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Treatment of Douglas Pouch Abscess

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Cost for treatment

Abscess douglas space diagnosis
 from  621
Drainage of Douglas Abscess
 from  3087
General therapeutic rehabilitation
 from  565.57

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Gynecology, Mammology, Obstetrics and Perinatal Medicine

According to the prestigious FOCUS magazine, the University Hospital Rechts der Isar Munich ranks among the Germany's top medical institutions! Founded in 1834, the hospital combines long traditions and the very latest achievements of modern medicine. The medical facility includes 33 specialized departments, 20 interdiscipli
Abscess douglas space diagnosis
2132
Drainage of Douglas Abscess
10586

University Hospital Tuebingen

9.2/10
location_onGermany, Tuebingen

Department of Adult and Pediatric Gynecology, Mammology, Obstetrics

According to the prestigious medical publication Focus, the University Hospital Tuebingen ranks among the top five German hospitals! The hospital was founded in 1805, therefore it is proud of its long history, unique experience, and outstanding achievements in the field of medical care, as well as research and teaching activitie
Abscess douglas space diagnosis
2005
Drainage of Douglas Abscess
10694

Leverkusen Clinic

10/10
location_onGermany, Leverkusen

Department of Gynecology, Urogynecology, Mammology and Obstetrics

The Leverkusen Clinic is a progressive provider of high-quality diagnostic and therapeutic services in Germany. The medical facility is an Academic Hospital of the University of Cologne, and also maintains close cooperation with the Rhine Research Center. The medical facility houses 12 specialized departments, as well as numerou
Abscess douglas space diagnosis
1759
Drainage of Douglas Abscess
10252

University Hospital Ulm

8.7/10
location_onGermany, Ulm

Department of Obstetrics, Adult and Pediatric Gynecology

The University Hospital Ulm started its activities 35 years ago and during this time it has become one of the most prestigious medical institutions in Europe. The hospital is famous for its numerous discoveries and the world-class achievements in medicine and pharmaceuticals. The medical facility has 29 specialized departments a
Abscess douglas space diagnosis
1950
Drainage of Douglas Abscess
10871

University Hospital Carl Gustav Carus Dresden

9.1/10
location_onGermany, Dresden

Department of Adult and Pediatric Gynecology, Mammology and Obstetrics

According to the prestigious Focus magazine, the University Hospital Carl Gustav Carus Dresden is among the top three hospitals in Germany! The hospital is the embodiment of the standards of modern high-quality medicine. Since the hospital positions itself as a maximum care medical facility, it represents all medical fields. The
Abscess douglas space diagnosis
2503
Drainage of Douglas Abscess
12683

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

Department of Adult and Pediatric Gynecology, Obstetrics and Mammology

According to the reputable Focus magazine, the University Hospital Frankfurt am Main ranks among the top German medical facilities! The hospital was founded in 1914 and today is a well-known German medical facility, which combines rich traditions and scientific innovations. A medical team of more than 6,500 employees cares about
Abscess douglas space diagnosis
2042
Drainage of Douglas Abscess
10067

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of Adult and Pediatric Gynecology, Mammology

According to the authoritative Focus magazine, the Charite University Hospital Berlin occupies the first place in the rating of the top German medical facilities! The hospital is one of the largest and leading university medical complexes in Europe. The hospital in Germany provides modern diagnostics and treatment of patients, a
Abscess douglas space diagnosis
2960
Drainage of Douglas Abscess
14593

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of Obstetrics, Adult and Pediatric Gynecology

According to the Focus magazine, the University Hospital Heidelberg ranks among the top five hospitals in Germany! The hospital is one of the most advanced and reputable medical institutions not only in Germany, but throughout Europe. There are more than 43 specialized departments and 13 medical institutes, which cover all field
Abscess douglas space diagnosis
0
Drainage of Douglas Abscess
0

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

Department of Obstetrics, Adult and Pediatric Gynecology

According to the Focus magazine, the University Hospital of Ludwig Maximilian University of Munich is regularly ranked among the best medical institutions in Germany! The hospital is the largest multidisciplinary medical facility, as well as a leading research and training center in Germany and Europe. The hospital is proud of i
Abscess douglas space diagnosis
2018
Drainage of Douglas Abscess
11345

University Hospital Erlangen

9.1/10
location_onGermany, Erlangen

Department of Gynecology, Obstetrics and Mammology

According to the Focus magazine, the University Hospital Erlangen ranks among the top German medical facilities! The hospital is one of the leading medical facilities in Bavaria and offers the highest level of medical care, which is characterized by the close intertwining of clinical activities with research and training of medi
Abscess douglas space diagnosis
1891
Drainage of Douglas Abscess
10567

University Hospital Halle (Saale)

