Treatment of cervical erosion, in our time, is one of the most common problems of women of different ages. In gynecology, this problem is solved, and there are many different ways to eliminate erosion. One of the most effective is laser erosion treatment. Moreover, the treatment of cervical erosion by laser is recognized as one of the most effective means to combat this ailment.
Purpose of the method
Laser vaporization is the most effective and newest method of treating this disease. It is also the most accurate in predicting and careful in relation to the health of patients. The main objective of this method is the destruction of the erosive area by a laser with high accuracy without touching the intact tissue. In addition, the method is guaranteed to preserve the vital functions of the reproductive system of women, such as sexual, menstrual and reproductive.
Advantages of the method
Treatment of the disease using the cautery method has many advantages:
- minimal contact with healthy tissue
- the possibility of observing the cautery process using a video-colposcope,
- minimized risk of scarring and constriction,
- short time to recover,
- minimal pain
- guaranteed quick, painless recovery after surgery.
The procedure itself cauterization is carried out quite simply and quickly. It is done in a dispensary, during the first days of the menstrual cycle. A few weeks after this procedure, a series of examinations is carried out and it is mainly cytology and colposcopy. It should be noted that after this procedure, the patient is obliged to undergo an examination by a gynecologist at least once or twice a year, with the obligatory delivery of smears to cytology.
One of the many advantages of such a procedure as laser cauterization will be the numerous choice of this method in nulliparous patients. As a result of this procedure, unlike others, a scab will not form, healing will take place painlessly, as a result - the rejection of the coagulation film, indicating that the scar formation will not remain, the main function - reproductive.
Preparation for the procedure
Before laser cauterization, the patient must undergo a series of examinations, which include colposcopy, consultation and examination by a gynecologist, examination of smears from the mucous membrane of the cervix uterus (cytology), in order to eliminate the inflammatory process (bacteriology).
With the help of high-tech diagnostic methods are examined for infectious diseases that could be sexually transmitted.
The procedure is carried out in two stages, which are aimed at eliminating the very cause of the erosion. If the cause is ignored, the problem may appear again and again, and no matter how many cauterizations are carried out, erosion will reappear.
To do this, conduct research on each patient, which includes tests for infection with an infectious or viral disease, fungi of various etiologies. They also perform colposcopy, study the level of hormones, cytology, in rare cases do a biopsy. All of the above enters the first stage. As for the second stage, the cautery itself itself enters into it - local damage to the site of erosion.
For this procedure, there are many different techniques that have their own characteristics.
Today, the most preferred way to solve this problem is laser vaporization (laser cautery). This effect on the affected surface of the uterine cervix with a laser beam (through the conversion of light energy into heat). This causes heating and destruction of pathological foci, and as a result, the formation of a necrotic zone.
The only drawback of this method, according to doctors, is the high cost. Otherwise, this method of treatment, as already mentioned, has only advantages - it is painless, guaranteed effectiveness, no risk of bleeding (as during the procedure small vessels burn and do not bleed), high precision processing, no complications, a relatively fast rehabilitation period .
In addition, this method is recommended for women and girls who have not undergone childbirth, because during the procedure, cauterization with a laser does not leave scar tissue, and there is no risk of cervical stenosis.
In conclusion, it should be noted that not only in the case of laser vaporization, but also in other cases of therapy for cervical erosion, all methods are aimed at removing, at least, atypical tissue. Otherwise, there is a risk of cervical cancer.
It is also worth avoiding cicatricial changes that may occur in case of a wrong choice of therapy, or the incompetence of a doctor, since after treatment the reproductive function should not suffer in any way. Indeed, many cases of infertility in women are based on the remaining cicatricial changes in the uterine neck. Consult an experienced physician and listen carefully to their recommendations!
And, of course, after the procedure described, it is worth observing some rules: respect for sexual rest (for the period recommended by the attending physician), careful personal hygiene and regular visits to your gynecologist.
Intervention of this type is not carried out in patients in the following cases:
- Pregnancy, regardless of the period or suspicion of her,
- The presence of viral diseases of the reproductive organs, especially human papillomas,
- The presence of infectious and inflammatory processes (they need to be cured before manipulation),
- The presence of sexually transmitted diseases
- Oncological processes in the pelvic organs and in the body as a whole,
- The presence of problems in the blood, as well as poor blood clotting.
