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 is one of the best medical facilities in Germany in its areas of specialization! The department offers a full range of preventive, diagnostic, and therapeutic services for women with diseases of the reproductive system and the mammary gland. The main focus is on the treatment of oncological diseases of the female genital organs and the mammary gland within specialized centers certified by the German Cancer Society (DKG). The department has accumulated significant clinical experience in the treatment of endometriosis, uterine fibroids, cervical dysplasia, urinary incontinence, and pelvic organ prolapse. The facility is developing the direction of pediatric gynecology with an emphasis on the surgical correction of congenital defects, treatment of infectious diseases (vulvitis, vulvovaginitis, and vaginitis), vaginal bleeding, labial adhesions, and ovarian cysts and tumors. A highly professional team of gynecologists and breast specialists with many years of experience takes care of women's health. The doctors pay special attention to comprehensive diagnostics, on the basis of which they create an individual treatment plan for each patient. The specialists are proud of the excellent results of their work, achieved thanks to their professionalism and state-of-the-art technical equipment.
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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