Treatment of Uterine Torsion in Israel: Fast, Effective, Safe

Treatment Methods for Uterine Torsion in Israel

The treatment strategy at Top Ichilov Medical Center is determined based on the pathology that caused the twisting. Torsion can result from unilateral shortening or scarring of the posterior leaf of the broad ligament of the uterus. It can also be provoked by adhesions in the pelvic area: pathological tissue connections pull the left or right half of the uterus, causing it to rotate around its longitudinal (vertical) axis.
Among possible causes, benign and malignant neoplasms in the uterus or ovaries, including cysts, cystomas, and myomatous nodes, are also noted. Other pathologies that can lead to uterine torsion include chronic inflammatory processes and infectious diseases of the pelvic organs, endometriosis, weakness of the pelvic floor muscles and supporting ligaments of the uterus, certain intestinal diseases, heavy physical exertion, and others. In other words, torsion can only be managed by eliminating its cause.
Treatment methods for uterine torsion in Israel can be either conservative, meaning non-surgical, or surgical. If the pathological condition is caused by adhesions in the pelvic area, gynecologists at Top Ichilov, depending on the severity, resort to either medication therapy or surgical intervention. In the first case, treatment is conducted with medications that have a resorptive effect, while in the second case, the adhesions are excised by the surgeon.
When torsion is caused by tumorous neoplasms in the uterus or ovaries, treatment may include:

• radiotherapy, where the destruction of atypical cells occurs under the influence of various types of ionizing radiation. It can be contact, involving the introduction of a radiation source directly into the tumor tissue, and remote, where irradiation is performed at a distance using ultra-precise linear accelerators and radiosurgical devices.
• chemotherapy, which involves the use of special medications based on toxins that destroy malignant tumors;
• hormonal therapy, which consists of taking medications that suppress the production or block the action of certain hormones that promote tumor growth;
• surgical treatment, within which the pathological formation is removed along with part of the affected organ.

In cases where uterine torsion is provoked by chronic inflammatory processes in the pelvic area, gynecologists at Top Ichilov prescribe antibiotics and anti-inflammatory medications. If the cause lies in weakness of the pelvic floor muscles, treatment may be limited to physiotherapeutic procedures aimed at increasing their tone and elasticity.
Surgical treatment of uterine twisting is resorted to only when it is impossible to eliminate the cause of the pathology by other means. The type of surgical intervention depends on the nature and severity of the damage. It can be:

• partial (subtotal) hysterectomy – a procedure where only the upper part of the uterus is removed, while the cervix remains in place;
• simple hysterectomy – a surgical procedure where the uterus is removed along with the cervix;
• radical hysterectomy – involves the removal of the uterus, ovaries, fallopian tubes, sometimes along with the upper part of the vagina and pelvic lymph nodes.

Israeli specialists, when possible, prefer minimally invasive surgical interventions that do not require large incisions and are performed through several small punctures in the abdominal cavity, necessary for the introduction of microsurgical instruments and auxiliary devices. Such operations are much less traumatic, significantly reduce the duration of the intervention, lower operational and postoperative risks, leave no significant cosmetic defects, and do not require a long recovery period.

Diagnosis of Uterine Torsion in Israel

For specialists in the gynecology department of Top Ichilov, diagnosing uterine torsion is not difficult: their own high professionalism, years of experience, and access to the latest equipment allow them to easily recognize the pathology and accurately determine its causes. The diagnostic process here is finely tuned and includes three stages, the implementation of which takes no more than 3–4 working days.

First Stage: Consultation with a Gynecologist

When the patient arrives in Israel, she already has an individual plan for therapeutic and diagnostic activities, structured so that she does not waste a minute of precious time. Therefore, on the very first day, she, accompanied by a personal curator-translator who meets her at the airport, goes to the clinic for an appointment with a leading gynecologist.

The doctor first asks the woman about her symptoms, records her medical history, reviews the results of previous examinations (if she has any with her), and then proceeds to the examination using mirrors and bimanual investigation. He assesses the condition of the structures of the uterine ligament apparatus, ovaries, and fallopian tubes, as well as determines the presence of pathological neoplasms in them. After this, the doctor compiles a list of additional diagnostic checks.

Second Stage: Thorough Examination

The entire next day, the woman undergoes the examinations prescribed by the doctor, which may include:

• ultrasound examination of the pelvic organs – allows for the detection of uterine torsion and – in some cases – identifies its cause;
• computed and magnetic resonance imaging – primarily performed in the presence of benign or malignant tumors in the internal reproductive organs that could have led to the twisting of the uterus;
• hysterosalpingography – a radiological examination of the uterus and fallopian tubes using a special radiopaque substance. Conducted to study the nature of the pathology and identify its cause.

The list of examinations can be much longer: it directly depends on the specifics of the disease that provoked the uterine torsion.

Third Stage: Determining the Therapy Scheme

The diagnosis of uterine torsion in Israel concludes with a consultation, where specialists of different profiles – gynecologists, surgeons, chemotherapists, and others – jointly study the examination results and based on them establish a final diagnosis and develop a therapy strategy.

Treatment of Uterine Torsion in Israel: Cost

Main Advantages of Treating Uterine Torsion at Top Ichilov Clinic

1. Highly qualified gynecologists with extensive clinical experience who continuously improve their professional level and skills.
2. Use of only the most advanced, effective, and safe methods, proven over time.
3. Application of new generation medications that have high efficacy and almost no side effects.
4. High-tech therapeutic and diagnostic equipment.
5. Personalized medical program developed considering the individual characteristics of the patient's body.
6. Reasonable price-quality ratio of medical services.
7. Additional services for international patients – personal case manager, support after treatment completion.