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Treatment of Enterocele

Due to the difficulties associated with the organization of treatment in Turkey, Switzerland, South Korea and India, we are not currently processing requests to these regions.

If you are interested in treatment in Germany, please leave a request and our specialists will contact you as soon as possible.

 

Cost for treatment

Diagnostic tests for enterocele
 from  351
Enterocele resection
 from  5346
General therapeutic rehabilitation
 from  565.57

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

Department of General, Abdominal and Transplant Surgery

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
Diagnostic tests for enterocele
1655
Enterocele resection
16752

Academic Hospital Brothers of Mercy Munich

10/10
location_onGermany, Munich

Department of General and Abdominal Surgery

According to the Focus magazine, the Academic Hospital Brothers of Mercy Munich ranks among the top German hospitals in the Federal State of Bavaria! The hospital is a modern medical facility with the highest level of medical care and long traditions. The hospital operates on the basis of the Technical University of Munich and t
Diagnostic tests for enterocele
1484
Enterocele resection
14340

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of General, Abdominal and Vascular Surgery

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
Diagnostic tests for enterocele
2047
Enterocele resection
22193

University Hospital Ulm

8.7/10
location_onGermany, Ulm

Department of General and Abdominal Surgery

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
Diagnostic tests for enterocele
1624
Enterocele resection
16337

University Hospital Carl Gustav Carus Dresden

9.1/10
location_onGermany, Dresden

Department of Abdominal, Thoracic and Vascular Surgery

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
Diagnostic tests for enterocele
1822
Enterocele resection
19606

University Hospital Marburg UKGM

8.6/10
location_onGermany, Marburg

Department of Abdominal, Thoracic and Vascular Surgery

The University Hospital Marburg UKGM offers patients modern diagnostics and comprehensive therapy at the international level. As a maximum care hospital, the medical facility specializes in all fields of modern medicine ranging from ophthalmology to traumatology and dentistry. The main areas of specialization of the hospital are
Diagnostic tests for enterocele
1472
Enterocele resection
14407

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

Department of General and Abdominal Surgery

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
Diagnostic tests for enterocele
1550
Enterocele resection
15494

University Hospital RWTH Aachen

9.2/10
location_onGermany, Aachen

Department of Adult and Pediatric General, Abdominal, Transplant Surgery

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
Diagnostic tests for enterocele
1674
Enterocele resection
17121

University Hospital Jena

8.9/10
location_onGermany, Jena

Department of General, Abdominal and Vascular Surgery

According to the prestigious Focus magazine, the University Hospital Jena regularly ranks among the top German medical facilities! The hospital has positioned itself as a multidisciplinary medical facility with a long history of more than 200 years. Since its foundation, the hospital has been constantly developing and modernizin
Diagnostic tests for enterocele
1432
Enterocele resection
13534

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of General, Abdominal and Transplant Surgery

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
Diagnostic tests for enterocele
0
Enterocele resection
0

University Hospital Halle (Saale)

9.6/10
location_onGermany, Halle

Department of General, Abdominal, Vascular and Endocrine Surgery

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
Diagnostic tests for enterocele
1543
Enterocele resection
15494

University Hospital Hamburg-Eppendorf

9.2/10
location_onGermany, Hamburg

Department of General, Abdominal and Thoracic Surgery

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
Diagnostic tests for enterocele
1833
Enterocele resection
19508

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

Department of General, Abdominal, Transplant, Vascular and Pediatric Surgery

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
Diagnostic tests for enterocele
1547
Enterocele resection
14963

University Hospital Tuebingen

9.2/10
location_onGermany, Tuebingen

Department of General, Abdominal, Adult and Pediatric Transplant Surgery

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
Diagnostic tests for enterocele
1606
Enterocele resection
15966

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Surgery

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
Diagnostic tests for enterocele
1679
Enterocele resection
16791

University Hospital Muenster

9.8/10
location_onGermany, Muenster

Department of General, Abdominal and Transplant Surgery

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
Diagnostic tests for enterocele
1528
Enterocele resection
14983
| from Booking Health GmbH

Enterocele is a pelvic hernia containing small bowel loops. It is a protrusion of the peritoneum between the rectum and the vagina. The pathology often develops after childbirth due to the damage to the pelvic fascia, muscles and nerves. After the fourth childbirth, the risk of enterocele increases 12 times. The pathology often develops after surgical interventions on the pelvic organs, most often after a hysterectomy (removal of the uterus). To treat the disease, doctors abroad perform minimally invasive operations: laparoscopic and robot-assisted ones.

Content

  1. Types of enterocele
  2. Symptoms
  3. Enterocele diagnostics
  4. Treatment
  5. Where to undergo treatment

Types of enterocele

 

According to the origin of enterocele, there are different types of this pathology:

  • Congenital – occurs due to incomplete fusion of the rectovaginal septum.
  • Traction – pressure of the cervix or uterine stump occurs when the support of the pelvic floor is impaired.
  • Pulsion – occurs due to a periodic increase in pressure in the abdominal cavity (cough, constipation).
  • Iatrogenic – develops after operations, as a result of which the axis of the vagina becomes vertical.

