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Urinary Incontinence and Pelvic Organ Prolapse — Da Vinci treatment in the Best Hospitals of Germany

University Hospital Ulm

8.7/10
location_onGermany, Ulm

Department of Obstetrics, Adult and Pediatric Gynecology

The Department of Obstetrics, Adult and Pediatric Gynecology offers the full range of services in these fields and specializes in the diagnostics and treatment of general gynecological diseases, oncological diseases of the female reproductive system, breast, endometrial pathologies and urinary incontinence. In the clinical practice, only proven accurate diagnostic methods and effective therapeutic measures are used. In addition, the department is the Level I Perinatal Center, in which about 3,000 babies are born annually.

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

Department of Adult and Pediatric Gynecology, Obstetrics and Mammology

According to the Focus magazine, the Department of Adult and Pediatric Gynecology, Obstetrics and Mammology ranks among the top German departments specializing in the provision of obstetric services and breast cancer treatment! The department offers all diagnostic and therapeutic options for patients of all ages with diseases of the female reproductive system, mammary gland, as well as provides the comprehensive pregnancy management, childbirth and postpartum care in accordance with the highest standards of modern obstetrics. One of the priority focuses of the department’s work is the treatment of oncopathology in women. All specialists have excellent qualifications and tremendous experience, and therefore they achieve successful results even in extremely difficult clinical cases.

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of Adult and Pediatric Gynecology, Mammology

According to the Focus magazine, the Department of Adult and Pediatric Gynecology, Mammology ranks among the top German medical facilities in the fields of its specialization! The department offers all options of modern medicine for the diagnostics and treatment of diseases of the female reproductive organs and breast. Of particular interest is the treatment of cancers of the female reproductive organs and breast (certification of the German Cancer Society). In addition, the department's doctors have exceptional competence in the treatment of gynecological problems in children of all age groups, including surgical correction of congenital malformations of the reproductive organs. The department is proud of its outstanding treatment results achieved thanks to the professional skills of doctors and excellent technical base.

University Hospital Erlangen

9.1/10
location_onGermany, Erlangen

Department of Adult and Pediatric Gynecology, Mammology, Obstetrics

According to the Focus magazine, the Department of Adult and Pediatric Gynecology, Mammology, Obstetrics ranks among the top German departments specializing in obstetrics and breast cancer treatment! The department offers the full range of services in the areas of its specialization and is one of the largest medical facilities of this kind in Germany. Of particular interest is the treatment of cancers of the female reproductive system, including breast cancer, medical care for hormonal imbalance of gynecological genesis, treatment of urinary incontinence and pelvic organ prolapse in women, top-class obstetric care and integrated pregnancy management. In addition, the department's gynecologists admit women suffering from infertility. They can undergo comprehensive diagnostics of the reproductive system and the further required therapeutic manipulations, such as uterine fibroid removal, treatment of endometriosis and other pathologies, which prevent the conception of a child. The department also specializes in the treatment of congenital malformations and acquired gynecological diseases in children. The highly qualified team of doctors with colossal experience, who keep pace with advanced innovations in medicine, take care of the patients' health. The specialists do everything possible to restore the health of patients, taking into account their needs and wishes.

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

Department of Adult and Pediatric Gynecology, Mammology and Obstetrics

The Department of Adult and Pediatric Gynecology, Mammology and Obstetrics offers the diagnostics and treatment of all gynecological diseases. The department specializes in the treatment of breast cancer and cancer of the female reproductive organs. All traditional and modern conservative and surgical methods are used for this purpose. The department also provides reliable and individual obstetric services at the Center for Mother and Child and offers all methods of prenatal diagnostics.