It is more accurate to establish whether such an operation is suitable for you, the attending physician can.
Cauterization of cervical erosion with a laser is a simple procedure that normally does not cause complications. In the first 3-4 days after the intervention may appear bloody discharge from the vagina. But they are not intense and do not cause discomfort. Also during the day after the intervention may be disturbed by abdominal pain, reminiscent of menstrual. To get rid of them, you can use Ibuprofen or similar drugs.
If hygiene during the postoperative period is not observed, infection may occur, or the inflammatory process may begin. Sometimes there is bleeding in the case of individual characteristics and poor blood clotting. As well as overheating and physical exertion.
At the stage of preparation for the procedure, the patient is examined and information is collected about the presence of contraindications. This is followed by the actual procedure. And then comes the rehabilitation period for several days. The success of the treatment depends on how well all the steps are carried out.
Burning erosion laser (as well as another method) can not be carried out with flowing background inflammatory process. In this case, you must first cure it in order to avoid the risk of infection. To do this, colposcopy and inspection using mirrors.
You also can not intervene in infectious, viral or fungal processes (for the same reason). Therefore, a smear is taken on the microflora, bacteriological examination and PCR are also carried out. Sometimes you need an analysis for tumor markers. Always carried biochemistry and complete blood count.
Does it hurt the erosion of the neck? In itself, the removal of cervical erosion by a laser is not a painful, but uncomfortable process. Therefore, it is performed exclusively under local anesthesia. Which is very convenient for patients with intolerance to general anesthesia. Lidocaine is most commonly used as an anesthetic.
It is applied directly to the cervix. In some cases (extremely rarely) it is injected. A few minutes after this, the patient's tissues lose their sensitivity and the doctor proceeds with the manipulation. Anesthetic effect lasts about half an hour. This is sufficient for cauterization. However, after the anesthesia is gone, slight pain may disturb the patient for a while.
Laser removal of cervical erosion lasts about fifteen minutes. During this time, the affected area is completely treated with a beam. Thus, with small erosion it may take even less time. To this period, you must also add the time that the doctor does anesthesia, and waits for it to take effect. And also time for the subsequent consultation for the patient.
So, on average, the patient spends in the office about half an hour. And then can immediately go home. Hospitalization is not required.
Like all similar procedures, this is performed on the 6-7 day of the menstrual cycle, that is, immediately after the menstrual period. This is calculated so that the mucous has a maximum time for healing. In addition, it is during this period that epithelial cells regenerate especially rapidly. The patient is placed in a gynecological chair. The doctor applies anesthesia and installs a colposcope. Then a device that generates a laser beam is inserted into the vagina.
Under the control of the colposcope, the doctor conducts a point effect on the tissue with the help of a beam. As a result, a thin coagulation film or scab is formed. She rejects after 10-12 days.
The procedure itself lasts about 10-15 minutes. Upon its completion, the doctor performs the sanation of the genitals. After that, the patient can dress and leave. Hospitalization is not required.
Unlike older methods of treatment of the affected area, laser cauterization of cervical erosion is a low-impact process. The recovery period after it is quite short. It is about one month. At the same time, serious restrictions are necessary only in the first seven days.
During this period there is a risk of bleeding. It is necessary to avoid everything that can increase the intensity of blood circulation in the pelvic organs. No need to bathe in the bathroom, sauna or bath, visit the beaches and tanning beds, do a massage of the lumbar region. It is recommended to avoid physical exertion and carefully monitor hygiene. Avoid swimming in natural waters. Sexual life is recommended to postpone for 4-5 weeks.
Removal of erosion by laser does not affect the ability to become pregnant and independently give birth in the future. Laser surgery in this case is good just because it does not leave scars (the resulting scab leaves without a trace as early as 7-10 days after the procedure). Due to the absence of a scar, the elongation of the birth canal is not reduced. Births occur without complications, as if the operation never happened.
Also, for this reason, the method is actively used for women who have not given birth. You can plan a pregnancy already after 3-4 months after the procedure. But only the doctor can answer this question precisely, since the rate of regeneration processes (healing) is different for different patients.
