• Couples facing infertility – whether primary or secondary
• Patients with recurrent miscarriages – three or more pregnancy losses
• Individuals with a family history of genetic abnormalities
• Patients with clinical symptoms that suggest potential chromosomal issues

The post Karyotyping: the key to answers in infertility and recurrent miscarriages appeared first on Hospital Plodnost.

• Patients experiencing chest pain or pressure
• Individuals with suspected arrhythmias
• Monitoring therapy effectiveness for patients with diagnosed heart conditions
• People at higher risk of cardiovascular diseases, such as smokers, diabetics, individuals with high blood pressure, or those with a family history of heart disease

• Early detection of coronary artery disease
• Accurate assessment of heart rhythm and function
• Monitoring the effectiveness of cardiac therapy
• Reducing the risk of complications through timely intervention

The post Stress test – the most reliable check-up for your heart appeared first on Hospital Plodnost.

• Australia remains one of the global leaders, with consistently rising numbers of successful IVF treatments.
• In the United Kingdom, success rates have improved dramatically in recent decades, thanks to technological innovations and improved medical protocols.
• Across Europe and the United States, IVF has become a trusted and standard procedure for couples struggling with infertility.

The post How Many Children Have Been Born Through IVF Worldwide? appeared first on Hospital Plodnost.

• Reduces the need for extensive lymphadenectomy
• Minimises the risk of complications such as lymphedema
• Enables a faster and safer post-operative recovery

• Enhanced visualisation for accurate and safe surgical dissection
• Minimal trauma to surrounding tissues
• Shorter hospital stay – our patient was discharged the very next day
• Faster return to daily activities

The post Sentinel Lymphadenectomy and 3D Advanced Laparoscopic Hysterectomy (TLH) for Endometrial Cancer appeared first on Hospital Plodnost.

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