University Hospital Duesseldorf

9.5/10
location_onGermany, Duesseldorf

Department of Adult and Pediatric Gynecology, Obstetrics and Mammology

According to the Focus magazine rating, the Department of Adult and Pediatric Gynecology, Obstetrics and Mammology ranks among the top German departments specializing in breast cancer treatment! The department offers the full range of services in these medical fields. In the field of gynecology, it provides the diagnostics and treatment of all pathologies of the female reproductive system, including the gynecological problems in girls aged from 0 to 18 years. The department's obstetricians provide quality care for expectant mothers before, during and after pregnancy. The department's scope of activities also includes the management of high-risk pregnancies. The key focus of clinical activities is the treatment of oncological diseases of the female genital organs, including breast cancer.

University Hospital Hamburg-Eppendorf

9.2/10
location_onGermany, Hamburg

Department of Gynecology and Mammology

According to the Focus magazine, the Department of Gynecology and Mammology ranks among the top German departments specializing in breast cancer treatment! The department offers the full range of diagnostic and therapeutic services in its areas of specialization. Due to its successful clinical activities, the department has the status of a supraregional Competence Center for Surgical and Conservative Gynecologic Oncology, as well as of the leading Breast Cancer Center. All therapeutic measures meet the modern standards of both national and international specialized societies.

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Gynecology, Mammology and Obstetrics

The Department of Gynecology, Mammology and Obstetrics offers the full range of services in these fields, providing patients with the optimal treatment based on the very latest scientific advances and innovative technologies. The department's tasks include diagnostics and treatment of all gynecologic diseases and breast pathologies, as well as pregnancy management, childbirth and postnatal care for both mother and baby, elimination of fertility problems in women. The department has modern equipment for invasive and non-invasive diagnostics, three operating rooms equipped with state-of-the-art technology, especially in the field of minimally invasive and robot-assisted surgery, as well as special devices for microsurgery and fetal surgery. A competent medical team consisting of 18 senior physicians, 25 assistant physicians and medical specialists, obstetricians and specially trained nursing staff annually admits approximately 5,000 women for inpatient treatment and provides outpatient medical care for 14,000 patients. In addition, the department has four maternity rooms, in which about 2,000 babies are born annually.

University Hospital Muenster

9.8/10
location_onGermany, Muenster

Department of Adult and Pediatric Gynecology, Obstetrics

According to the Focus magazine, the Department of Adult and Pediatric Gynecology, Obstetrics ranks among the top German departments specializing in obstetrics! The department offers the full range of diagnostics and treatment of all gynecologic diseases in women and girls. The specialization includes surgical gynecology and gynecologic oncology, obstetrics and perinatal medicine, gynecological endocrinology and reproductive medicine. A special focus is made on the treatment of malignant tumors of the female reproductive organs, which is carried out within the Comprehensive Cancer Center Muenster. All the very latest and most effective treatment methods are available here.

University Hospital Jena

8.9/10
location_onGermany, Jena

Department of Adult and Pediatric Gynecology, Mammology, Reproductive Medicine

According to Focus, the Department of Adult and Pediatric Gynecology, Mammology, Reproductive Medicine ranks among the top German medical facilities specializing in breast cancer treatment! The department offers the full range of surgical and conservative treatment of diseases of the female reproductive system. One of the priorities is breast cancer treatment. Other important focuses include the treatment of gynecologic cancers, endometriosis, uterine myomas, dysplasia, pelvic prolapse, urinary incontinence. In addition, the competence covers the use of all modern assisted reproductive technologies.

University Hospital Marburg UKGM

8.6/10
location_onGermany, Marburg

Department of Adult and Pediatric Gynecology, Gynecological Endocrinology, Gynecological Oncology and Mammology

According to the Focus magazine, the Department of Adult and Pediatric Gynecology, Gynecological Endocrinology, Gynecological Oncology and Mammology ranks among the best German medical facilities for breast cancer treatment! The department offers the full range of medical services in the areas of its specialization. Of particular interest to the department’s doctors is the treatment of oncopathologies of the female genital organs, breast cancer. Also, the department’s gynecologists have rich experience in the treatment of gynecological problems in children and adolescents. The department has modern diagnostic and treatment methods, which allow to fight gynecological diseases as efficiently as possible.