The cost of the procedure depends on the medical institution where it is performed. Municipal clinics usually resort to simpler (and cheaper) procedures. However, if there is such an opportunity, it is better to choose laser surgery and be treated privately. Moreover, the range of prices in private clinics is quite high, and you can find a more or less budget option.
What is erosion?
Erosion may be congenital, true and false (ectopia, pseudo-erosion).
Congenital erosion in most cases is not treated, because it tends to pass on its own.
Acquired erosion cannot be cured on its own, therefore it is recommended to treat them.
In fact, true erosion is a wound that forms on the mucous for various reasons. It can be mechanical damage, hormonal disorders, in addition, erosion can occur as a result of inflammatory processes in the genitals or due to sexually transmitted infections..
This form of erosion does not exist for long, and after two weeks goes into the next form - ectopia.
It is the ectopia that gynecologists diagnose in every second woman.. In this case, on the mucous neck there is a complete or partial replacement of the squamous epithelium on the cylindrical.
This form of pathology may asymptomatically exist for several months or even years. In some cases, a woman may be disturbed by painful sensations during intimacy, uncharacteristic secretionsbut most often the woman realizes that something is wrong after inflammation occurs.
A wound on a mucous membrane is a gate for infectious agents that penetrate inside can lead to diseases accompanied by a vivid clinical picture.
To date, there are several fundamentally different methods cauterizationthat doctors use to remove erosive areas on the mucous neck:
- laser burn,
- radio wave removal,
- chemical exposure
- vaporization by electric current,
- argon plasma ablation
- use of ultrasound,
The use of laser does not leave scars after the procedure, therefore it is suitable for women who are planning a future pregnancy.. For the same reason, the risks and complications for women's health are minimal.
A characteristic feature of a properly performed procedure is the presence of mucous secretions, but discharge with an admixture of blood is an alarming symptom that should alert the woman and needs urgent consultation with a doctor.
Lasers exist as far as species:
Most often, carbon dioxide laser is used to remove erosion.. The effect of this procedure is to evaporate the cellular fluid, which leads to the death of damaged tissues.
At the same time, the effect is only on pathological tissues, and healthy ones are not affected at all.
I must say that the procedure is a bit painful, therefore, doctors recommend that it be performed under local anesthesia.
Using a laser technique, a woman can be confident that her reproductive function will be fully preserved..
Advantages and disadvantages
The undeniable advantages of this treatment:
- outpatient care
- the technical complexity of the manipulations is not high,
- performed in a short period of time
- the ability to use the laser only on the affected area, leaving healthy tissue intact,
- the implementation of instantaneous coagulation of blood vessels, due to which there is no risk of bleeding,
- low risk of developing inflammation or infection,
- the duration of the recovery period is not more than 2 months,
- high efficiency,
- minimum of complications
- no effect on subsequent conception, childbirth and childbirth.
The disadvantages of laser therapy are the following:
- not in all cases it is possible to cover the entire depth of the affected tissues,
- in case of large erosion, several similar procedures may be required,
- despite the fact that the development of bleeding is extremely rare, in cases of deep exposure, it is still possible,
- high cost of the procedure.
- progressive and major erosive lesions,
- severe symptoms of the disease - bleeding or soreness,
- lack of contraindications and related backgrounds of ailments.
This method of erosion treatment has not been used by doctors for the first decade, therefore the following contraindications have been identified.:
- pregnancy at any time,
- viral diseases of the genital organs, in particular papillomavirus,
- infectious and inflammatory processes in the reproductive sphere,
- venereal diseases,
- oncological processes in general and in particular in the pelvic organs,
- problems with blood clotting and other pathologies in the blood system.
How is the procedure and its duration
The essence of this technique - the impact on the damaged areas with a laser beam.. This treatment is performed under local anesthesia, the duration of the entire procedure is about 15 minutes.
Cauterized erosion of the cervix on day 6 of the menstrual cycle. This is due to the fact that during this period tissue healing will occur faster due to active regenerative processes in the cells..
The patient is placed in a gynecological chair, a specialist conducts anesthesia, and then introduces a device into the vagina that will generate a laser beam.
Then a laser is applied, resulting in a coagulation film on the damaged tissue, which disappears in a few days depending on the individual characteristics..
Is the operation painful?
