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Transvaginal Cervical Cerclage (McDonald/Shirodkar)

Transvaginal cervical cerclage (TVC) may be considered when there is a history of mid-trimester painless miscarriage/premature delivery, ultrasound indicates significant cervical shortening, or examination reveals cervical dilation in the mid-trimester. The decision is based on gestational age, prev

24-72h

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Approx. $1,200

Treatment fee

Included support

  • +Hospital matching
  • +Record review
  • +Care coordination
  • +Travel support
  • +Interpretation support

Not included

  • -Treatment fee
  • -Travel costs
  • -Optional extras

Hospital consultation window

Peking Union Medical College Hospital - Beijing - Grade 3A

Ruijin Hospital - Shanghai - Grade 3A

West China Hospital - Chengdu - Grade 3A

Our service process

Let us coordinate the treatment journey with you.

1

How Transvaginal Cervical Cerclage (McDonald/Shirodkar) is performed

Transvaginal cervical cerclage is typically performed under regional or general anesthesia, using non-absorbable bands or sutures, reinforced around the cervix using McDonald or Shirodkar techniques. The doctor exposes the cervix through the vagina, places sutures under ultrasound and monitoring, and ligates them, with hemostasis and anti-infection treatment as necessary. Postoperative monitoring includes uterine contractions, vaginal bleeding, and fetal heart rate, with gradual resumption of activity, aiming to enhance cervical support and minimize the risk of early opening. The above is general health information, not medical advice; specific details are subject to specialist assessment and hospital protocols.

What is Transvaginal Cervical Cerclage (McDonald/Shirodkar)?

Transvaginal cervical cerclage is typically performed under regional or general anesthesia, using non-absorbable bands or sutures, reinforced around the cervix using McDonald or Shirodkar techniques. The doctor exposes the cervix through the vagina, places sutures under ultrasound and monitoring, and ligates them, with hemostasis and anti-infection treatment as necessary. Postoperative monitoring includes uterine contractions, vaginal bleeding, and fetal heart rate, with gradual resumption of activity, aiming to enhance cervical support and minimize the risk of early opening. The above is general health information, not medical advice; specific details are subject to specialist assessment and hospital protocols.

How is Transvaginal Cervical Cerclage (McDonald/Shirodkar) performed?

Step 1

How Transvaginal Cervical Cerclage (McDonald/Shirodkar) is performed

Transvaginal cervical cerclage is typically performed under regional or general anesthesia, using non-absorbable bands or sutures, reinforced around the cervix using McDonald or Shirodkar techniques. The doctor exposes the cervix through the vagina, places sutures under ultrasound and monitoring, and ligates them, with hemostasis and anti-infection treatment as necessary. Postoperative monitoring includes uterine contractions, vaginal bleeding, and fetal heart rate, with gradual resumption of activity, aiming to enhance cervical support and minimize the risk of early opening. The above is general health information, not medical advice; specific details are subject to specialist assessment and hospital protocols.

How Transvaginal Cervical Cerclage (McDonald/Shirodkar) is performed

Recovery process

Step 1

Recovery and stay

Combining preoperative assessment, surgical hospitalization, and postoperative follow-up, it is recommended to stay in China for approximately 7–14 days; the specific duration depends on the actual schedule and pregnancy status.

Recovery and stay

Request a free evaluation

Tell us about your Cervical Incompetence case and we will help match you with the right hospital, specialist, and travel pathway.

Frequently asked questions

How do I get started?
Submit a free evaluation request with your diagnosis and records. The team reviews your case and suggests suitable next steps.
Do I need a visa to travel to China for treatment?
Many patients do. We can help explain what documents are normally needed for treatment travel planning.
Will there be a language barrier?
Medical interpretation can be arranged for consultations and treatment visits.
How much does treatment cost?
Costs depend on the procedure, hospital, and treatment pathway. A practical estimate is provided before travel.
What happens after I return home?
We can help coordinate remote follow-up and keep communication open with your care team.