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Treatment of Urethro-vaginal Fistula in Germany | ️Best Hospitals, Doctors, Prices | Booking Health™

Urethro-vaginal Fistula. Treatment in Germany

Best Hospitals of Germany for Treatment of Urethro-vaginal Fistula | Booking Health helps you choose the right clinic and save money | ️Highly qualified specialists | ️Professional support on all stages of treatment | Send request 24/7!

Best hospitals and doctors for urethro-vaginal fistula treatment in Germany

Leading hospitals

Cost for treatment

Urethro-vaginal fistula diagnosis
0.00
Surgical resection of urethro-vaginal fistula
9084.5
General therapeutic rehabilitation
0.00
University Hospital Rechts der Isar Munich
Germany, Munich

University Hospital Rechts der Isar Munich

Overall rating9.8 / 10
The University Hospital Rechts der Isar Munich was founded in 1834. It combines long traditions with the very latest advances in modern medicine. The medical facility includes 33 specialized departments and 20 interdisciplinary centers, where patients can receive top-class medical care in all medical fields. The hospital annuall
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University Hospital Tuebingen
Germany, Tuebingen

University Hospital Tuebingen

Overall rating9.2 / 10
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
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University Hospital Ulm
Germany, Ulm

University Hospital Ulm

Overall rating8.7 / 10
The University Hospital Ulm is an advanced medical complex that provides patients with high-class medical care using the very latest scientific achievements. The medical facility has been performing successful clinical activities for more than 40 years and has long earned an excellent reputation throughout Europe. The hospital r
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University Hospital Carl Gustav Carus Dresden
Germany, Dresden

University Hospital Carl Gustav Carus Dresden

Overall rating9.1 / 10
According to the reputable Focus magazine, the University Hospital Carl Gustav Carus Dresden ranks among the top five German hospitals! The hospital is the benchmark for modern high-quality medicine. Positioning itself as a maximum care medical facility, the hospital represents all medical fields. There are 26 specialized depart
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University Hospital Frankfurt am Main
Germany, Frankfurt am Main

University Hospital Frankfurt am Main

Overall rating10 / 10
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
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Charite University Hospital Berlin
Germany, Berlin

Charite University Hospital Berlin

Overall rating9 / 10
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
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University Hospital Heidelberg
Germany, Heidelberg

University Hospital Heidelberg

Overall rating9.8 / 10
According to 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 fields of
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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
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University Hospital Erlangen
Germany, Erlangen

University Hospital Erlangen

Overall rating9.1 / 10
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
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University Hospital Halle (Saale)
Germany, Halle

University Hospital Halle (Saale)

Overall rating9.6 / 10
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
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University Hospital Hamburg-Eppendorf
Germany, Hamburg

University Hospital Hamburg-Eppendorf

Overall rating9.2 / 10
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
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University Hospital Würzburg
Germany, Würzburg

University Hospital Würzburg

Overall rating9.2 / 10
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
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University Hospital RWTH Aachen
Germany, Aachen

University Hospital RWTH Aachen

Overall rating8.9 / 10
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
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University Hospital Duesseldorf
Germany, Duesseldorf

University Hospital Duesseldorf

Overall rating9.5 / 10
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
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University Hospital Muenster
Germany, Muenster

University Hospital Muenster

Overall rating9.8 / 10
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
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University Hospital Bonn
Germany, Bonn

University Hospital Bonn

Overall rating9.2 / 10
According to the authoritative Focus magazine, the University Hospital Bonn ranks among the top ten medical facilities in Germany! The hospital was opened on January 1, 2001, although in fact it inherits the medical facility, which operated at the Faculty of Medicine of the University of Bonn. The hospital in Germany combin
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| from Booking Health GmbH

A urethro-vaginal fistula is an abnormal communication between the urethra and the vagina. In most cases, this is the result of an unsuccessful operation, and less commonly, this condition develops as a complication after childbirth or as a consequence of radiation therapy. There are also congenital fistulas that occur due to impaired intrauterine development. Any form of the disease can be cured. Doctors in Germany successfully cope with the treatment of even complex fistulas: post-radiation, with extensive urethral lesions, after the placement of a synthetic loop, etc. Doctors at German hospitals use the very latest surgical techniques, which are reliable, minimally traumatic, and safe.

