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Treatment of Uterine Fibroids (Myoma Uteri)

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

Uterine fibroid diagnosis
552.28
Artery embolisation of uterine fibroids (myoma uteri)
6965.57
Da Vinci myomectomy in uterine fibroids (myoma uteri)
6057.29

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Gynecology, Mammology and Obstetrics

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
Uterine fibroid diagnosis
2620.44
Artery embolisation of uterine fibroids (myoma uteri)
20533.97
Da Vinci myomectomy in uterine fibroids (myoma uteri)
11761.32

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
Uterine fibroid diagnosis
2696.65
Artery embolisation of uterine fibroids (myoma uteri)
20689.53
Treatment of uterine fibroid with hyperplasia and secondary dysmenorrhea (painful periods) with hysteroscopic myomectomy (enucleation)
8023.28

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
Uterine fibroid diagnosis
2588.07
Artery embolisation of uterine fibroids (myoma uteri)
20877.45
Da Vinci myomectomy in uterine fibroids (myoma uteri)
11497.19

University Hospital Carl Gustav Carus Dresden

9.1/10
location_onGermany, Dresden

Department of Adult and Pediatric Gynecology, Mammology, Obstetrics and Reproductive Medicine

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
Uterine fibroid diagnosis
3061
Artery embolisation of uterine fibroids (myoma uteri)
25427.2
Treatment of uterine fibroid with hyperplasia and secondary dysmenorrhea (painful periods) with hysteroscopic myomectomy (enucleation)
9749.01

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
Uterine fibroid diagnosis
2400.15
Artery embolisation of uterine fibroids (myoma uteri)
19764.54
Da Vinci myomectomy in uterine fibroids (myoma uteri)
10951.18

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
Uterine fibroid diagnosis
3186.28
Artery embolisation of uterine fibroids (myoma uteri)
28457.93
Da Vinci myomectomy in uterine fibroids (myoma uteri)
15673.19

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of Obstetrics, Adult and Pediatric Gynecology

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
Uterine fibroid diagnosis
0
Artery embolisation of uterine fibroids (myoma uteri)
0
Treatment of uterine fibroid with hyperplasia and secondary dysmenorrhea (painful periods) with hysteroscopic myomectomy (enucleation)
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
Uterine fibroid diagnosis
2612.08
Artery embolisation of uterine fibroids (myoma uteri)
22119.81
Treatment of uterine fibroid with hyperplasia and secondary dysmenorrhea (painful periods) with hysteroscopic myomectomy (enucleation)
8651.77

University Hospital Erlangen

9.1/10
location_onGermany, 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
Uterine fibroid diagnosis
2685.16
Artery embolisation of uterine fibroids (myoma uteri)
20882.67
Da Vinci myomectomy in uterine fibroids (myoma uteri)
11424.11

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
Uterine fibroid diagnosis
2601.64
Artery embolisation of uterine fibroids (myoma uteri)
19557.83
Treatment of uterine fibroid with hyperplasia and secondary dysmenorrhea (painful periods) with hysteroscopic myomectomy (enucleation)
7617.16

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
Uterine fibroid diagnosis
2937.81
Artery embolisation of uterine fibroids (myoma uteri)
25152.63
Da Vinci myomectomy in uterine fibroids (myoma uteri)
14157.3

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
Uterine fibroid diagnosis
2501.42
Artery embolisation of uterine fibroids (myoma uteri)
19474.31
Da Vinci myomectomy in uterine fibroids (myoma uteri)
10914.64

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
Uterine fibroid diagnosis
2719.62
Artery embolisation of uterine fibroids (myoma uteri)
21955.9
Treatment of uterine fibroid with hyperplasia and secondary dysmenorrhea (painful periods) with hysteroscopic myomectomy (enucleation)
8483.68

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
Uterine fibroid diagnosis
2614.17
Artery embolisation of uterine fibroids (myoma uteri)
21539.34
Da Vinci myomectomy in uterine fibroids (myoma uteri)
12345.96

