A pathological condition in which pelvic organs descend due to weakened muscles and ligaments of the pelvic floor requires competent and timely treatment, which can be provided by qualified gynecologists and urologists at the Top Ichilov clinic. They have a wide range of conservative and surgical techniques, the latest reconstruction technologies, and modern diagnostic and therapeutic equipment, allowing them to effectively restore the anatomical position of the pelvic organs with minimal intervention, preventing advanced forms.
Treatment of pelvic organ prolapse in Israel helps women eliminate the pathology and its unpleasant manifestations that significantly reduce quality of life: discomfort, pain, limitations on physical activity, disturbances in bladder and/or bowel function, as well as avoiding the development of more dangerous complications that can lead to loss of ability to work and even disability.
Modern Methods of Treating Pelvic Organ Prolapse in Israel
The solution to the problem of pelvic organ prolapse – uterus, vagina, as well as those supported by the same pelvic musculature, bladder and intestines – is tailored individually by specialists at the Top Ichilov Medical Center in each case. The choice of treatment strategy is influenced by the nature and degree of displacement, the stage at which the pathology was identified, the severity of symptoms, the age, and the overall health of the woman. Israeli doctors use both conservative and surgical methods.
Conservative treatment is used for mild prolapses. It mainly involves the appointment of physiotherapeutic procedures – low-frequency impulse current therapy, electrophoresis, gynecological massage, and others, as well as special exercises aimed at restoring the tone of the pelvic floor muscles, strengthening the ligaments, perineal muscles, and the inner thigh muscles.
In certain cases, conservative methods of treating pelvic organ prolapse in Israel may include:
- medication therapy, based on the intake of drugs containing estrogen hormones (in the form of ointments, suppositories, or vaginal capsules);
diet therapy, aimed at weight loss, normalizing the digestive system, restoring hormonal balance, etc.
installation of a pessary – a special ring made of silicone or plastic that is inserted into the vagina: performing the function of a kind of support, it prevents the uterus from descending. This method is used when a woman has contraindications to surgical intervention.
Surgical treatment of pelvic organ prolapse in Israel, which reviews indicate is completely safe and highly effective, is performed for severe forms of pathology accompanied by disturbances in bladder and large intestine function. Specialists at the Top Ichilov hospital prefer minimally invasive surgeries, which have minimal trauma, reduced infection risks, and guarantee long-term results.
Israeli doctors most often use the following surgical techniques:
- TVT sling. A minimally invasive procedure used to treat urinary incontinence caused by pelvic organ prolapse. It can be performed via vaginal access or laparoscopic method – through three tiny incisions in the suprapubic area. The essence of the method is the installation of a special synthetic sling under the urethra, which supports it and prevents involuntary urination.
- Hysterectomy. A radical intervention sometimes performed in cases of complete uterine prolapse. It is conducted only on women who are in menopause, while leaving the cervix and ovaries. This does not affect the hormonal balance, but eliminates the unpleasant pathology forever. The removal of the uterus is performed through the vagina, so there are no scars left on the woman's body.
Sacrocolpopexy. A laparoscopic surgery to restore the normal position of the vagina using a special surgical mesh. One end is sewn to the front or back wall of the vagina, less frequently – to the pelvic floor muscles, and the other is fixed to the skeletal ligaments on the sacrum. Thus, the organ is "suspended" and no longer descends below the anatomical boundary.
Hysteropexy. A gentle surgical procedure that restores the physiological position of the uterus. It is performed on women who plan to have children in the future. As in the case of sacrocolpopexy, a medical mesh is used here, with which the sacrouterine ligaments are sewn to the sacrum, and the uterus itself is fixed to the anterior longitudinal ligament of the pelvis.
Colporrhaphy. A minimally invasive intervention that involves excising excess vaginal tissue and strengthening the perineal muscles by stitching their legs together – as a result, the organ returns to its physiological position.
Surgical closure of the vagina is performed very rarely and only in elderly women who are not sexually active. This surgical procedure eliminates complications caused by uterine prolapse. It does not affect the functioning of the urinary system and large intestine.
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Diagnosis of Pelvic Organ Prolapse in Israel
Thanks to the professional competence and access to the most modern medical equipment, specialists at the Top Ichilov clinic easily and accurately diagnose pelvic organ prolapse of any degree, even when the pathology has not yet manifested with painful symptoms. The entire process here takes no more than three working days.
Day One: Consultation with a Specialist
As soon as a woman arrives in Israel, she, accompanied by a personal assistant overseeing her medical program, goes to the clinic for an appointment with the attending physician. Depending on the nature of the problem, this may be a gynecologist or urologist, but most often the patient is examined by both specialists. They analyze her complaints, study her medical history, and conduct a thorough examination, after which they compile a list of necessary diagnostic procedures.
Day Two: Comprehensive Examination
The next day, the woman undergoes all the diagnostic tests assigned to her. These may include:
- ultrasound examination of the pelvic organs – performed to assess the condition of the uterus, fallopian tubes, and bladder; helps determine the adequacy of their positioning;
- hysteroscopy – examination of the uterine cavity using a special device, a hysteroscope;
- uroflowmetry – used when bladder prolapse is suspected to determine the tone, contractile activity of the muscles, and patency of the urethra;
- cystourethrography – a method of X-ray contrast examination of the bladder and urethra;
- cystoscopy – with its help, the doctor examines the mucosa of the bladder and the openings of the ureters;
- rectosigmoidoscopy – performed in cases of bowel prolapse; during the procedure, the mucosa of the rectum and part of the sigmoid colon is examined.
Day Three: Approval of the Therapy Plan
When the diagnosis of pelvic organ prolapse in Israel is completed and the results of all examinations are ready, a council consisting of leading gynecologists, urologists, surgeons, and other specialists from the clinic is convened. The expert group carefully studies the obtained data, clarifies the diagnosis, and develops an individual treatment scheme for the patient.
Treatment of Pelvic Organ Prolapse in Israel: Cost
Treating pelvic organ prolapse at the Top Ichilov hospital is significantly cheaper than in clinics of a similar level in Western Europe and the USA. In the first case, the price difference is about 30%, in the second – almost 50%. The cost of therapy is always determined individually, taking into account the nature of the pathology, its severity, the presence of complications, the volume of diagnostic procedures, the chosen treatment method, the need for surgical intervention, and other factors.
For this reason, doctors can only name the final price of treatment on-site – after all necessary examinations and determining the treatment strategy. However, foreign patients planning to undergo treatment for pelvic organ prolapse in Israel can find out prices even before traveling to Israel by contacting the clinic's international department. Its managers will compile a preliminary medical program and calculate the approximate cost of therapy.
Key Advantages of Treating Pelvic Organ Prolapse at Top Ichilov
- First-class specialists who have high qualifications, many years of experience, and all the necessary skills for successful treatment of pelvic organ prolapse in women of any age.
- Gentle surgical techniques characterized by high effectiveness and minimal trauma.
- High-tech medical equipment for accurate diagnosis and quality treatment.
- Individual approach in developing the therapeutic plan.
- Impeccable service, additional opportunities for foreign patients.