Laser erosion removal itself is painless, but the discomfort is definitely present.. Therefore, in most cases, local anesthesia is recommended, which is used as lidocaine.
The drug is applied directly to the cervical area, but rarely injected intravenously.
After a few minutes, the tissues lose their sensitivity and the doctor can begin the procedure.. The effect of anesthesia lasts about half an hour, and this is quite enough to carry out the cautery procedure.
After laser therapy, the endometrium is restored within a month.
If the procedure is successful, there will be no complications and consequences, but the patient should still adhere to the following recommendations.:
- Refrain from sex for a month. After that, sexual life may take place in full, but it is recommended to use a condom for another month to avoid the influence of pathogenic microflora.
- Do not go to the gym and lift weights, as this may cause bleeding of tissues that have not yet fully healed.
- It is strictly forbidden to drink alcohol.
- For two months it is forbidden to take hot baths and swim in the pool, because during water procedures infectious agents can provoke inflammatory processes in the vagina.
- It is recommended to stop using tampons.
- failure in the menstrual cycle
- discomfort - heaviness in the lower abdomen,
- the appearance of uncharacteristic secretions.
If a woman notices a discharge with an unpleasant smell, this is a dangerous symptom that signals the presence of complications.. In this case, you should immediately consult a doctor.
The essence and benefits
The laser method of ectopia removal is one of the most popular in gynecology, as it allows you to solve an unpleasant and dangerous problem as quickly as possible, accurately and painlessly.
Compared with traditional methods of removing erosion from the uterine surface, laser treatment is preferable from many points of view:
- The procedure is carried out outside the stationary conditions that are usually required for the implementation of surgical intervention. Burning laser is carried out in a gynecological chair.
- Short duration of the procedure (on average, the process takes no more than half an hour).
- Painless procedure.
- Low risk of damage to healthy tissue.
- Short recovery period.
- 100% guarantee of achieving the desired result.
- Minimal intervention in the structure of the body.
- The absence of scars, adhesions and other unpleasant consequences of eliminating erosion.
- Minimal risk of complications.
- The possibility of using the method for patientless patients.
In what cases can and should not be done?
Not only the girls who have given birth, but also those who are sexually active can potentially suffer from the problem at the stage of puberty, or have already approached / moved into the menopause stage. Immediately contact a specialized medical facility should the following dangerous symptoms be detected:
Severe pain, cutting during intercourse.
- Uncharacteristic or unreasonable bleeding from the vagina.
- Frequent pain in the lower abdomen.
Although the laser method of eliminating cervical erosion is preferred for most patients, it cannot be applied in certain cases.:
- Any metabolic disorder (for example, diabetes).
- Pregnancy and postpartum feeding period.
- Mental illness.
- Period of menstruation.
- Acute inflammatory process on the genitals.
- Allergic reaction to any of the drugs used during the procedure (anesthetic, antiseptic).
- Oncology of the uterine cervix.
- Dysplasia (severe).
- Untreated genital infections.
- Polyps on the cervical canal (upper part).
Description of the procedure
The procedure is usually prescribed on the 5-7th day after the onset of menstruation.. One week before the scheduled date, uterine cervix tissue is treated with special formulations. On the day the laser is applied, the affected tissue is removed directly. If necessary, anesthetic is injected, but its use is not required in most cases.
How to cauterize ectopia?
- The specialist inserts the tip of the laser instrument into the vagina and directs its beam directly to the area affected by erosion.
- This is followed by the evaporation / removal of those organ cells that are not characteristic of the external part of the uterine mouth.
- In parallel, tiny capillaries are sealed to prevent bleeding or bacterial infection.
In general, the whole procedure takes about 25-30 minutes. Laser radiation not only removes altered cells, but also stimulates regenerative processes in the uterine cervix tissue. This means that after a certain period of time its surface will fully recover.
The recovery period is usually about 1 week.. This time is sufficient for complete rejection of the affected cells and preliminary restoration of the cervical surface.
At this stage, the patient may experience slight pain in the lower abdomen or weak bloody vaginal discharge (usually observed 7-10 days after removal of erosion).
During the rehabilitation period, it is imperative to visit a specialist to control the healing of the organ. Full tissue repair occurs 1-1.5 months after exposure to the laser.. During this period, you should follow some rules:
- Lack of sex life.
