Colonoscopy with Dr. Vosko: Preventing Colorectal Cancer with HD Technology and International Standards
Colon cancer is one of the most common types of cancer, but it is also one of the most preventable. Most tumors start as a benign polyp (a small growth on the bowel wall) that develops slowly over years.The colonoscopy examination is the global "Gold Standard". It allows Dr. Vosko not only to see the entire length of the intestine using an HD camera but to prevent the disease by detecting and removing polyps during the same session, even before they become dangerous.
Dr. Vosko, Director of the Advanced Endoscopy Unit at Hadassah and a member of the international ACE research group, performs the test to the highest standard (High Definition Endoscopy). The examination is conducted under deep sedation (pain-free), allowing you to have true peace of mind knowing that your health is entrusted to the most experienced hands.
Age 45 and over?
Don't wait for symptoms. Schedule a life-saving test today.
Who is this exam for?
The test is intended for both the healthy population as a screening test and for patients with symptoms requiring investigation.
Key Indications:
- Screening: Recommended for every man and woman starting at age 45, even without any symptoms.
- Family History: If a first-degree relative has had colon cancer or polyps, surveillance begins at a younger age (usually 40 or 10 years before the relative's diagnosis age).
- Bleeding: Appearance of blood in stool, rectal bleeding, or black stool.
- Change in Bowel Habits: New constipation, prolonged diarrhea, or a change in stool shape lasting over two weeks.
- Anemia: Decrease in hemoglobin (iron deficiency) without a clear cause.
- Abdominal Pain: Investigation of chronic pain, weight loss, or suspicion of inflammatory bowel diseases (Crohn's/Colitis).
Many patients ask about non-invasive screening tests. It is important to understand the difference: other tests are statistical or diagnostic only. Colonoscopy is the only one that enables treatment and prevention.
In colonoscopy, the physician's skill is measured by a parameter called ADR (Adenoma Detection Rate) - the polyp detection rate.
- Expertise in Complex Resections (EMR): Dr. Vosko specialized in Sydney in removing large and flat polyps ("Serrated Lesions") that other doctors tend to send for surgery. With him, even a complex finding is treated endoscopically.
- High-End Equipment: Use of high-resolution colonoscopes and advanced screens that allow detection of minute changes in the mucosa.
- Research Approach: As a member of the ACE research group, Dr. Vosko implements rigorous scanning techniques ensuring full coverage of the intestinal walls ("Blind Spots Awareness").
- Personalization: Each patient receives personal preparation suitable for them; the examination is performed with great gentleness, under personalized sedation, to ensure easy and pain-free awakening.
Don't gamble with your health. This test saves lives.
Dr. Vosko invites you for a professional, safe, and discreet examination.
How is the treatment carried out?
How is the consultation conducted?
The examination takes about 20 to 40 minutes, depending on the bowel structure and number of findings:
- Sedation: The anesthesiologist or gastroenterologist administers a sedative through the vein. You will sink into a deep and pleasant sleep and feel nothing.
- The Examination: A colonoscope (a flexible and thin tube) is inserted through the rectum. The doctor navigates it gently to the beginning of the large intestine (the cecum).
- Withdrawal and Scanning: The main examination is done on the way out. The doctor scans the walls strictly, inflating a little air (or carbon dioxide which absorbs quickly) to open the folds.
- Treatment: If a polyp is found, it is removed using an electric loop (painlessly, the intestine has no sensory nerves). The polyp is sent for pathological examination.
How should I prepare for treatment?
How should I prepare for the consultation?
The Key to Success:
Good preparation is critical. If the intestine is not clean, the doctor may miss findings and even schedule a new date if the bowel is not empty.
- Diet (3 days before): Low-fiber diet (no fruits, vegetables, whole grains, nuts). Allowed: Chicken, fish, white rice, white bread, eggs, dairy products.• Day before the test: Switch to a clear liquid diet (clear broth, tea, jelly).
- Bowel Emptying: Drinking a laxative preparation (such as Picosalax or Meroken) according to the exact instructions you will receive from the clinic. Tip from Dr. Vosko: Chill the liquid and drink with a straw to ease the taste.
