Treatment of bicornuate uterus in Israel is a great opportunity to restore fertility, prevent recurrent miscarriages, and premature births. Correction of this anatomical pathology is performed by experienced specialists at the Top Ichilov clinic, using the latest surgical approaches.
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A bicornuate uterus forms as a result of abnormal intrauterine development of the fetus. This pathology represents an abnormal division of the uterus into two sections and occurs quite frequently – in 3% of all women. Among the causes of the disease is the abnormal development of the Müllerian duct, the organ from which female reproductive organs are formed. In 50% of cases, a bicornuate uterus does not manifest any symptoms.
Women with this pathology belong to a high-risk group. Most of them have an increased risk of spontaneous abortion (miscarriage), with the likelihood of successful births reaching about 63%. There is a risk of premature births (15-25%), and in 40-50% of cases, children of such patients are delivered feet first, which poses complications for both the mother and the child. There have been documented cases in medical history where a bicornuate uterus was the cause of the development of uterine tumors.
On the other hand, in some cases, a bicornuate uterus does not pose any obstacle to successful conception, carrying, and delivering a child. For instance, in the early 2010s, a 40-year-old patient with this anomaly successfully gave birth to twins in a Madrid hospital – an ultrasound examination showed that she had a bicornuate uterus with a twin in each "horn"; at 38 weeks, she underwent a bilateral cesarean section, and healthy babies were born. Such a fortunate coincidence is rare, so the gynecologists at our clinic still recommend surgical treatment for patients – this measure can significantly reduce risks associated with fertility and reproduction; moreover, children of patients with this pathology have a fourfold higher risk of developing congenital anomalies.
- The main method for correcting this anomaly is metroplasty according to Strassman’s method – a surgical operation to restore the normal, physiologically natural shape of the uterus. The operation is performed under general anesthesia, during which an incision is made along the midline of each "horn" to the cavity of the uterus, the dividing septum is removed, and then the edges of the myometrium are sewn together to form a single, undivided uterus. Statistics show that after metroplasty according to Strassman, about 83% of pregnancies end in successful births (there are variations of this operation – metroplasty according to Jones and Tompkins, differing in the specifics of suturing the uterus).
- Often, the optimal method of treatment is hysteroscopic resection – a minimally invasive operation for laparoscopic removal of the septum dividing the uterus into 2 sections (including using laser instruments and electrocautery). The advantages of bloodless laparoscopic surgery include reduced blood loss, good control over the intervention by the surgeon (minimal risk of perforating the uterine walls and damaging the intestines), and minimal likelihood of adhesion formation. Additionally, the operation is characterized by a good cosmetic effect – after it, only a few scars remain on the abdomen, each less than 1 cm long.
- Regardless of the method of correcting the bicornuate uterus, after the operation, the patient undergoes a course of hormonal therapy, aimed at normalizing hormonal balance.
- Uterus removal: saving the patient's life
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Diagnosis of Bicornuate Uterus in Israel
In most cases, the diagnosis of a bicornuate uterus in Israel is conducted within a short period, taking from 3 to 4 days. During this time, the patient undergoes all prescribed gynecological examinations and receives a treatment program.
First day – meeting with the leading gynecologist
At Tel Aviv airport, a clinic representative meets the patient, with whom she travels to the Top Ichilov medical center for a consultation with a gynecologist. The doctor conducts a primary examination, studies the medical history, and plans a series of diagnostic tests.
Second day – diagnostic procedures
- Sonohysterography – a special type of ultrasound diagnosis that allows for the examination of the uterine cavity for internal anomalies.
- Hysterosalpingography – a radiological method for examining the uterine cavity. During this type of diagnosis, a radiopaque contrast agent is introduced into the uterine cavity, which is opaque to X-ray radiation, and then fluoroscopy is performed.
- Hysteroscopy – examination of the uterine cavity using endoscopic equipment. This type of diagnosis may sometimes be combined with surgical treatment of the bicornuate uterus (hysteroscopic resection).
- MRI – a highly sensitive and accurate method that allows for the visualization of all uterine anomalies in three-dimensional space.
Third day – planning the corrective surgery
During the third day, having established the final diagnosis based on the results of the conducted studies, the leading gynecologist determines the type of surgical correction and plans the stages of the operation.
- Hysteroscopy at Top Ichilov
- Magnetic Resonance Imaging (MRI)
- X-ray
- Ultrasound
Treatment of Bicornuate Uterus in Israel – Prices
Treatment of bicornuate uterus in Israel is more affordable than in medical centers in the European Union, Canada, and the United States, costing 25-40% less while maintaining quality.
Find out how much the surgery to correct the uterine anomaly costs at Top Ichilov. Fill out the application – and our medical manager will calculate the approximate cost of treatment for your case.
Advantages of Bicornuate Uterus Correction at Top Ichilov Center
The first thing women consider when deciding whether to undergo treatment for bicornuate uterus in Israel is the reviews of patients who have already undergone corrective surgeries in Israeli clinics. Of course, we cannot guarantee all clinics in Israel, but we can confidently state that surgical treatment of bicornuate uterus at the Top Ichilov center has a number of advantages.
- The center employs world-class gynecologists with extensive experience in treating congenital and acquired diseases. Some of our doctors are authors of scientific research in the field of surgical correction of congenital uterine anomalies and are recognized by the international medical community as the best in their field.
- For diagnosing this pathology, our center uses the latest hardware methods, allowing for the early detection of uterine anatomical disorders.
- Treatment at our clinic is conducted using several modern highly effective surgical techniques, with a preference for minimally invasive methods that reduce the risk of postoperative complications. After such an operation, the overwhelming majority of patients gain the opportunity to successfully conceive and carry a healthy baby.
- As a preventive measure after open surgery for metroplasty, our surgeons necessarily use resorbable anti-adhesion barriers, which significantly reduce the risk of adhesion formation and fertility impairment, thus sparing the patient from the need for additional surgery to cut adhesions.
- Every patient at our medical center benefits from the services of a curator-translator, who takes full responsibility for organizing treatment and daily life.