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
Uterine fibroid diagnosis
2580.76
Artery embolisation of uterine fibroids (myoma uteri)
19635.09
Da Vinci myomectomy in uterine fibroids (myoma uteri)
11137.01

University Hospital Bonn

9.2/10
location_onGermany, Bonn

Department of Gynecology and Gynecologic Oncology

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
Uterine fibroid diagnosis
2588.07
Artery embolisation of uterine fibroids (myoma uteri)
21896.39
Treatment of uterine fibroid with hyperplasia and secondary dysmenorrhea (painful periods) with hysteroscopic myomectomy (enucleation)
8583.91
| from Booking Health GmbH

Uterine fibroids are benign neoplasms that commonly cause infertility, miscarriage, and uterine bleeding. Myomas may also cause heavy and prolonged monthlies, as well as abnormal uterine bleeding between monthlies. You can undergo your diagnostics and treatment abroad to restore your reproductive function or get rid of the symptoms of the disease. You are welcome to use the Booking Health service to check prices and compare the cost of treatment at different hospitals.

Content

  1. Diagnostics
  2. Treatment principles
  3. Myoma surgery
  4. Minimally invasive treatment
  5. Why to undergo your treatment abroad?

Diagnostics

 

Patients seek medical attention with complaints of pelvic pain, bleeding, and difficulty conceiving. Myomas may sometimes be detected incidentally, as many women have no symptoms.

The diagnosis can be confirmed with ultrasound diagnostics. This is the main examination that allows for the determination of the location and size of the uterine fibroids, as well as the features of their blood supply. An MRI scan is rarely required for diagnostics. A contrast-enhanced examination distinguishes between a myoma and a malignant tumor, specifically a leiomyosarcoma. 

Treatment principles

 

Uterine fibroids can be treated with medications, surgery, or minimally invasive procedures. The goal of the intervention is not necessarily total removal of the tumor, as its shrinkage is enough to eliminate the symptoms.

The only option for a complete cure for the disease is the removal of the uterus. In this case, you can expect not only the elimination of all myomatous nodes but also a zero risk of their repeated future growth. However, this treatment option is unacceptable for most women of reproductive age, so organ-preserving operations are preferred.

The treatment of uterine fibroids abroad includes the following:

  • surgical removal of myomatous nodes;
  • destruction of myomas with various energies (laser, radiofrequency ablation, or ultrasound);
  • blood supply blockage to uterine fibroids, which leads to the death of their tissues.

Doctors in developed countries offer the latest methods of treatment for the disease. These are minimally traumatic, have a low risk of complications, and have a short rehabilitation period. Some procedures do not even require a hospital stay.

Myoma surgery

 

The following two types of operations can be performed for uterine fibroids:

  • a hysterectomy, which is a surgical procedure for uterine removal;
  • a myomectomy, which is a surgical procedure for myomatous node removal.

A hysterectomy can be performed with the use of a vaginal approach, a laparotomy (through a large abdominal incision), or a laparoscopy (through several small abdominal incisions). Surgeons in developed countries almost never use laparotomy because it is too traumatic. They therefore apply more sparing interventions through a vaginal or laparoscopic approach.

A myomectomy is the method of choice for women who wish to maintain or restore their reproductive function. This is a complex operation if a woman has many large nodes that are not located on the pedicle. The operation should be performed by doctors who have vast experience in uterine reconstruction. A well-performed surgical procedure means not only the possibility of getting pregnant but also a low risk of uterine rupture as well as a good chance of having a baby through the natural birth canal without a C-section.

A myomectomy may involve the use of different surgical approaches, depending on the location of the node. If the nodes are located mainly in the uterine cavity, a hysteroscopy (an endoscopic operation from inside the uterus) will be used. This is the least traumatic treatment option. Women recover in one week after such operations. When myomas are mainly located in the uterine wall and abdominal cavity, a laparoscopic approach is preferable. The recovery period after such operations is about two weeks. In countries with a poor level of medicine, the main type of surgical approach is considered to be a laparotomy, which means that the operation will be performed through a large abdominal incision. Such operations are also effective, but the recovery time reaches 8 weeks, the risk of complications is much higher, the blood loss is greater, and there is a threat of tubal-peritoneal infertility due to the formation of a large number of adhesions in the abdominal cavity.

