Success rate of uterine diverticulum surgery

The importance of the uterus to women is self-evident. Once there is a problem in this place, it will have a great impact. Uterine diverticulum is a depression between the incision and the uterine cavity caused by poor healing of the incision. This complication is prone to occur after cesarean section or other damaging intrauterine operations. So, what is the success rate of uterine diverticulum surgery? Let’s take a look below.

There is no standard data on the success rate of uterine diverticulum surgery. The specific success rate depends on the size of the patient's diverticulum and the doctor's operating skills. Uterine diverticulum is a complication of cesarean section, which is caused by poor healing of the incision scar. The presence of diverticulum in the uterus can cause great harm to the health of the body and the birth of new life, so it must be treated actively. Regardless of the size of the operation, the success rate cannot be guaranteed to be 100% and there are certain risks. The success rate of uterine diverticulum surgery is very high. If the diverticulum is small, hysteroscopic repair can be used. However, because it cannot be sutured, the success rate of hysteroscopic surgery may be slightly lower. If the diverticulum is relatively large or hysteroscopic surgery is ineffective, laparotomy is required. The success rate of the surgery may be higher, but the impact on the human body will be relatively greater.

Treatment of uterine diverticulum

Incisional diverticulum does not require treatment if it has no symptoms. If you have menstrual disorders, try medication first, which is usually effective. Surgery is the last option.

1. If there is no menstrual disorder and no desire to have children, the diverticulum does not need to be treated and will not affect your health.

2. Hormone drug treatment

Hormonal therapy is the first choice for patients with symptoms of uterine diverticulum. Commonly used drugs are short-acting contraceptives and progesterone. Progesterone can inhibit endometrial hyperplasia, including the endometrium in the diverticulum. Therefore, most menstrual disorders caused by diverticula can be regulated, but long-term medication is required.

3. Contraceptive ring treatment

The Mirena IUD is placed to release a small amount of progesterone into the uterine cavity every day, inhibiting the endometrium and thus reducing menstrual volume. It also has good therapeutic effects and is suitable for long-term use.

4. Hysteroscopic repair surgery

Hysteroscopy reshapes the structure around the diverticulum and reduces the formation of secretions in the diverticulum by removing the tissue that affects the outflow of accumulated fluid through the diverticular opening, electrocauterizing the blood vessels at the bottom of the diverticulum or the endometrial tissue with secretory function. Improve the outflow of menstrual blood and accumulated materials in the diverticulum, thereby improving symptoms.

5. Laparoscopic and vaginal surgery

Regardless of the treatment plan, a comprehensive judgment should be made based on the patient's own situation and whether there is a desire to have another child. The goal is to eliminate the diverticula, restore normal tissue structure, reduce the accumulation and generation of substances in the diverticula, and allow menstrual blood and secretions to flow out smoothly. Surgical treatment requires the combination of magnetic resonance imaging to fully evaluate the size, location, and relationship of the incision to the bladder, in an effort to find the approach with the least trauma and the best treatment effect.