Alexey Butunov

Gynecologic Oncologist & Laparoscopic Surgeon
Over 22 years in surgery. Specializing in complex cases: advanced endometriosis, fibroids, large ovarian tumors, and gynecologic oncology. Where others suggest removal, I look for ways to preserve the organ. Internationally trained in Strasbourg, Leuven, and Lisbon. Based and practicing in Moscow.
Video Introduction
meet the doctor
What problems do patients come to me with?
My core philosophy is an organ-preserving approach. I preserve the ovaries, ovarian reserve and fertility in cases where other surgeons recommended radical removal.
  • Uterine fibroids
    Large, multiple, atypically located fibroids. I perform laparoscopic myomectomy even for nodes larger than 10 cm — preserving the uterus and reproductive function.
  • Endometriosis
    Deep infiltrative endometriosis, retrocervical endometriosis, ovarian endometriomas. I excise lesions precisely, preserving the maximum of healthy tissue and use a gentle, non-coagulation technique to preserve the ovarian reserve when enucleating endometriomas.
  • Ovarian cysts
    Dermoid cysts, serous and mucinous cystadenomas. I perform ovarian cyst enucleation while preserving the ovary — even if other surgeons has recommended its complete removal.
  • Intrauterine pathology
    Polyps, synechiae, submucous fibroids, septa. Treatment of intrauterine pathology using “cold” instruments, a shaver, a bipolar mini-resectoscope or laser, in order to reduce the risk of recurrence and repeat intervention.
  • Pelvic organ prolapse and aesthetic surgery
    Correction of both minor cosmetic defects and severe prolapse using a vaginal or combined laparo-vaginal approach with mesh implants.
  • Ectopic pregnancy
    Emergency laparoscopic care. I assess the possibility of preserving the fallopian tube, as this is critical for future pregnancy planning.
  • Benign and malignant tumours
    Accurate diagnostics and surgical management at the intersection of gynecology and oncology. I perform laparoscopic surgeries for endometrial cancer, treatment of cervical cancer, and open cytoreductive surgeries for ovarian carcinoma.
  • Infertility
    Adhesions, consequences of previous operations, tubal factor, endometriosis as a cause of infertility. I eliminate the surgical cause and restore the chance of natural conception or increase the effectiveness of IVF. I trained under Professor Kazuhiro Kawamura in surgical ovarian activation in premature ovarian insufficiency.
  • Oncofertility
    Biomaterial cryopreservation (ovarian tissue, oocytes/embryos) — the preservation of fertility in women facing chemotherapy, radiation or surgery for cancer.
  • Second opinion
    Have you been offered surgery but are having doubts? Let's break down the situation and discuss all available treatment options. Medicine isn’t like math — there is usually more than one successful way to solve the same problem.
Why Choose Me
In my 22 years of practice, I’ve completed thousands of surgeries, from brief hysteroscopies to complex, hours-long open cancer operations. I take on both routine cases and those where other surgeons have lost hope. My mission is always to find the optimal, personalized solution for every patient.
  • >22 years in the operating room
    Practicing since 2003.
  • International fellowships
    IRCAD Strasbourg, European Academy of Gynaecological Surgery Leuven, Hospital da Luz Lisbon.
  • Patient-centered care
    I practice patient-centered decision-making concept. Treatment options are discussed to ensure that not only medical indications but also personal values, needs, and goals, are taken into account.
  • Onco-gynaecology
    Professional retraining at the N.N. Blokhin National Medical Research Centre of Oncology. Diagnosis and surgical treatment for malignant neoplasms.
How treatment works
Consultation
We discuss the results of examinations, the diagnosis, and treatment options. We choose the optimal strategy and the clinic for the operation.
Surgery
Outpatient procedures (hysteroscopy, cervical treatment) require a 1–2 hours hospital stay. For laparoscopy – minimally invasive incisions ensure a rapid recovery. Most patients returning home the same evening or the following morning.
Rehabilitation
Post-operative follow-up, review of pathology report and discussion of any necessary further treatment, with time dedicated to answering all your questions. My care doesn’t end at discharge — I support you throughout your recovery and long-term follow-up.
Education
and international experience
2003
2003
Chita State Medical Academy, General Medicine
2005
2005
Residency, Obstetrics and Gynaecology, Regional Clinical Hospital, Chita
2013
2013
🇫🇷 EEITS/IRCAD, Strasbourg — advanced endoscopy techniques
2014
2014
🇧🇪 European Academy of Gynaecological Surgery, Leuven
2015
2015
🇵🇹 Hospital da Luz, Lisbon
2019
2019
Oncology, N.N. Blokhin National Medical Research Centre
2019
2019
🇯🇵 Training under Professor Kazuhiro Kawamura, IVA procedure
Reviews
The first step is a consultation
At the first appointment: a review of examinations, diagnoses, and treatment goals; ultrasound if necessary; a plan for how we proceed further
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