University Hospital Essen

9.6/10
location_onGermany, Essen

Department of Obstetrics, Gynecology and Mammology

According to the Focus magazine, the Department of Obstetrics, Gynecology and Mammology ranks among the top German departments specializing in breast cancer treatment! The department offers the full range of services in the areas of its specialization. With appropriate clinical indications, the surgical treatment is carried out using modern minimally invasive techniques, which provide sparing and safe treatment. The department is Level I Perinatal Center, where more than 1,000 babies are born annually. Also, the department's specialists have vast experience in the management of multiple pregnancies.

Academic Prosper-Hospital Recklinghausen

9/10
location_onGermany, Recklinghausen

Department of Gynecology, Gynecologic Oncology, Gynecologic Surgery, Urogynecology, Mammology and Obstetrics

The Department of Gynecology, Gynecologic Oncology, Gynecologic Surgery, Urogynecology, Mammology and Obstetrics provides high-precision diagnostics and comprehensive treatment of all diseases of the female genital organs and pathologies of the mammary gland in the fair sex. The department's key specialization is the treatment of malignant diseases of the female reproductive system and breast cancer. Both sparing minimally invasive and da Vinci robot-assisted surgery is widely used in clinical practice. These surgical techniques are innovative in modern surgery and allow performing gynecological operations with only a few small skin incisions. The department also offers professional pregnancy management at all its stages, including high-risk pregnancies, safe childbirth and postpartum care. More than 900 babies are born here every year.

Hannover Medical School (MHH)

9.8/10
location_onGermany, Hannover

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

The Department of Adult and Pediatric Gynecology, Mammology, Obstetrics and Reproductive Medicine offers accurate diagnostics and effective treatment of all diseases of the female genital organs and breast, as well as provides top-class obstetric services. The department specializes in the treatment of breast cancer, female genital cancers, dysplasia, endometriosis, urinary incontinence, pelvic organ prolapse, as well as the treatment of hormone imbalance of gynecological origin. The department’s therapeutic options include conservative methods, surgical treatment using the very latest robot-assisted systems (da Vinci robot) and minimally invasive techniques, psychological care and traditional Chinese medicine. In addition, the department provides the services of experienced reproductologists, whose task is to detect the causes of infertility and carry out the therapeutic manipulations necessary for conceiving a child. The focus of the department’s doctors and nursing staff is on the patient with her individual needs and wishes. Medical care meets strict international standards, due to which high treatment success rates are achieved here.

Academic Hospital Nuremberg

9/10
location_onGermany, Nuremberg

Department of Obstetrics, Gynecology and Mammology

According to the Focus magazine, the Department of Obstetrics, Gynecology and Mammology ranks among the top German departments specializing in obstetrics and breast cancer treatment! The department offers the full range of diagnostic and therapeutic services for patients with diseases of the reproductive system, including breast pathology. The most important focus is on the integrated management of pregnancy, provision of safe childbirth and postpartum monitoring of the mother and child. The state-of-art infrastructure of the department and highly qualified medical staff contribute to successful clinical practice.

Knappschaft Hospital Dortmund

9.8/10
location_onGermany, Dortmund

Department of Gynecology, Gynecologic Oncology, Mammology and Obstetrics

The Department of Gynecology, Gynecologic Oncology, Mammology and Obstetrics offers the full range of medical services in the areas of its specialization. Of particular interest to the department's gynecologists is the treatment of malignancies of the female reproductive organs and breast cancer. Since the successful cancer treatment requires an interdisciplinary and comprehensive approach, the experts in the field of oncology, radiology, radiation therapy, chemotherapy, palliative care and other doctors are actively involved in the therapeutic process. The department has modern diagnostic rooms, as well as high-tech operating rooms for sparing minimally invasive interventions. Since 2011, the department has been performing robotic interventions using the innovative da Vinci Surgical System, including for the treatment of gynecologic cancers. The field of the department's ​​competence also includes integrated management of pregnancy, delivery and the provision of postnatal care for both mother and newborn.