- Refusal to use tampons.
- Exclusion of visits to baths, saunas, etc.
- Exception visit the outdoor swimming pool.
Consequences and complications
Only in very rare cases may a scar / scar appear. This phenomenon is atypical for the procedure and may occur when the uterine cervix is too large or in case of insufficient qualification of the specialist who performed the procedure.
In some cases, inflammation or infection of the treated tissue is possible. Often this happens if a woman does not maintain sufficiently intimate hygiene.
Minimize the risk of complications by adhering to simple rules for 1 month.:
- Regularly visit the attending physician.
- Refrain from exercise (especially weight lifting).
- Plan a pregnancy no earlier than 3 months after the procedure.
- Take only a shower for the period of rehabilitation.
- Refuse sexual intercourse.
In general, in the treatment of erosion of the uterine cervix can be considered the most successful method of removing the modified tissue. Thanks to the laser, the patient can quickly, safely and painlessly get rid of an unpleasant and dangerous problem. Be healthy!
Features and essence of treatment
This technique is known as laser vaporization.. It is considered the most accurate regarding prediction and implies the utmost respect for the health of patients.
The technique of laser treatment of cervical erosion makes it possible to preserve the normal functioning of the reproductive system, namely, sexual, menstrual and reproductive function.
Laser removal of cervical erosion quite a lot of advantages compared to other procedures, and among them are the following:
The procedure of laser cautery of cervical erosion is quite simple and fast. She is produced on an outpatient basis, in the early days of the menstrual cycle.
A few weeks after the procedure of removing the erosion of the cervix with a laser, the patient needs to be examined, most often it is colposcopy and cytology.
It is also important to note that After the procedure, the woman needs to undergo gynecological examinations at least 1-2 times a year., necessarily handing over at the same time smears on cytology.
Unlike other methods the laser does not form a scab, the healing is painlessaccordingly, the cicatricial formations do not remain, and there is no effect on the reproductive function.
Treatment of cervical erosion by laser method:
Indications and Contraindications
Laser cautery erosion is shown in the following cases:
- large or progressive erosion,
- severe symptoms of the pathology, for example, bleeding, severe pain,
- erosion in non-giving girls,
- lack of contraindications and associated diseases,
- contraindications to other methods of treatment.
However, the procedure has contraindications, including the following:
Decide whether this procedure is suitable in a particular case, should the doctor.
Rules of preparation for the procedure
Before the procedure, the patient needs to undergo a series of examinations. It is necessary colposcopy, cytology and bacteriology, consultation and examination by a gynecologist.
It is also important to be screened for sexually transmitted diseases. No more specific preparation measures are required.
Features of the laser removal
How to cauterize erosion of the cervix with a laser? The essence of this technique in action on the damaged tissue of the laser beam. This is a stream of light, the intensity of which can be greatly enhanced by artificial means.
Cauterization lasts for about 15 minutes.. Most often, it is prescribed on the fifth, sixth or seventh day of the menstrual cycle. This is due to more active processes of cell recovery and the rapid healing of tissues during this period.
Directly cauterizing involves removal of affected cells by means of a laser "scalpel".
The patient is placed in a gynecological chair. The specialist applies anesthesia and inserts a colposcope. After the device is inserted into the vagina, it generates a laser beam.
The further course of the procedure is recovery process, natural to the body.
The latter rejects the coagulation film, and the area of the cervix exposed is cleared. This will take several days, depending on the characteristics of the individual character.
The method is based on a point effect on the tissue.. But thanks to him, quite extensive lesions can be treated, so laser therapy is considered universal.
Myths and Facts
The main myth that goes about laser cautery erosion, is its effect on the reproductive system. In fact, a properly performed procedure does not affect either reproductive, or menstrual, or sexual functions.
This method can be used not only for cauterization of erosion, but also for the treatment of a number of inflammatory gynecological diseases.
CO2 laser is used for the procedure., which not only destroys pathological foci, but also stimulates active tissue repair, improves local blood circulation and creates favorable conditions for the normalization of redox processes in the area subjected to treatment, thus exerting a complex effect.
The special feature of laser vaporization is that the uniform depth of impact is very important in it. It depends on the skill level of the specialist and his experience.
