Removing of synechia

Adhesions are pathological bindings between the walls of the vagina or vulva that can cause discomfort and various health issues in women. Understanding the causes, symptoms, and treatment methods of adhesions allows specialists at the MC “Dobrobut” to provide qualified assistance for this condition.

Causes of Adhesions

Adhesions can form for various reasons. The main factors contributing to their formation include:

1. Hormonal changes: in children and adolescents, adhesions can form due to a lack of estrogens, leading to underdevelopment of the reproductive organs and mucous membranes.
2. Infectious diseases of the genital organs, such as vaginitis, can cause inflammation and subsequent formation of adhesions.
3. Injuries occurring after trauma or operations on the genital organs can lead to scar tissue formation and adhesions.
4. Allergic reactions to various substances, including soap, creams, or other personal hygiene products.
5. Chronic skin diseases, such as leukoplakia or diseases affecting the genital area, can contribute to adhesion formation.

Symptoms

Adhesions can be asymptomatic or manifest as various changes, including:

• Pain and discomfort, especially during sexual intercourse or physical activity.
• Menstrual problems - adhesions can impede normal menstrual flow, leading to delay or other disturbances.
• Burning and itching in the genital area.
• Restricted movement - in severe cases, adhesions can disrupt the anatomy and physiology of the relevant organs.

If you notice any of these symptoms, it is important to consult a doctor for diagnosis and treatment.

Diagnosis

Diagnosis of adhesions involves several steps:

1. Reviewing the medical history, including previous surgeries, infections, and other factors that could have affected genital health.
2. Physical examination to assess the condition of the vulva, vagina, and detect adhesions.
3. Ultrasound or other imaging methods.
4. Histological examination - if the diagnosis is in doubt, a biopsy of the tissues may be ordered.

Treatment

Treatment of adhesions depends on their location and severity of symptoms.

• If adhesions do not cause symptoms and do not affect organ function, the doctor may suggest observation.
• If symptoms cause discomfort, and the diagnosis is confirmed, medication treatment is possible. In this case, creams or ointments with estrogens are prescribed, which help in the absorption of adhesions, especially in adolescents or menopausal women.

If conservative treatment is ineffective, surgical intervention may be required to remove the adhesions.

Surgical Removal

How the Adhesion Removal Procedure is Performed

Surgical removal of adhesions can be performed in several ways, with the most appropriate method selected based on the patient's situation.

Certain hygiene rules must be observed before performing the operation. The surgical intervention can be performed under local anesthesia or sedation for additional comfort.

1. The surgeon makes a small incision in the area of the adhesion. If necessary, additional separation or removal of pathologically changed tissues may be performed.
2. Adhesions are carefully separated and removed. The doctor uses special tools to minimize damage to surrounding tissues, promoting better healing and reducing the risk of new adhesions forming.
3. It is essential that after removing the adhesions, the normal function of the reproductive organs is preserved.
4. After the surgery, the incision is closed with self-resorbing stitches or special adhesive means, reducing the number of visible scars.
5. The patient remains under observation after the surgery to monitor the condition. The doctor provides recommendations for wound care and preventing recurrence.

Advantages of Surgical Adhesion Removal

• Surgical intervention allows for quick and effective removal of adhesions, helping to reduce or eliminate symptoms and improve quality of life.
• Faster recovery compared to other procedures.
• Ability to significantly reduce the likelihood of adhesion recurrence.

Prevention

To prevent adhesion formation, it is recommended to:

• Have regular medical examinations and timely visit a doctor when symptoms of infection or other diseases appear.
• Prevent sports injuries.
• Follow intimate hygiene rules and use hypoallergenic products to reduce the risk of inflammation and other complications.
• Choose safe hygiene products to avoid allergic reactions and irritations.

If adhesion symptoms appear, do not delay visiting a doctor. The clinic “Dobrobut” offers all types of qualified assistance and individual treatment selection.