Pelvic organ prolapse is a descending or drooping of the pelvic organs through the vagina. As a rule, this is a consequence of previous surgery or age-related weakening of the connective tissue. There are different types of prolapse, such as urethrocele, cystocele, enterocele, rectocele, uterine, and vaginal stump prolapse. Doctors in Germany provide a successful pelvic organ prolapse treatment. The specialists prefer sparing and minimally invasive surgical procedures that securely fix the organs in the correct anatomical position and eliminate the symptoms of the disease.

Content

  1. Conservative therapy
  2. Surgical treatment

Doctors perform operations aimed at restoring the normal anatomical position to treat urinary incontinence due to pelvic organ prolapse. Instead of the classic abdominal approach, surgeons in Germany perform minimally invasive laparoscopic and robot-assisted operations.

You can undergo your treatment at the University Hospital Ulm, the University Hospital Frankfurt am Main, or the Charite University Hospital Berlin.

We will organize your trip if you make your treatment appointment at a hospital through the Booking Health service. Our specialists will recommend a doctor and a treatment method, organize an appointment on the desired date, help you to apply for a visa and fly to the hospital, provide an interpreter, and a personal coordinator.

Conservative therapy

 

In most cases, pelvic organ prolapse can be treated with conservative methods. Doctors recommend women do exercises to strengthen their pelvic floor muscles, correct their body weight, and follow a diet to normalize their stools. Patients should stop smoking and avoid physical exertion, as well as any other situations that increase pressure in the abdominal cavity.

If this does not work, doctors move on to a pessary placement. This is a device that is placed in the vagina and holds the pelvic organs. Pessaries have to be changed every few months to avoid infectious complications.

Surgical treatment

 

Many operations have been developed that eliminate urinary incontinence and restore the normal position of the pelvic organs. The main treatment options are as follows:

Colpocleisis is a surgical procedure that closes the lumen of the vagina. This surgery makes it impossible to have sex or medical procedures that are performed through the vagina, such as an endometrial biopsy. This surgical option is suitable for older women who do not have any sex and do not plan to have it in the future. This is a very effective operation that completely eliminates the manifestations of the disease in 93% of cases.

Sacrospinous fixation can be used for anterior or posterior pelvic organ prolapse. This surgical intervention is performed through a vaginal approach. The intervention is minimally traumatic, but there is a drawback: a posterior displacement of the vaginal axis can provoke a recurrence of the disease in the future.

Iliococcygeus fixation is performed through a vaginal approach. A doctor attaches the top of the vagina to the fascia of the iliococcygeus muscle. The vaginal axis does not change, so an anterior prolapse is very rare after surgery.

Uterosacral ligament suspension is a surgical procedure during which doctors form folds of the uterosacral ligaments and attach them to the vaginal cuff. The disadvantage of this approach is the proximity of the uterosacral ligaments to the ureters.

Abdominal sacrocolpopexy is a surgical intervention to suspend the sacrum through abdominal incisions. The operation provides reliable results, preserves vaginal function, and is effective even when other procedures have failed. This surgical procedure was first performed in 1962, and then it was done through a large abdominal incision. Today, many modifications have been developed, and operations are performed using laparoscopy. If you are receiving medical care at specialized centers abroad, da Vinci treatment (robot-assisted surgery) may be a good option for this intervention. Robot-assisted operations are the safest and least traumatic, reducing the period of general rehabilitation. Both the patient's own tissues and artificial materials can be used to suspend the pelvic organs to the sacrum. In general, preference is given to meshes made of synthetic materials.

You are welcome to contact one of the German hospitals to undergo your diagnostics and treatment of pelvic organ prolapse and urinary incontinence. Please use the Booking Health website to find prices and compare the cost of medical services in different hospitals. Our staff will help you to choose the most suitable clinics in Germany and organize your trip.

 

Authors: 

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

Verywell Health

Web MD

Science Direct




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