Treatment of bicornuate uterus in Israel is a great opportunity to restore fertility, prevent recurrent miscarriages, and premature births. Experienced specialists at Top Ihilov Clinic use the latest surgical approaches to correct this anatomical pathology.
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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 is quite common – occurring in 3% of all women. Among the causes of the condition 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 present any symptoms.
Women with this pathology are considered to be at risk. Most of them have an increased risk of spontaneous abortion (miscarriage), with the likelihood of successful births being around 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 are documented cases in medical history where a bicornuate uterus has led to the development of uterine tumours.
On the other hand, in some cases, a bicornuate uterus does not pose any obstacle to successful conception, carrying, and delivery of a child. For instance, in the early 2010s, a 40-year-old patient with this anomaly successfully gave birth to twins in a hospital in Madrid – an ultrasound 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 outcome is rare, so the gynecologists at our clinic still recommend surgical treatment for patients – this measure can significantly reduce the risks associated with fertility and reproduction. Additionally, 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 uterine cavity, 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 treatment method is hysteroscopic resection – a minimally invasive operation for laparoscopic removal of the septum dividing the uterus into two sections (including using laser instruments and electrocautery). The advantages of bloodless laparoscopic surgery include reduced blood loss, good control of the intervention by the surgeon (minimal risk of perforation of the uterine walls and damage to the intestines), and a minimal likelihood of adhesion formation. Furthermore, the operation is characterized by a good cosmetic effect – only a few scars less than 1 cm long remain on the abdomen after it.
- Regardless of the method of correcting the bicornuate uterus, after the operation, the patient undergoes a course of hormone therapy, aimed at normalizing hormonal balance.
- Uterus removal: saving the patient's life
Diagnosis of Bicornuate Uterus in Israel
In most cases, the diagnosis of a bicornuate uterus in Israel is conducted within a short time frame, taking 3 to 4 days. During this time, the patient undergoes all the examinations prescribed by the gynecologist and receives a treatment plan.
First Day – Meeting with the Leading Gynecologist
A representative of the clinic meets the patient at Tel Aviv airport, and together they head to the Top Ihilov medical center for a consultation with the 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 substance that is not transparent to X-ray radiation is introduced into the uterine cavity, followed by fluoroscopy.
- 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
On the third day, after establishing 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 Ihilov
- Magnetic Resonance Imaging (MRI)
- X-ray
- Ultrasound
Treatment of Bicornuate Uterus in Israel – Prices
The cost of treating a bicornuate uterus in Israel is more affordable than in medical centers in the European Union, Canada, and the United States, and is 25-40% cheaper while maintaining quality.
Find out how much the operation to correct the uterine anomaly at Top Ihilov costs. Fill out the application – and our medical manager will calculate the approximate cost of treatment in your case.
Advantages of Bicornuate Uterus Correction at Top Ihilov Center
The first thing that women consider when deciding whether to undergo treatment for a 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 Top Ihilov Center has a number of advantages.
- Our 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 that allow for the early detection of anatomical abnormalities of the uterus.
- 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 have the opportunity to successfully conceive and carry a healthy baby.
- As a preventive measure after open metroplasty surgery, our surgeons necessarily use resorbable anti-adhesion barriers to minimize the risk of adhesion formation and fertility impairment, which spares the patient from needing an additional operation to cut adhesions.
- Each patient at our medical center benefits from the services of a translator-curator who takes full responsibility for organizing treatment and daily needs.