How to Treat Uterine Scar Diverticulum

Generally, a uterine scar diverticulum refers to a cesarean section scar diverticulum. The formation of a cesarean section scar diverticulum may be related to factors such as incomplete endometrial repair, impaired blood circulation at the incision site, intrauterine infection, improper suturing techniques, and abnormal uterine anatomical structure. Treatment options include medication and surgical interventions. A detailed analysis is as follows:

1. Mild Incomplete Endometrial Repair

The formation of a cesarean section scar diverticulum may be caused by incomplete endometrial repair after cesarean section. Due to incomplete regeneration of the endometrium at the surgical incision, a small depressed area may remain. This condition may be accompanied by symptoms such as prolonged menstruation, lower abdominal pain, and back discomfort. Treatment may include medications such as estradiol valerate, estradiol cyproterone acetate tablets, and cefuroxime axetil tablets, as directed by a physician.

2. Impaired Blood Circulation at the Incision Site

Vascular damage during or after surgery may lead to insufficient blood supply, affecting wound healing and resulting in diverticulum formation. Symptoms may include prolonged menstruation and persistent spotting. It is recommended to use medications such as tranexamic acid injection, aspirin tablets, and metoprolol tartrate tablets under medical guidance. Additionally, hysteroscopic surgery may be attempted to remove the diverticulum and resuture the incision to improve blood circulation.

3. Intrauterine Infection

Postoperative intrauterine infection can exacerbate inflammation at the incision site, impairing the healing process and leading to diverticulum formation. Symptoms often include increased vaginal discharge, foul odor, and fever. Recommended treatments include medications such as amoxicillin-clavulanate potassium, metronidazole tablets, and tinidazole tablets, as prescribed by a physician. For patients with large diverticula or severe symptoms, laparoscopic removal of the diverticulum may be considered.

4. Improper Suturing Technique at the Incision Site

Excessively tight or loose sutures can affect wound healing, leading to diverticulum formation. Symptoms may include prolonged menstruation, persistent spotting, and dysmenorrhea. Under a physician's recommendation, surgical removal of the diverticulum and resuturing of the incision may be performed.

5. Abnormal Uterine Anatomical Structure

Abnormal uterine anatomical structure is usually caused by congenital uterine developmental abnormalities or postoperative changes in uterine position. This can increase the difficulty of cesarean section and lead to poor incision healing. Symptoms often include severe dysmenorrhea, infertility, and pain during intercourse. It is recommended to follow medical advice for surgical correction of the uterine anatomical abnormality and removal of the diverticulum.

In daily life, regular gynecological examinations should be conducted to monitor uterine recovery and promptly detect and manage any abnormal symptoms.