Urinary Incontinence and Pelvic Organ Prolapse — Da Vinci treatment in the Best Hospitals of Germany
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Department of Adult and Pediatric Gynecology, Mammology, Obstetrics
The Department of Adult and Pediatric Gynecology, Mammology, Obstetrics offers high-precision diagnostics and effective treatment of the full range of diseases of the female reproductive system and breast pathologies. The medical facility also employs a competent team of obstetricians, whose responsibilities include comprehensive management of pregnancy, childbirth, and postnatal care for mother and baby. More than 3,000 babies are born in the department's delivery rooms annually. The department cooperates closely with the UniFee Reproductive Medicine Center, which allows gynecologists to treat female infertility together with reproductive medicine specialists. The department's gynecologists focus on women with reproductive system cancers. The medical facility is certified by the German Cancer Society (DKG) as a specialized center. The specialists also successfully treat endometriosis, one of the most common benign gynecologic diseases. In the field of mammology, priority is given to the provision of medical care to women with breast cancer. Doctors perform comprehensive diagnostics, surgical and conservative treatment, and reconstructive plastic surgery after mastectomy. The department's specialists use state-of-the-art technical resources and their professional skills to provide each patient with high-quality medical service.
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.
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.
Department of Gynecology and Mammology
According to the reputable Focus magazine, the Department of Gynecology and Mammology is one of the best medical facilities in Germany for breast cancer treatment! The department offers a full range of medical services for diseases of the reproductive system and breast pathologies, with a special emphasis on breast cancer. Of particular interest to the department's team is the treatment of uterine, ovarian, and vulvar cancers, breast cancer, uterine fibroids, endometriosis, urinary incontinence, and pelvic organ prolapse. The department enjoys the status of one of the largest and most advanced gynecological centers in Germany with excellent experience in gynecologic oncology. All diagnostic and therapeutic measures comply with modern international standards. The department offers excellent services in gynecologic surgery: almost all procedures are performed using minimally traumatic endoscopic, laparoscopic, and robotic (da Vinci) techniques. The department performs about 1,300 inpatient operations and over 600 outpatient surgical procedures annually. Strict hygiene and safety standards are observed in the operating rooms. Patients of the department are guaranteed personalized medical care using modern methods with proven effectiveness.
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.
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.
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.
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.
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.
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.
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.
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.
Department of Gynecology, Mammology and Obstetrics
The Department of Gynecology, Mammology and Obstetrics offers high-precision diagnostics and comprehensive treatment of diseases of the reproductive organs and breast pathologies in women. The department's key focus is the treatment of breast cancer and urinary incontinence. The team of gynecologists is also particularly interested in the treatment of malignant diseases of the female reproductive system, such as cervical cancer, uterine cancer, ovarian cancer, and vulvar cancer. The department is the only Gynecologic Cancer Center certified by the German Cancer Society (DKG) in Recklinghausen. Sparing minimally invasive and robot-assisted da Vinci surgery is widely used in the department's clinical practice. These techniques are innovative in modern surgery and allow doctors to perform gynecologic surgery with only a few small skin incisions. The department's gynecologists treat more than 4,000 patients every year, with about 2,800 of them undergoing treatment on an inpatient basis. The department also offers integrated management of pregnancy at all stages, including high-risk pregnancies, safe childbirth, and postpartum care. More than 900 babies are born here every year.
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.
Department of Obstetrics, Gynecology and Mammology
The Department of Obstetrics, Gynecology and Mammology offers all modern diagnostic and therapeutic options for women with reproductive system diseases and breast pathologies. An important focus in the department's clinical practice is on the comprehensive management of pregnancy, the provision of safe childbirth, and postnatal care for mother and child. One of the key focuses of the department's doctors is the comprehensive treatment of gynecologic cancers. The department houses a specialized center certified in accordance with the requirements of the German Cancer Society (DKG) and DIN EN ISO standards. The department also offers the full range of services for patients with breast cancer, which is the most common cancer among women worldwide. The department is one of the few in Germany and Europe where robot-assisted interventions using the da Vinci Xi surgical system are performed with excellent results. These operations are distinguished by their highest precision and low trauma rate, providing the same effectiveness as classic surgery. The department's specialists perform robot-assisted interventions for both benign and malignant diseases of the female reproductive system. The department's gynecologists treat more than 2,460 inpatients and about 3,000 outpatients every year.
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.
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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!
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