Pelvic Floor Reconstruction Cost in Germany

The cost of pelvic floor reconstruction in Germany typically ranges from $7,000 to $25,000 USD, depending on the hospital, city, and type of procedure.

Pelvic floor reconstruction repairs weakened support of the pelvic organs, such as the bladder, womb, bowel or upper part of the vagina, to treat prolapse. It may use the patient's own tissue or mesh. In Germany, the total depends on:

• Type of prolapse: front, back or upper part of the vagina, or the womb.
• Native tissue or mesh repair: with different risks and recurrence rates.
• Approach: vaginal, keyhole or open abdominal surgery.
• Hospital stay: usually a few days.

NICE guidance (IPG583) compared mesh sacrocolpopexy for vaginal vault prolapse with native tissue repair and found higher objective cure with mesh (75% vs 62%), but noted serious, well-recognised safety concerns with mesh.

The choice of repair depends on the type of prolapse, previous surgery and the patient's preferences after a full discussion of risks.

Heavy lifting and straining are avoided for several weeks while the repair heals. Pelvic floor exercises are often recommended.

Prolapse can come back after any type of repair, and further treatment may be needed.

International patients are usually treated in Germany as self-paying patients: the hospital reviews the medical reports, sends a cost estimate and asks for an advance payment before admission, then settles the final bill after discharge.

Inpatient hospital care in Germany is billed under the German DRG system, which depends on the main diagnosis, other diagnoses and the procedures carried out, so the final amount is known only after the stay.

NICE guidance (IPG583) says mesh sacrocolpopexy should only be done by specialist surgeons, that patients should be told about the risk of mesh erosion, and that details should be entered in a registry.