Also note that extensive eroded sites are treated in several approaches, divided into so-called sectors. This may delay treatment.
It should also be borne in mind that the procedure of laser treatment is quite expensive, but all its advantages justify it.
It is important to trust her specialist and adhere to all his recommendations, then the risk of complications is minimal.
Indications for treatment of cervical erosion by laser
We can say that with laser therapy, cervical erosion is much more indications than contraindications. It happens that in some cases, several treatments are equivalent to the indications. That is, it is possible to apply, for example, both cryotherapy, and radio wave surgery, and laser treatment, and this, in principle, is not essential. Since all the techniques will be effective, and will bring the desired result.
But it happens that there are indications for the use of laser vaporization, when other methods will be undesirable.
The indications for treatment of cervical erosion with a laser are as follows:
- The presence of cervical dysplasia 1 or 2 degrees (actually erosion of this part of the body).
- Changes in cervical tissue with scar formation.
- The presence of leukoplakia - lesions of the mucous membranes of the body with the presence of keratinized epithelium.
- The parallel presence of cysts of the retention character, the so-called nabot cysts.
- Presence in parallel with cervical erosion of endometriosis, as well as polyps, which the lower third of the cervical canal suffers from.
- Accompanying cervical erosion of cervicitis in the chronic stage of the disease - in the absence of the effectiveness of conservative treatment.
How is cervical erosion treated with laser?
Many patients are interested in specialists, but what about the treatment of cervical erosion by laser?
Laser treatment of cervical erosion is carried out without a woman being hospitalized, under local or general anesthesia (if indicated). Although, usually, patients do not need anesthesia.
The duration of the procedure is from fifteen to forty five minutes.
Correctly carry out laser vaporization in the interval between the fourth and tenth days after the end of the menstrual discharge from the vagina.
The procedure of laser vaporization is as follows. The specialist inserts the laser tip into the vagina and directs the light beam into the affected area. At this time, the diseased cells evaporate, and the small capillaries are “sealed”, which prevents bleeding.
During the laser therapy procedure, a CO laser is used.2which performs several tasks at once:
- The destruction of the pathological focus of erosion.
- The appearance of a coagulation effect, that is, coagulation or thickening of the pathological tissue.
- Stimulation of tissue regeneration processes in the cervix.
- Promotes improvement of blood circulation in the place of the laser exposure.
- It normalizes the processes of redox nature in the place of treatment of the source of erosion.
- It has an anti-inflammatory effect on the epithelium during the treatment of the disease.
Such a multifunctional treatment contributes to the speedy recovery of the woman. Within a week after the laser vaporization procedure, women can lead an active lifestyle and forget about the problem forever.
CO use2 laser allows you to make the procedure of laser vaporization more perfect, which is manifested:
- in controlling the depth of penetration of the beam,
- in the possibility of influencing only the pathological areas of the epithelium,
- complex effects on the mucous membrane, which was mentioned above.
The cost of treatment of cervical erosion laser
The cost of treating cervical erosion with a laser depends on several factors:
- the settlement in which the selected clinic is located,
- the popularity of the clinic in patients
- the prestige of the institution, that is, the focus on the treatment of the financial elite.
It should be borne in mind that before carrying out the procedure of laser therapy, it is necessary to consult a gynecologist. On which you can identify all the important aspects related to the state of health of the woman and take into account the necessary nuances when performing therapeutic manipulations.
So, in Kiev, laser vaporization of cervical erosion is performed in the following clinics:
- The cost of the procedure is 1900 UAH.
- Consultation with a gynecologist - 225 UAH.
"Institute of Clinical Medicine", a network of clinics
- The cost of the procedure is 1400 UAH.
- Anesthesia cost - 100 UAH.
- Consultation with a gynecologist - 180 UAH.
Medical Center "Zdorov'ya Rodini"
- The cost of the procedure is 1450 UAH.
- Consultation with a gynecologist - 250 UAH.
- The cost of the procedure is 1800 UAH.
- Anesthesia cost - 330 UAH.
- Consultation with a gynecologist - 220 UAH.
The clinic also holds a campaign - for the price of 1700 UAH. client will receive:
- examination by a gynecologist,
- video colposcopy with photographs,
- the actual procedure of laser vaporization with anesthesia.
