Urachal nonclosure is an extremely rare pathology, primarily occurring in children. At the Top Ichilov clinic, qualified and effective treatment of urachal cysts in Israel is provided using modern therapeutic protocols. Israeli urologists have extensive experience in treating urinary tract anomalies, and therefore know how to act in various situations, including the absence of symptoms, infection, or pressure from the cyst on surrounding tissues.
At Ichilov clinic, there is an option for minimally invasive removal of the urachal cyst. This method is associated with a lower risk of bleeding, infection, and postoperative complications. The urological surgeons at Ichilov practice various approaches depending on the variability of the clinical picture, as well as different anatomical variants of the pathology. The excellent technical equipment of the clinic allows for treatment to be conducted quickly, effectively, and safely.
How Urachal Cyst is Treated
The choice of therapeutic strategy depends on whether the patient experiences any symptoms. If the cyst does not manifest, it may be left untreated. In some cases, especially in childhood, cysts resolve spontaneously. There is a small risk that the urachal cyst may transform into carcinoma. Another indication for surgical treatment is infection.
Conservative Treatment. Applicable only for asymptomatic urachal anomalies. If there is reliable information about the absence of long-term risk of infection or malignancy, as well as contraindications to surgical intervention, a decision may be made for conservative treatment. In this case, the doctors at Top Ichilov inform the adult patient or the parents of the child about the symptoms of an infected urachus to prevent the pathological process from progressing.
Treatment of Infected Cyst. The initial goal of therapy is to control the infection. To ensure targeted antibiotic therapy, the doctors at Top Ichilov examine the urine culture and any wound drainage culture, if available. Initially, broad-spectrum antibiotics are prescribed, selected based on the local resistance of identified microorganisms. If the patient is stable, afebrile, nontoxic, and has no peritoneal symptoms, signs of cellulitis, or necrotizing fasciitis, only antibiotics are prescribed. Otherwise, the possibility of surgery is considered.
Laparoscopic Surgery. At Top Ichilov, the urachal cyst can be removed using a minimally invasive laparoscopic approach. In certain cases, robotic surgery may be considered. The main advantage of robotic technologies is the excellent ability to close the dome of the bladder, thanks to detailed visualization. Overall, minimally invasive surgeries are associated with a lower risk of complications and allow the patient to return to normal life in a short time. This is an effective and safe treatment for urachal cysts in Israel, with only positive reviews.
Open Surgery. Used when complete removal of the urachus is necessary. Access to the surgical field is achieved through an infraumbilical transverse or vertical incision. Radical excision involves the removal of the entire block of tissue within the vesicopubic fascia. Since the traditional approach is associated with more significant blood loss, risk of infection, and prolonged hospitalization, the surgeons at Top Ichilov resort to it only when there are specific indications.
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How Urachal Cyst is Diagnosed
Unfortunately, in some cases, making the correct diagnosis can be difficult. This is especially true for rare and complex pathologies. To ensure that the diagnosis and treatment are correct, you can use the "second opinion" service. An independent Israeli expert will review your medical history and provide their opinion on the questions you are interested in.
Now, to consult with an Israeli doctor, you do not need to spend extra money on flights and hotel stays. The "video consultation" service allows you to ask all your questions in a comfortable environment. Additionally, if you still require further treatment in Israel, the first in-person consultation will be provided to you for free.
The Top Ichilov clinic conducts a comprehensive examination in just three days.
First Day: Urologist Consultation
Immediately upon arrival in the country, you will be accompanied by a personal case manager to meet with a urologist. The doctor will conduct a physical examination, review medical documents, complete the medical history, and prescribe additional diagnostic procedures.
Second Day: Instrumental Tests and Laboratory Analyses
Initially, the patient is directed for an ultrasound. This is a painless and non-invasive test that allows the doctor to assess the condition of internal organs and tissues. In complex and ambiguous cases, a CT or MRI may be required.
To check if the fluid around the navel is urine, tests for urea or creatinine content are performed. If the test result is positive, a radiological examination of the venous vessels is conducted: a contrast agent is injected into the umbilical cord and an X-ray is performed. If the contrast is visible from the navel to the upper part of the bladder, this indicates urachal nonclosure. Additionally, a voiding cystography may be prescribed.
Third Day: Treatment Assignment
The results of the diagnostic studies are thoroughly reviewed at a medical council. The presence of several specialists from different fields allows for the most complete picture of the patient's health status and the selection of the optimal therapeutic strategy.
Treatment of Urachal Cyst in Israel: Price
Since the course of the cyst can vary significantly among different patients, different therapy methods are also applied. This, in turn, affects the cost of treatment. For example, medical treatment of an infected cyst will be cheaper than a staged operation. However, on average, prices for treatment in Israeli clinics will be 30-50% lower than in medical centers in Western Europe and America. This is explained by the fact that the medical tourism industry is currently developing intensively in Israel, creating the most comfortable conditions for patients from abroad.
Why Choose Top Ichilov?
- Fast and comprehensive diagnosis in just three days
- Possibility of minimally invasive surgical treatment
- Personalized treatment plan
- Team approach: involvement of related specialists if necessary
- Excellent technical equipment of the clinic
- Personal case manager accompanying you throughout the treatment period