What surgery is performed for uterine diverticulum?

May 10, 2023 Source: Cainiu Health

Dr. Lv Aiming

Introduction

Uterine diverticulum is usually treated with hysteroscopic electroresection, a procedure in which an electric resecting loop is inserted into the uterine cavity to remove the tissue of the uterine diverticulum. Uterine artery embolization involves inserting a catheter via an endovascular approach to block the arteries supplying the diverticular area, causing it to atrophy and disappear. Uterine balloon tamponade involves inserting a balloon through the cervical os, inflating it within the uterine cavity to push the diverticulum outward, allowing surgical excision.

Uterine diverticulum is usually treated surgically with procedures such as hysteroscopic electroresection, uterine artery embolization, and uterine balloon tamponade. Specific details are as follows:

1. Hysteroscopic Electroresection

Hysteroscopic electroresection involves inserting an electric resecting instrument into the uterine cavity to remove the tissue of the uterine diverticulum. This procedure can reduce the likelihood of future cesarean sections and generally results in good postoperative recovery.

2. Uterine Artery Embolization

Uterine artery embolization primarily involves inserting a catheter through an intravascular approach to block the arteries supplying the diverticulum area, causing the lesion to shrink and disappear, thereby achieving therapeutic effects.

3. Uterine Balloon Tamponade

A balloon can be inserted through the cervical os and inflated within the uterine cavity to push the uterine diverticulum outward, after which surgical excision is performed to achieve treatment goals.

In addition, open abdominal surgery for resection may also be considered. Patients are advised to seek timely medical evaluation at a hospital and choose the appropriate treatment method based on their individual conditions.

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Video of the surgical procedure for uterine diverticulum

In general, the surgical approach for uterine diverticulum varies depending on the chosen procedure, leading to certain differences in the operation process. Clinically, hysteroscopic electroresection is commonly used. This procedure features minimal invasiveness and rapid recovery, but it still carries some risk of injury. To avoid harm to the body, surgery should be performed under the guidance of a qualified physician.

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Menstrual spotting caused by diverticulum

Menstrual spotting caused by uterine diverticulum can be treated through general management, medication, or surgical intervention. The specific analysis is as follows: Uterine diverticulum is a condition in the uterus characterized by a fissure or cleft within the uterine wall. This fissure tends to accumulate blood, potentially leading to prolonged menstrual bleeding in women. In severe cases, it may also cause postcoital bleeding.

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Will an untreated uterine diverticulum lead to cancer?

Uterine diverticulum, if left untreated, usually does not lead to cancer. However, it may cause prolonged vaginal bleeding that does not resolve easily. Without treatment, excessive blood loss can result in anemia, leading to symptoms such as physical weakness, fatigue, poor appetite, infertility, dysmenorrhea, lower back pain, and abdominal pain. It is considered a benign condition and typically does not develop into cancer, but timely treatment is necessary to prevent the progression of these symptoms.

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How is a uterine diverticulum formed?

Uterine diverticulum may result from improper approximation of the uterine body margin to the cervical margin during surgery, or from an inappropriate suturing technique that compromises blood circulation in the uterine tissue. Additionally, if sterilization during surgery is inadequate or personal hygiene is neglected postoperatively, leading to wound infection, a uterine diverticulum may also develop.