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Ichilov Medical Center
Urology

Treatment of Urinary Incontinence in Israel

Professor Yuza HenProfessor Yuza Hen

oncourologist, head of the sexual dysfunction department

Israeli doctors have extensive experience in treating various types of enuresis. Using highly accurate diagnostic methods, they determine the true cause of the condition and select optimal treatment procedures.

Specialists at the Top Ichilov clinic employ a full range of modern approaches — behavioral therapy, biofeedback systems, new medications, transurethral injections, minimally invasive surgical procedures, etc. The cost of urinary incontinence treatment in Israel is accessible to a wide range of patients and significantly lower than in Germany, Switzerland, or the USA.

90%
of patients were relieved of pain syndrome
89%
of patients received necessary treatment
1759
microsurgical operations performed

Treatment of Urinary Incontinence in Israeli Clinics — Modern Methods

Urinary IncontinenceModern medicine has a variety of effective methods for treating enuresis in men and women, in young and older patients.

Behavioral Therapy

This method involves the use of psychological techniques (relaxation, distraction), as well as avoiding the consumption of products that worsen the situation. Such products include caffeine, which has a diuretic effect, alcohol, tobacco, etc. This type of therapy can improve the patient's quality of life and can be used either as monotherapy or in combination with other methods.

Medical Devices

To help the patient cope with the problem during treatment, various devices designed for collecting urine or preventing involuntary urination may be used. Men may use devices that physically block the urethra. Catheters may also be used.

Exercises

Kegel exercises aim to increase the strength and improve the tone of the pelvic floor muscles. The exercises involve the sequential contraction and relaxation of the pelvic muscles, which enhances the tone of the muscle sphincters. This treatment method shows high effectiveness in treating enuresis in women after childbirth, pelvic organ prolapse, etc.

Biofeedback exercises may also be used. Such exercises allow the patient to better control the processes related to bladder emptying. Various electronic devices are used to monitor the nature of pelvic muscle contractions.

Electrostimulation

Electrostimulation of the pelvic muscles has approximately the same effectiveness as Kegel exercises. Electrical impulses improve the function of the muscles and nerves involved in the bladder emptying process. Electrodes during the procedure can be placed on the skin surface or introduced into the muscle tissues in the form of micro-needles.

Medications

Today, there are several groups of medications used in the treatment of this condition. Their mechanism of action is based on relaxing the smooth muscles of the bladder. These medications mainly belong to the group of muscarinic receptor antagonists.

Surgical Methods

If the condition cannot be treated using conservative methods, surgical intervention is indicated for patients. Depending on the cause of enuresis and the patient's gender, different types of surgeries are performed. If there is a dislocation of the urethra, the abnormal structures are fixed in anatomically correct positions.

In cases where the bladder neck and urethra do not perform sphincter functions, the surgeon performs a sling or loop operation and uses a polymer tape to support the urethra, creating additional support for it. The most popular type of such surgery is called TVT (tension-free vaginal tape), which effectively treats stress urinary incontinence in women, is performed minimally invasively, and takes no longer than half an hour.

Peryurethral and transurethral injections of various agents that narrow the urethra (silicone, ethylene vinyl alcohol, calcium salts, etc.) may also be used.

Diagnosis

DiagnosisBefore starting to select a therapy program, the patient is sent for a comprehensive examination to determine the true cause of the condition. Usually, the diagnosis takes up to three to four days. You can learn more about the diagnostic program while still at home. Such opportunities are provided by video consultation. One of the specialists from our clinic will communicate with you via Skype in a video call and answer any of your questions. When you arrive at the clinic, your first doctor's appointment will be free of charge.

First Day — Consultation

On the very first day of your stay in the country, you will meet with your treating physician. A specially assigned staff member from the hospital's international department — a translator-curator — will take you directly from the airport to the consultation. This staff member will accompany you further — translating your medical documentation, coordinating with doctors, and assisting with any everyday issues (if you wish, even organizing excursions).

Second Day — Investigations

  • Physical examination and stress testing.
  • Urine tests.
  • Blood tests.
  • Ultrasound diagnostics.
  • Cystoscopy.
  • Urodynamic studies.

Third Day — Medical Council

The diagnostic program concludes with the convening of a medical council — the commission includes several specialized experts who jointly analyze your research data and select a treatment program. The patient may also participate in the council's work, and their opinion is always taken into account. The right to receive complete information about their diagnosis and therapy program is guaranteed to foreign patients by Israeli law.

Diagnostic Procedures

  • Ultrasound

How much does urinary incontinence treatment cost in Israel

The affordable cost of urinary incontinence treatment in Israel attracts many citizens from other countries to the clinics. Residents of the United States and many European Union countries come here to save 30-45% of their budget on diagnostics and therapy.

Advantages of Our Medical Center

  • The clinic employs specialists with extensive experience; many of our doctors have undergone advanced training in major American and European clinics and are well-known in the professional international community.
  • Examinations at the hospital take only a few days, and thanks to the use of modern diagnostic methods, doctors can determine the exact cause of the condition and select the optimal treatment strategy.
  • Treatment is carried out using the most modern approaches — the latest medications, behavioral therapy, biofeedback, exercises, and various types of surgical operations.
  • The clinic has polite and attentive medical staff, and the rooms are comfortable and clean. A personal curator provides you with support on any issues.

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