9.6/10
location_onGermany, Halle

Department of Gynecology and Mammology

According to the prestigious Focus magazine, the University Hospital Halle (Saale) ranks among the top German medical facilities! The history of the hospital has more than 300 years, and during this time it managed to earn an excellent reputation not only in Germany, but throughout the world. The hospital positions itself as a s
Abscess douglas space diagnosis
1968
Drainage of Douglas Abscess
10336

University Hospital Hamburg-Eppendorf

9.2/10
location_onGermany, Hamburg

Department of Gynecology and Mammology

According to the Focus magazine, the University Hospital Hamburg-Eppendorf ranks among the top ten hospitals in Germany! Since its foundation in 1889, the hospital has taken a leading position in the European medical arena and still occupies it until today. A highly competent medical team of more than 11,000 employees takes care
Abscess douglas space diagnosis
2487
Drainage of Douglas Abscess
12642

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

Department of Adult and Pediatric Gynecology, Mammology and Obstetrics

According to the Focus magazine in 2019, the University Hospital Würzburg ranks among the top national German hospitals! The hospital is one of the oldest medical facilities in Germany. The centuries-old traditions of first-class treatment are combined with the very latest achievements of modern evidence-based medicine and
Abscess douglas space diagnosis
1983
Drainage of Douglas Abscess
9980

University Hospital RWTH Aachen

8.9/10
location_onGermany, Aachen

Department of Gynecology, Mammology and Obstetrics

According to the prestigious Focus magazine, the University Hospital RWTH Aachen ranks among the top German hospitals! As a maximum care university medical facility, the hospital guarantees patients first-class medical services combined with a respectful and human attitude. The hospital integrates all the modern options for the
Abscess douglas space diagnosis
2288
Drainage of Douglas Abscess
11391

University Hospital Duesseldorf

9.5/10
location_onGermany, Duesseldorf

Department of Adult and Pediatric Gynecology, Obstetrics and Mammology

According to the authoritative Focus magazine, the University Hospital Duesseldorf ranks among the top Germany hospitals! The hospital is an excellent example of a combination of high-quality health care, research and teaching activities. With more than 50,000 inpatients and about 300,000 outpatients every year, the hospital is
Abscess douglas space diagnosis
2225
Drainage of Douglas Abscess
11180

University Hospital Muenster

9.8/10
location_onGermany, Muenster

Department of Adult and Pediatric Gynecology, Obstetrics

According to the Focus magazine, the University Hospital Muenster ranks among the top German hospitals! The hospital belongs to the most prestigious medical institutions in Germany. The hospital is distinguished by a high professionalism of its doctors, state-of-the-art technological equipment and the availability of the most ad
Abscess douglas space diagnosis
2023
Drainage of Douglas Abscess
9966
| from Booking Health GmbH

About the disease

The Douglas space (also known as the recto-uterine pouch) is situated between a woman’s uterus and rectum. An abscess can develop if there is a perforation in the diverticulum of the colon or as a result of a ruptured appendix. Sometimes, an abscess may develop in the Douglas space as a side effect of treatment for diffuse peritonitis. In most cases, the prognosis for an abscess of the Douglas space is good. If the patients are treated in time, there are rarely any serious complications.

An abscess of the Douglas space does not manifest itself as clearly as appendicitis does. For example, the patient does not feel acute pain during palpation. This can be explained by the fact that the Douglas space is not connected to an anterior abdominal wall. As such, the patient feels only heaviness and dull pain in the lower abdomen. The pain can be ascribed to many causes, which is why it is difficult to diagnose an abscess of the Douglas space right away, unlike appendicitis or perforation diverticulum of the colon.

Although having problems with the diverticulum of the colon increases the risk of developing an abscess of the Douglas space, it is usually caused by an infection. Being diagnosed with diffuse peritonitis or appendicitis in the past can also provoke this kind of abscess. Following simple dietary recommendations can prevent the appearance of an abscess of the Douglas space.

Symptoms

  • Feeling of heaviness in the abdomen
  • Nausea
  • Pain in the lower abdomen
  • Frequent urination
  • Diarrhea in some cases
  • Constipation in some cases

Diagnosis

  • During a general examination, the doctor will palpate the patient’s abdomen to rule out the possibility of appendicitis. The doctor will find out if the patient has had a fever or has vomited in the past few hours.
  • The doctor will ask the patient if they or anyone close to them has suffered from food poisoning lately.
  • A blood test can reveal an infection.
  • A digital rectal examination, or vaginal examination in women, is the most effective way to diagnose an abscess of the Douglas space. These tests can show if there is any softening of the rectal wall.

Treatment

  • Transvaginal or transrectal open surgery to drain the abscess is the most common treatment for an abscess of the Douglas space. 
  • The infiltrated area is drained, thus relieving the discomfort in the patient’s lower abdomen.

Authors: Dr. Nadezhda Ivanisova, Dr. Sergey Pashchenko




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