Welcome to the website of Lukas Dostalek, MD, PhD, your guide to specialized colposcopy care. I am an expert in diagnosing and treating pre-cancerous conditions of the uterine cervix as well as cervical carcinoma. My clinic is part of the world-renowned Oncogynecologic Centre at the Department of Gynecology, Obstetrics, and Neonatology, First Faculty of Medicine of Charles University, and General University Hospital in Prague, Czech Republic. I currently hold the Expert Colposcopy License (F117).
| ABNORMAL CYTOLOGY
(PAP-SMEAR) |
POSITIVE HPV TEST | CERVICAL CANCER |
If you have received an abnormal result from cervical cancer screening that warrants expert colposcopy, I would be pleased to examine you in my practice. Additionally, I provide a second opinion on the treatment of severe pre-cancerous lesions and indications for conization.
The expert colposcopy clinic operates every Thursday from 8:00 to 14:00. To schedule an appointment in my clinic, please use the following contact information:
The appointment lead time is approximately two weeks. Examinations for patients insured in the Czech system of public insurance are conducted without the need for additional payment. The prices for examinations of non-insured individuals are available upon request. Please use the above-mentioned email.
Within my practice, the "Center for High-Grade Cervical Lesions" operates as a specialized clinic for patients with severe pre-cancerous conditions (CIN 2 and CIN 3) undergoing conservative surveillance without conization. Although these conditions represent precursors to cervical cancer, it is known that many of them resolve spontaneously. After a thorough colposcopic examination, an individualized treatment plan is proposed. On the other hand, if conservative monitoring is not deemed safe, cervical conization is indicated.
Data from our set of high-grade lesions, which were managed conservatively, are regularly published at international conferences.
In our center, we perform conization using a delicate method with the application of a monopolar flag (Fischer excisor). This is a one-day surgical procedure (you arrive in the morning and can go home in the afternoon), and the procedure can also be carried out under local anesthesia.
Conization is associated with an increased risk of premature delivery in the future. Therefore, in our center, we only recommend it for young women in cases of suspected invasive carcinoma or when the lesion on the cervix is not clearly visible during colposcopic examination. Otherwise, we strive to monitor patients conservatively. For more detailed information, please refer to this link.