Endometriosis is a condition when uterine lining (endometrium) starts growing outside the uterus and causes pain and discomfort. Endometrial patches can be find in ovaries and fallopian tubes, in abdominal area, bladder and, rarely, in other tissues as eye or brain. According common classification there are four degrees of the disease: minimal, mild, moderate and severe. Different kinds of treatment could be recommended depending on the stage and surgery among them is considered as one of the most effective.
The causes of endometrial disease are still unclear and it is hardly known the means to completely eliminate them. Both hormonal therapy and surgery are effective only in alleviating of such symptoms as pain and bleeding but they could not prevent endometrial tissues from residual growing. The both treatments have pro and contra but surgical invasion is proved as most effective method at mild and moderate stages when woman wants to conceive a child.
It is not completely clear how endometriosis related to infertility but it is noticed that in women had surgical treatment of endometrial lesions the birth rate is increased. Recent studies in Canada gave a result that cumulative probability of pregnancy in group which was undergone to surgery was 30% versus 17% in group without treatment, and birth rate is 4.7% versus 2.4 %.
Surgical procedure is also proved as effective in reducing pain. Some sources claims as it is contradictory but there are many reports from patient who had been experiencing pain for years but had recovery after surgery of endometriosis. The affect of operation is based on removal of adhesions between endometrial lesions and normal organs tissues that create tension.
Presently, laparoscopy is the most widely used techniques for endometrial disease. It used both for diagnostic and for relieving. The problem with endometriosis, it hardly could be found in another way.
Laparoscopy is normally performed under general anesthesia but also can be done with local or spinal anesthesia. The surgeon makes small incision for introducing laparoscope, abdomen is inflated with carbon dioxide to create operative space and, then, by means of laparoscopic camera travelling inside surgeon investigate the area. The surgical tools are inserted via another incision an everything what is found could be removed immediately.
Nowadays, there are several methods for removal of endometrial tissues: excision with surgical tools, destroying them with laser and using electric current. By means of laparoscopy it is possible to clear endometrial lesions from ovaries keeping female fertility. In case when total or sub-total hysterectomy (uterus removal) is needed it is also can be performed by minimally invasive method.
Only in the most complex cases radical open surgery is used. As a rule, decision on total open hysterectomy is made only if it is absolutely necessary, e.g. in case of severe deep infiltrating endometriosis or endometrial cancer. In Germany the surgeons give preference to minimally invasive methods as they cause lesser damage to the patient’s body, have shorter recovery time and better cosmetic effect.
According to the research of the World Endometriosis Research Foundation (WERF) on 2015 costs of endometriosis treatment was 11,497 USD (per women, per year), that is quite impressive figure. Based on current price situation in Europe clinics in Germany could suggest much more affordable price. It is not possible to do detailed comparison as treatment plan is individual in every case but below you could find average comparative costs for hysterectomy in US, UK and Germany.
|Open surgery, hospital||On request||11 783$ / 10 700€||On request|
|Laparoscopic hysterectomy, outpatient||3 800€||9 471$ / 8 600€||4 601£ / 5 100€|
*All the prices are based on a few estimations from different sites and could not be an offer. Please enquire to clinics for precise pricing
The air tickets prices from US to Germany starts as low as 490 EURO when buying in advance, and the prices for a flight from London to Germany starts from 48 EURO.
Applying via GMG you are guaranteed having the best specialists for endometriosis care in Germany, latest diagnostic equipment, a number of laboratorial tests and service in English language.
With minimally invasive techniques having surgery in any German medical center you do not need pay for long stay on inpatient base. In 3-5 days depending on complexity of your surgery you could enjoy your trip in new quality of life, life without pain. Please apply via GMG and have your treatment of endometriosis shortly. We care about you.