Removal of cervical erosion

Removal of cervical erosion is one of the most common manipulation in modern gynecology. The removal can be carried out different tactics that combined "burning" term.

erosion removal is carried out according to indications. Some varieties of the disease does not need to be treated surgically. Prior to the removal of erosion need to be screened and trained to manipulation.

Erosion can be called commonly diagnosed background cervical condition. It is noteworthy that the erosion does not always indicate a pathology. However, it requires constant observation and differential diagnosis. This is due to the fact that some cervical dangerous conditions, in particular, cancer, can be confused with benign form under the title "erosion."

When erosion occurs spots appearance on cervical mucus. Since much of the cervix is ​​hidden, the defect can be diagnosed on the visible portion of which is directly adjacent to the vagina.

Vaginal part of the cervix is ​​the subject of scrutiny. It is in the art can be diagnosed as benign, premalignant and malignant processes.

The normal lining of the vaginal area flat laminated cells. Due to this surface epithelium has a pale pink color and a smooth texture.

Inside cervical defines the cervical canal, which connects the body and the body and vagina. The cervical canal is narrow and its width is different in parous and nulliparous women.

The surface of the cervical canal is formed by cylindrical cells that confer mucosal reddish hue and velvety texture. cervical epithelium feature is that it has special glands that produce mucus.

The erosion of saying when the surface of the cervix adjacent to the vagina undergoes changes. These changes depend on the influencing factors and the type of erosion. In some varieties recommended surveillance, while others - remove surgically.

Causes and clinical variants

There are many factors that can cause the formation of a defect. Experts emphasize that the mechanism of the disease is not fully understood. Due to the fact it stands out several major factors contributing to the occurrence of erosion:

• hormonal fluctuations during pregnancy, puberty, menopause;
• congenital disorders of formation and maturation of the epithelium;
• early onset of sexual relations;
• infection of the reproductive organs;
• trauma of the cervical epithelium in the course of treatment by surgery;
• rare or rough sex;
• the role of heredity.

Gynecologists point out that before to treat erosion, including surgically, it is necessary to eliminate the triggers. Otherwise, the removal can be inefficient.

In general, treatment strategy, which is recommended by doctors, is directly dependent on the type of defect. It is noteworthy that some form of erosion related to pathology, and others - to the physiological state.

The following options can be distinguished among the erosion of species.

congenital erosion

It is a variant of the norm. The defect is formed by forming the cervical epithelium. It is known that in utero vaginal cervical area should not be covered by a flat, namely columnar epithelium. Later columnar epithelium is replaced by a flat and defect disappears. More recently congenital erosion was considered a pathology. However, thanks to modern research, it became clear that the birth defects is the stage of development of the female body. Often in women after the onset of sexual activity is not detected the defect. However, in some cases, due to the insufficient level of "close" the erosion of estrogen does not have time and are diagnosed during the examination. If such a congenital ectopia, ie, substitution, does not disappear up to 25 years, to the spot can join the infection, causing the need for medical treatment. In all other cases, congenital erosion requires removal by surgery, and follow-up.

true

It is the opposite of ectopia. Gynecologist diagnoses is not the substitution of one type of epithelium by another, and the violation of its integrity. In other words, there is a wound or ulcer in true erosion. That is true erosion - the only option that literally reflects this concept. True erosion formed by exposing the cervix damaging factors that lead to epithelial damage site. It is noteworthy that the wound there is a short time, about two weeks. Then the tissue regeneration, which does not always happen properly. This is facilitated by accompanying the inflammatory process. Because of the short duration of flow, epithelial ulcers is rarely diagnosed. In the case of early detection of true erosion, treatment involves not surgically removal and elimination of inflammation and stimulating tissue repair processes.

Ectopic acquired character

In another way, it called pseudo-diagnosed in the event that the wound on the cervix has healed properly. When the damaged portion on the pseudo previously detected cervical cells and inflammation. In contrast to the innate and true erosion, ectopia acquired does not regress. In addition, this form of erosion may predispose to the development of precancerous lesions and cancer processes. That is why the pseudo recommended its removal by surgery.

Differentiation of species of erosion It takes place during the colposcopy and cytology.

Congenital erosion looks like a flat spot reddish color with no signs of inflammation, with the transition zone of the squamous epithelium in the cylindrical well visualized. True erosion - this is nothing like a wound. Pseudo represents a spot of varying shape and size often from external signs of inflammation.

Possible symptoms and examination

A feature of the defect is the lack of a clinical picture. Quite often, women experience symptoms that indicate the presence of concomitant diseases at erosion:

• bleeding;
• violations related to the length of the cycle;
• abnormal vaginal discharge, often accompanied by discomfort and unpleasant odor;
• pain syndrome.

In fact, the erosion of specific symptoms has not. In some cases, there may be abundant mucous discharge due to glandular cylindrical cell elements. During intercourse or cervical examination appear contact spotting.

When erosion, in particular, complicated by, should make a differential diagnosis to exclude concomitant diseases and precancerous, malignant processes. To this end, in addition to gynecological examination, the doctor recommends the following diagnostic types:

• cytology;
• Smear on the flora;
• bacterial inoculation;
• simple and extended colposcopy;
• biopsy for suspected precancerous and cancerous pathology.

Survey results influence the choice of treatment. Where indicated, make the removal of the defect surgically.

removal

Several decades ago, the removal of the defect surgically recommended only given birth to representatives. However, in the arsenal of the modern gynecologists are several effective methods by which it is possible to carry out removal of pseudo nulliparous even young girls.

Before the deletion is necessary to undergo a thorough examination. Diagnosis is necessary in order to avoid the pathologies that may be a contraindication to remove surgically.

If you have found inflammation, removal is carried out after its liquidation. Removal of the defect is performed in the first phase of the cycle immediately following menses. This minimizes the risk of complications.

Removing pseudo performed using the following tactics cauterization.

1. Diathermy is the oldest, however, it is quite effective and widespread method of removing ectopic acquired. The method consists in the effect of electric current on the affected area. After removal of eschar formed, which extends through several days. The wound heals completely within two months.
2. Cryodestruction used for a long time. It is more gentle removal method, which is freeze pathological tissue by liquid nitrogen. The method is suitable only if the removal of the small size of ectopia.
3. Chemical degradation involves the cervix special processing solutions cause a burn. Treatment should be carried out several times. Such pseudo removal is not highly effective.
4. Laser vaporization is a method of non-contact exposure. Removal occurs by means of a laser beam, evaporated abnormal cells.
5. It is a universal radio wave removal process of cauterization. Exposure is carried out within the affected mucous contactlessly. Simultaneously with the removal of the defect is performed sterilization of the wound, eliminating the infection and shortens the recovery period. Removing in this manner recommended nulliparous women.

removal method chosen individually. Diathermy is contraindicated if the patient did not give birth. Cryodestruction and chemical coagulation are suitable only for surface tissue lesions.