- Fasting: Absolute fasting 3 hours before the test (including water).
Our customer service will send you organized, personalized, and clear instructions to ensure the test results.
What to expect the day after? (Recovery and recuperation)
- Recovery: Rest for about half an hour at the institute until the sedation wears off.
- Sensations: You may feel bloating or gas – this is completely normal (the introduced air is released). Light walking helps release this.
- Eating: You can return to eating immediately after the test (a light meal initially).
- Driving: Driving is strictly prohibited on the day of the test due to sedation. You must arrive with an escort.
Are there risks or side effects?
Colonoscopy is a very safe test performed millions of times a year. Complications are rare:
- Bleeding: May happen after removing a large polyp (immediately or up to two weeks later). Usually stops on its own or is treated endoscopically.
- Perforation: Extremely rare risk (about 1:1,000 therapeutic tests), sometimes requiring hospitalization or surgical repair. In skilled hands, the risk is minimal.
Information for patients from abroad (medical tourism)
The unit is equipped to receive international patients and collaborates with agents for a full logistical envelope.Direct inquiries are also welcomed for rapid and efficient coordination.
We offer rapid and efficient Screening services for tourists and international patients:
- One-Stop-Shop: Performing Gastroscopy and Colonoscopy in the same session (under the same sedation) to save time.
- Rapid Results: Report in English/Russian immediately after the test.
- Technology: Use of Artificial Intelligence (AI) to improve polyp detection.
For your convenience, Dr. Vosko is trilingual, speaking Hebrew, English, and Russian.
Will I be completely asleep?
We use deep sedation (Deep Sedation), administered by an anesthesiologist or a specialist gastroenterologist. Most patients sleep throughout the entire procedure, feel nothing, and wake up with no memory of the event.
How long does it take for the laxative to take effect?
This varies from person to person, but in most cases, the effect begins within 30 minutes to 3 hours after drinking the first dose. Therefore, it is recommended to stay near restroom facilities from the start of drinking until departing for the clinic.
Why not just have a virtual colonoscopy (CT) and be done with it?
Virtual colonoscopy is a good test, but it is diagnostic only. If a small polyp is detected (which is common), you will need to repeat the preparation and undergo a standard colonoscopy to remove it. With standard colonoscopy, we both diagnose and treat in the same procedure (One Stop Shop).
I have my menstrual period on the day of my procedure. Should I cancel?
There is no need to cancel. Colonoscopy can be performed during menstruation without any medical or hygienic concern. You may use a tampon if you wish. Our medical team is fully accustomed to and professional regarding this matter.
Is this embarrassing? I am worried about exposure.
We strictly maintain patient privacy. You will receive special disposable pants with a small opening at the back, and you will be covered with a sheet during all times before and after the procedure. Only the doctor and nurse are present in the examination room, and the atmosphere is professional and respectful.
We are with you - from the very first call, we understand that on the other end of the line is a person who may be concerned or in pain, waiting for answers. Therefore, we have built a service system that truly sees you:
- High Availability: A live service center is active Sunday-Thursday from 09:00 AM to 07:00 PM and on Fridays from 09:00 AM to 02:00 PM. In urgent cases, we are available beyond these hours.
- Direct WhatsApp Line: Do you have a question about fasting? Did you forget to ask something about your medications? Our customer service is available via WhatsApp for a quick response.
- Peace of Mind from Bureaucracy: Our team is highly experienced in working with insurance companies and supplemental health plans. We will assist you in preparing the necessary paperwork and authorizations so that you can focus entirely on your health.
Colonoscopy pricing
★ Approx. 40 min test.
★ Detection and identification of pathologic findings in the lower gastrointestinal tract, including inflammation, precancerous and cancerous growths, sections and lesions.
★ Using advanced optics technology (HD, Virtual Chromoendoscopy).
★ Removal of polyps, biopsy and patological evaluation - at an additional cost and in accordance with the findings.
★ If there are any pathologic findings, a biopsy is sent to an external laboratory at an additional charge of 350₪.
Colonoscopy
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