Content

  1. Features of treatment
  2. How is surgery performed?
  3. Management of urinary incontinence

Doctors suture communications between the urethra and vagina or close the defect with a flap. After this surgery, some women will need additional procedures to correct stress urinary incontinence.

You can undergo your treatment at one of the following hospitals: University Hospital Rechts der Isar Munich, University Hospital Tuebingen, or University Hospital Ulm.

You are welcome to make your treatment appointment through our service, and we will fully arrange your trip. Medical advisors from the Booking Health company will select a clinic and a treatment method for you. The Booking Health managers will make an appointment at the clinic on the preferred date, help you to apply for a visa, take care of airline tickets and book apartments, if necessary. A medical interpreter will also accompany you at the clinic.

Features of treatment

 

The treatment of a urethro-vaginal fistula is more complex than that of a vesico-vaginal fistula. On the one hand, there is a significant tissue deficit, so most women need plastic surgery. On the other hand, the minimal space often does not allow any additional tissue to be placed between the walls of the urethra and vagina. However, German surgeons successfully cope with the task of treating urethro-vaginal fistulas.

The principles of treatment of the disease include the following:

  • the tissue between the urethra and the vagina is sutured or flaps are used to restore it;
  • various approaches can be used for operations: transurethral (from inside the urethra), transabdominal (through an abdominal incision), or transvaginal (through the vagina);
  • interventions are performed with or without tissue interposition (enclosing or overlapping).

How is surgery performed?

 

In most cases, the operation is performed via a vaginal approach. This is a safe and sparing technique to perform the surgical intervention.

In the case of small fistulas and a preserved urethral wall, fistula closure can be performed without tissue interposition. The urethral wall is extensively mobilized and the tissues are sutured without tension in two layers using absorbable suture material. Additional flaps from the proximal (closest to the bladder) urethra may be used to reduce scarring and facilitate future loop placement if correction of stress urinary incontinence is required. The risk of this complication reaches 50%.

Doctors usually apply two rows of sutures to achieve tightness. After the first suturing, they check the leaks with a probe and then eliminate them.

The Martius modified labial fat pad flap (MMLFPF), or simply the Martius flap, is often used to separate the urethra and vagina. For the first time, Martius described urethro-vaginal fistula plastic surgery in 1928. This treatment method will soon celebrate its centennial, but it still remains relevant, although the technique has been repeatedly modified. As of today, the term "Martius flap" refers to an adipose tissue flap of the large lip without muscles. The flap is placed between the periurethral fascia and the anterior vaginal wall.

Management of urinary incontinence

 

Urinary incontinence is a common complication of operations for urethro-vaginal stenosis. Its likelihood exceeds 50%. The risk is even higher if a previously placed synthetic loop that was used to treat urinary incontinence is removed. A urethro-vaginal fistula may develop as a complication of this operation.

Due to the high risk of incontinence, there are proponents among doctors of a single-stage surgical resection of the fistula and placement of a synthetic loop. So far, this treatment method has not become the main one. Although the percentage of complications is high, not all women develop incontinence, so its treatment is carried out at the second stage. Half of the patients will not need it at all.

However, if stress incontinence has developed, it can be easily eliminated. For this purpose, doctors use sling techniques, that is, minimally invasive procedures with a short rehabilitation period. With a curved trocar needle, doctors insert a loop through a small vaginal incision, which fixes the urethra at an angle. The effectiveness of new modifications of sling operations reaches 95%.

You can undergo your diagnostics and treatment of urethro-vaginal fistula in Germany in one of the specialized Urogynecology Centers to obtain reliable results and minimize such complications as urinary incontinence or urethral stenosis. You are welcome to use the Booking Health service to find the cost of treatment and make an appointment at a hospital at an affordable price. Our specialists will help you to select clinics in Germany and arrange your trip.

 

Authors: 

The article was edited by medical experts, board-certified doctors Dr. Vadim Zhiliuk and Dr. Sergey Pashchenko. For the treatment of the conditions referred to in the article, you must consult a doctor; the information in the article is not intended for self-medication!

 

Sources:

PubMed

Web MD

MedicineNet