The following grades of the disease can be determined with X-ray imaging:

  • Grade 1 – location of the enterocele above the pubococcygeal line.
  • Grade 2 – below the line.
  • Grade 3– below the ischiococcygeal line.

The following grades of the disease can be determined with MRI scanning:

  • Grade 1 – hernia is up to 3 cm.
  • Grade 2 – up to 6 cm.
  • Grade 3 – more than 6 cm.

Enterocele can be simple or complex. The complex one is combined with other types of pelvic organ prolapse. It is more common.

Symptoms

 

Symptoms differ depending on the size of the enterocele. When the size is up to 3 cm, there are no symptoms. As the hernia grows, the following complaints appear:

  • Pain in the perineum and vagina.
  • Feeling of pressure, foreign body.
  • Bladder dysfunction.
  • Pain during a sexual intercourse.

Symptoms are worse during the day and are better after resting in a horizontal position.

Anal sphincter dysfunction may develop. More often it is constipation, less often patients suffer from fecal incontinence. Constipation develops in 5% of women. It develops when the enterocele is more than 6 cm.

Enterocele diagnostics

 

In theory, the enterocele should be diagnosed only with the presence of small bowel loops in the hernia sac. However, it may contain other content as well:

  • Sigmoidocele – sigmoid colon.
  • Omentocele – omentum.
  • Peritoneocele – there are no organs in the bag, but only the protrusion of the tendon center of the perineum occurs.

In practice, it can be quite difficult to determine what exactly is contained in the hernial sac prior to the operation. Doctors find only a rectal bulge into the back wall of the vagina. Therefore, all patients with the listed pathologies receive one diagnosis: enterocele.

Pelvic floor prolapse is a complex and multifactorial process, and therefore isolated small bowel prolapse is very rare in the practice of a surgeon. As a rule, prolapse of the uterus, bladder, perineum, vagina or vaginal fornix is ​​detected at the same time after hysterectomy (removal of the uterus).

MRI is of crucial importance in diagnostics. With clinical methods, enterocele can be detected only in half of the women. The specialists in Europe carry out dynamic MRI, as it helps to assess the function of the pelvic floor organs.

With poor technical capabilities, perineal dynamic ultrasound becomes an option of choice. Doctors monitor the movement of the pelvic floor while straining the patient and squeezing the perineum. Doctors abroad can use 3D echodefecography with the simultaneous insertion of a sensor into the rectum and vagina.

Treatment

 

The main non-surgical treatment for vaginal enterocele, like for other types of pelvic organ prolapse, is pessary implantation. It can be successfully implanted in all women. However, the procedure has a drawback: the results deteriorate over time. As a result, only half or even a third of women are not satisfied with the treatment results.

Here are some additional non-surgical methods to reduce prolapse:

  • Smoking cessation.
  • Pelvic floor muscle training.
  • Losing weight.
  • Treatment of chronic diseases.

If conservative therapy does not help, the specialists resort to a surgical intervention. The doctor's task is to detect and eliminate the enterocele, remove the hernial sac, bandage its neck and close the defect, thereby restoring the normal axis of the vagina.

The surgical intervention can be performed with the use of different surgical access: vaginal, classic abdominal (a large incision on the abdomen) and laparoscopic. Hospitals abroad give preference to minimally invasive interventions, since patients can recover quickly after them. The most frequent access is the vaginal one. This is due to the fact that with this access the specialists can repair the concomitant manifestations of prolapse: rectocele, cystocele, vaginal vault prolapse, urinary incontinence. When performing the operation, a surgeon fixes the vaginal walls to stable anatomical structures: the sacrospinous ligament, the iliococcygeus muscle and the pelvic fascia. Mesh endoprostheses can sometimes be used for better fixation of organs.

Laparoscopic surgical interventions are performed through small incisions in the abdomen. One of the most popular is sacrocolpopexy. The doctor fixes two thirds of the vagina to the anterior longitudinal ligament of the sacrum with a mesh prosthesis. Laparoscopic pectopexy is used less commonly: for the elimination of prolapse, the prolapsed organs are fixed with a mesh to the Cooper's ligament on both sides.

Where to undergo treatment

 

To benefit from the highest level of medical care, you can undergo surgical treatment of enterocele abroad. The specialists of the Booking Health company will select for you the best hospitals for the treatment of enterocele abroad and take care of the organization of your trip.

There are several reasons for you to undergo treatment of enterocele and pelvic organ prolapse abroad:

  • The possibility to undergo a simultaneous correction of enterocele, rectocele, cystocele, and urinary incontinence.
  • The use of laparoscopic and robot-assisted surgical interventions, as they are less traumatic and safer.
  • Preservation of both sexual and reproductive function.
  • With isolated enterocele, the risk of disease recurrence after surgery is close to zero.
  • Low risk of complications: incontinence or urinary retention, vaginal shortening, intestinal and vaginal fistulas.
  • High-quality postoperative care and recovery.

Please leave your request on the Booking Health website. Our specialist will contact you within just a few hours. If you book a medical care program via our service, the cost of the operation will be lower due to the lack of additional coefficients for foreign patients. You can compare the cost of treatment in different hospitals in order to book your treatment at the best price.

Authors: Dr. Nadezhda Ivanisova, Dr. Sergey Pashchenko




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