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Douglas pouch abscess

Treatment of Douglas Pouch Abscess

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Best hospitals and doctors for douglas pouch abscess treatment abroad

Leading hospitals

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The selection of doctors and clinics is carried out on the basis of annual qualification reports. The main selection criterion is the number of operations or procedures performed. It takes into account experience, reputation in the medical society, the availability of quality certificates and high specialization in a certain field.

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Abscess douglas space diagnosis

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Drainage of Douglas Abscess

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General therapeutic rehabilitation

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University Hospital Rechts der Isar Munich

Head physician:

Prof. Dr. med. Marion Kiechle

University Hospital Rechts der Isar Munich

9.8/10from 70 Votes

Germany, 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

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Drainage of Douglas Abscess

10586

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Head physician:

Prof. Dr. med. Diethelm Wallwiener

University Hospital Tuebingen

9.2/10from 55 Votes

Germany, 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

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Drainage of Douglas Abscess

10694

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Head physician:

Prof. Dr. med. Kubilay Ertan

Leverkusen Clinic

10/10from 23 Votes

Germany, 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

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Drainage of Douglas Abscess

10252

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Head physician:

Prof. Dr. med. Wolfgang Janni

University Hospital Ulm

8.7/10from 83 Votes

Germany, 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

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Drainage of Douglas Abscess

10871

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University Hospital Carl Gustav Carus Dresden

Head physician:

Prof. Dr. med. Pauline Wimberger

University Hospital Carl Gustav Carus Dresden

9.1/10from 23 Votes

Germany, 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

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Drainage of Douglas Abscess

12683

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Head physician:

Prof. Dr. med. Sven Becker

University Hospital Frankfurt am Main

10/10from 97 Votes

Germany, 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

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Drainage of Douglas Abscess

10067

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Head physician:

Prof. Dr. med. Jens-Uwe Blohmer

Charite University Hospital Berlin

9/10from 95 Votes

Germany, 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

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Drainage of Douglas Abscess

14593

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Head physician:

Prof. Dr. med. Christof Sohn

University Hospital Heidelberg

9.8/10from 57 Votes

Germany, 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

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Drainage of Douglas Abscess

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University Hospital of Ludwig Maximilian University of Munich

Head physician:

Prof. Dr. med. Sven Mahner

University Hospital of Ludwig Maximilian University of Munich

10/10from 40 Votes

Germany, 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

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Drainage of Douglas Abscess

11345

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Head physician:

Prof. Dr. med. Matthias Beckmann

University Hospital Erlangen

9.1/10from 51 Votes

Germany, Erlangen

Department of Adult and Pediatric Gynecology, Mammology, Obstetrics

According to the Focus magazine, University Hospital Erlangen ranks among the best medical facilities in Germany! The hospital is one of the leading healthcare facilities in Bavaria and offers top-class medical care distinguished by the close intertwining of clinical activities with research and training of medical students. The

Abscess douglas space diagnosis

1891

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Drainage of Douglas Abscess

10567

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Head physician:

Prof. Dr. med. Christoph Tomssen

University Hospital Halle (Saale)

9.6/10from 78 Votes

Germany, 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

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Drainage of Douglas Abscess

10336

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Head physician:

Prof. Dr. med. Barbara Schmalfeldt

University Hospital Hamburg-Eppendorf

9.2/10from 92 Votes

Germany, 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

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Drainage of Douglas Abscess

12642

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Head physician:

Prof. Dr. med. Achim Wöckel

University Hospital Würzburg

9.2/10from 38 Votes

Germany, 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

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Drainage of Douglas Abscess

9980

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Head physician:

Prof. Dr. med. Elmar Stickeler

University Hospital RWTH Aachen

8.9/10from 41 Votes

Germany, 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

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Drainage of Douglas Abscess

11391

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Head physician:

Prof. Dr. med. Tanja Fehm

University Hospital Duesseldorf

9.5/10from 71 Votes

Germany, 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

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Drainage of Douglas Abscess

11180

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Head physician:

Prof. Dr. med. Ludwig Kiesel

University Hospital Muenster

9.8/10from 78 Votes

Germany, 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

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Drainage of Douglas Abscess

9966

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24.06.2021 | 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

Nemattilo T., Kyrgyzstan
Nemattilo T., Kyrgyzstan, July, 2017, Charite University Hospital Berlin, Prof. Dr. Walter Zidek.

Charite University Hospital Berlin

Margit H., Denmark
Margit H., Denmark, July 2020, University Hospital Frankfurt am Main, Prof. Dr. med. Thomas Vogl

University Hospital Frankfurt am Main

Leila G. N., Iran
Leila G. N., Iran, June 2020, Clinic of Advanced Biological Medicine Frankfurt am Main, Dr. med. Gerhard Siebenhüner

Clinic of Advanced Biological Medicine Frankfurt am Main

Dan P.Z., Romania
Dan P.Z., Romania, March 2021, Helios Hospital Berlin-Buch, Prof. Dr. med. Stefan Dresel

Helios Hospital Berlin-Buch

Fiona C., Ireland
Fiona C., Ireland, July 2021, Clinic of Advanced Biological Medicine Frankfurt am Main, Dr. med. Gerhard Siebenhüner

Clinic of Advanced Biological Medicine Frankfurt am Main

William E., USA
William E., USA, November 2018, University Hospital Saarland Homburg, Dr. Winkler.

University Hospital Saarland Homburg

Maia G. S., Romania
Maia G. S., Romania, February 2021, University Hospital Erlangen, Prof. Dr. med. Dr. h. c. Heinrich Iro

University Hospital Erlangen

Sughra G., Pakistan
Sughra G., Pakistan, August 2021, University Hospital Frankfurt am Main, Prof. Dr. med. Thomas Vogl

University Hospital Frankfurt am Main

Frederick A., South Africa
Frederick A., South Africa, April 2021, Clinic of advanced biological medicine Frankfurt am Main, Dr. med. Gerhard Siebenhüner