Minimally invasive treatment

 

Minimally invasive procedures for uterine fibroids are most commonly used in women who do not intend to have children. All of them are aimed at the destruction of tumor tissue or the impairment of blood supply in the myomatous node, after which it decreases in size due to ischemic necrosis (death due to a lack of blood supply).

The following treatment methods are used in developed countries:

Uterine artery embolization is the most common minimally invasive procedure performed from inside the blood vessels. A small incision in the groin where the femoral artery passes is sufficient to access the arteries. The manipulation is performed under X-ray guidance. Doctors block the blood vessels that supply myomas. As a result, the size of the neoplasms rapidly decreases because the cells die as they do not receive any oxygen and nutrients. Embolization is considered the best treatment for intramural fibroids. Less commonly, it can be used for submucosal fibroids, but in this case, a hysteroscopy is considered the preferred method. Embolization is not suitable for treating pedunculated myomas larger than 8 cm.

Myolysis is the procedure for the destruction of uterine fibroids with various energies, such as laser, bipolar coagulation, radiofrequency ablation, or cryomyolysis (freezing). This is a minor surgery that is performed using a laparoscopic approach. The technique is optimally suited for the treatment of fibroids, which are located mainly in the abdominal cavity. Small tumors in the wall of the organ are not always detected during laparoscopy, so doctors use intraoperative imaging techniques to detect and destroy all tumors. A pregnancy after this procedure is undesirable due to the high risk of complications. Many women develop infertility. However, it is a good treatment option for patients who do not have any reproductive plans.

MRI-guided interstitial coagulation is an innovative technique that has not yet been widely adopted. It is essentially a method similar to myolysis, as doctors use a laser or radiofrequency ablation to destroy the nodes. However, approaching them no longer necessitates a laparoscopy. The procedure is performed through abdominal punctures. The probes are inserted and positioned under the guidance of intraoperative diagnostics.

Magnetic resonance-guided focused ultrasound (MRgFUS) is another alternative to myolysis, which has advantages in terms of its safety and efficiency. This is a completely non-invasive procedure that does not require any incisions or punctures of the anterior abdominal wall. Ultrasonic waves affect fibroids, penetrating the nodes through the abdominal wall. The procedure is carried out under MRI guidance. It lasts from 2 to 4 hours. Doctors have full control over the process of tumor destruction, therefore, unlike myolysis, excessive or insufficient energy exposure is practically impossible.

Doppler-guided uterine artery occlusion (D-UAO) is a new technique that is not yet considered standard. Doctors use a special vascular clamp to temporarily close the lumen of the uterine arteries. They are located very close to the lateral fornices of the vagina, so the procedure is performed with a transvaginal approach. It is performed on an outpatient basis. The recovery period afterward is 3 days.

Why to undergo your treatment abroad?

 

If you have uterine fibroids, you can undergo your treatment for this disease at one of the best hospitals in the world. You are welcome to visit the Booking Health website to find out the cost of treatment and compare prices. There are a few reasons for you to undergo your treatment abroad. These are the following:

  • organ-preserving treatment is preferred;
  • instead of traumatic interventions through a large incision in the anterior abdominal wall, operations are performed through short abdominal incisions or from inside the uterus;
  • patients of reproductive age can preserve and restore their fertility;
  • the use of innovative methods for the destruction of myomatous nodes without any surgery;
  • adequate pain relief, rehabilitation, and high-quality postoperative care.

You are welcome to make an appointment for your treatment abroad through the Booking Health website. The cost of treatment will be lower for you. The price will be reduced for you due to the lack of any taxes for foreign patients. The specialists from the Booking Health company will help you select the best hospital and arrange your trip. Even if additional procedures are required, the initial cost of treatment will not increase after the beginning of your medical care program, as you will receive insurance that will cover all extra medical expenses.

 

Authors: 

The article was edited by medical experts, board-certified doctors Dr. Nadezhda Ivanisova 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:

Healthline

Verywell Health

MedicineNet




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