Can a uterine scar diverticulum heal spontaneously?

Many people have never heard of “scar憩室” (i.e., cesarean scar憩室), yet it is essential to take it seriously. Once a cesarean scar憩室 develops, persistent vaginal bleeding—occurring outside the menstrual period—may occur; therefore, prompt medical evaluation and treatment are crucial. So, can a uterine scar憩室 heal spontaneously?

Can a uterine scar憩室 heal spontaneously?

Spontaneous healing of a uterine scar憩室 is possible—but only in cases involving very small defects. Larger defects rarely resolve on their own and typically require surgical intervention. A uterine scar憩室 is a pathological condition resulting from poor wound healing following cesarean delivery, among other potential causes. Its most characteristic symptom is prolonged, intermittent, or drip-like menstrual bleeding that may persist throughout the entire menstrual period.

Once diagnosed, the decision to proceed with surgery depends primarily on the size of the憩室. Small憩室 may resolve spontaneously or be managed conservatively. However, larger憩室 almost always necessitate surgical repair; hysteroscopic repair of the uterine scar憩室 is the most commonly employed surgical approach.

During menstruation, extra attention should be paid to hygiene: wash the external genitalia daily with water and change sanitary pads frequently. Use cotton sanitary pads to ensure adequate local ventilation and reduce the risk of pathogenic bacteria entering the vagina or uterine cavity and causing infection. Women with a known cesarean scar憩室 who plan to become pregnant should undergo ultrasound examination to fully assess the憩室’s characteristics. If the residual myometrial thickness at the scar site is less than 4 mm, clinicians generally recommend surgical repair prior to conception. Otherwise, pregnancy carries an increased risk of complications such as placental abnormalities or even uterine rupture. We hope this information has been helpful. Wishing you good health and happiness!