Can uterine scar diverticulum heal on its own?

Uterine scar diverticulum cannot heal itself. This disease is a complication caused by cesarean section, which can cause rupture of the uterine incision. Multiple cesarean sections increase the chance of complications. Therefore, if symptoms of uterine scar diverticulum appear, attention should be paid to the hygiene of the wound. Also, attention should be paid to keeping the uterus warm during menstruation to avoid uterine cold. You can learn about its symptoms.

Will a uterine incision diverticulum heal on its own?

As a complication of cesarean section, the incidence of uterine incision diverticulum is still very high. The severity of diverticula is also directly related to the number of cesarean sections. Patients who have undergone multiple cesarean sections have a higher chance of complications, reaching 42.86%. Generally, if it is not treated, this disease cannot heal on its own. The usual treatment for uterine incisional diverticulum is drug therapy or hysteroscopic electroresection.

Symptoms of uterine incisional diverticulum

A diverticulum is a sac-like image formed by the outward bulging of a weak area in the outer wall of a hollow organ, or by the adhesion and traction of adjacent tissue lesions outside the organ, causing the entire layer of the cavity wall to protrude outward. The mucosal folds inside and nearby are normal in shape.

Diverticula are divided into two types: congenital and acquired. Congenital diverticula are related to abnormal embryonic development and are often seen in the digestive tract and bladder. Acquired diverticula are also called pseudodiverticula. Diverticula at the uterine incision belong to acquired uterine diverticula, which are often seen in the lower part of the uterus, followed by the isthmus of the uterus and the upper part of the cervical canal.

Due to poor apposition during cesarean section, the endometrium is brought into the incision. After the incision diverticulum is formed, the endometrium inside the diverticulum also exfoliates and bleeds periodically. The diverticulum is connected to the normal uterine cavity, and the bleeding needs to be discharged through the uterine cavity. However, since the channels between the two are small, the withdrawal bleeding is not discharged smoothly, so it often manifests as vaginal spotting in the late menstrual period or a small amount of vaginal bleeding in the middle of the menstrual period.

According to the size of the diverticulum, the amount of bleeding and the experience of previous examinations, it is divided into three types: mild, moderate and severe:

① Mild type: A slit-like defect can be seen in the scar of the lower uterine segment. The serosal layer is continuous, with a thin layer of muscle wall and endometrium, and the fissure is connected to the uterine cavity. The diverticula may appear and disappear during examination, with a small amount of dribbling bleeding or no bleeding.

② Severe: The endometrium, myometrium and serosa protrude outward in a hernial shape to form a large diverticulum. When the uterus contracts, blood-like echoes can be seen spraying into the diverticulum. Retained blood clots are often seen in the diverticulum, and bleeding may occur for a long time.

③Medium: between light and heavy.

Through the introduction in this article, we can know that uterine incision diverticulum cannot heal itself and can only be cured by active surgery. Diverticulum uterine incision diverticulum is very easy to recover as long as it is treated actively. Therefore, once you have symptoms of uterine incisional diverticulum, you must actively seek medical treatment.