Medical Center "Adonis"
- The cost of the procedure is 1300 UAH.
- The cost of consulting a gynecologist is from 230 to 270 UAH.
In other regions of Ukraine the prices for laser vaporization are as follows:
Clinic "Medibor", Zhytomyr
- The cost of the procedure - from 1400 to 1800 UAH. (depending on the degree of damage to the cervix).
- Consultation with a gynecologist - 150 UAH.
Clinic of plastic aesthetic surgery "VIRTUS", Odessa
Branches of the clinic are also represented in the cities of Kiev, Kharkov, Dnepropetrovsk, Nikolaev, Kherson.
- The cost of the procedure is the equivalent of 250 euros.
Medical center "Veslava"
- The cost of the procedure - from 400 to 500 UAH. (depending on the degree of damage to the cervix).
- Consultation with a specialist gynecologist - from 150 to 200 UAH.
Reviews on the treatment of cervical erosion laser
It is known that any, even the most perfect method of treatment has its advantages and disadvantages.Therefore, we recommend that you read the reviews of patients of medical clinics that have undergone laser vaporization procedure. Before deciding to treat cervical erosion with a laser.
Reviews of treatment of cervical erosion by laser are as follows:
- Ekaterina, 31: “It is very important to choose the right method for treating erosion. Laser does not always help. It happens that a large portion of the cervix is affected, and in these cases cryotherapy is necessary. All this I learned from the doctor who conducted the treatment. He advised me to the laser. Everything went quickly, without pain and other sensations. Of course, there was smoke coming out of the vagina, and it smelled of burning. But these are the strangest moments, and everything went well. I am very pleased with the result. Erosion doesn't bother me anymore. ”
- Julia, 44: “The main thing is not only to choose a clinic with optimal prices. The specialist himself is important on which the result depends. I was lucky. My doctor is the best. All friends who were treated with a laser recommended going to him. Now I forgot about erosion, and it is even strange to recall that I had some problems. ”
- Oksana, 23 years old: “There were, of course, some sensations in the lower abdomen. But before that, I was all numbed, so the sensations passed quickly. In addition, I asked the doctor to stop if it was unpleasant for me, and he did it. And so, I am very pleased. Everything went quickly, I did not even have time to really understand anything. Erosion doesn't bother me now. Thanks to the doctor and the clinic staff! ”
- Marina, 51: “Simply, quickly and efficiently. I can not say anything bad about this procedure. I am very glad that I chose this method of erosion treatment. ”
- Yaroslav, 35 years old: “I was advised to go to this particular doctor and to this particular clinic. It turned out that everything was fine. The main thing is to observe hygiene and come for additional inspections. I am already in perfect order! ”
Treatment of cervical erosion with a laser
Erosion of the cervix is dangerous to the health of a woman by the fact that with adverse factors it can turn into a malignant neoplasm. The affected area is an ulcerated surface through which infections penetrate, causing inflammation of the reproductive organs. There are several ways to cauterize erosion, among which are:
- chemical, drug treatment Solkovagin,
- radio wave, by means of radiohair Surgitron,
- cryodestruction - based on the use of liquid nitrogen,
- exposure to electric shock, characterized by scarring,
- laser removal of erosion - low-impact and bloodless manipulation.
The choice of method depends on many factors, including the presence of comorbidities, the size of the lesion, the patient's individual characteristics.
Laser surgery has been actively developing over the past twenty years. The equipment is being improved, the field of application of this therapeutic method is growing. In medicine, such devices are used:
The effect of the last of the listed devices is based on the evaporation of intracellular fluid. During the operation, only affected tissues are cauterized without affecting healthy ones, and therefore there is a low percentage of complications.
Burning with a laser requires high qualifications of a doctor and still remains a rather expensive procedure that is not available to ordinary female consultations.
Necessary diagnostic studies
Before deciding on the possibility of cauterization of erosion by a laser, it is necessary to carry out a range of diagnostic measures:
- visual inspection in the chair,
- sampling of smears to determine the microflora of the affected surface of the epithelium and cervical canal,
- extended colposcopy
- a biopsy of the cervix, during which a tissue sample is plucked to detect atypical cells,
- cytological examination
- tests for the elimination of sexually transmitted infections, including HIV, hepatitis and syphilis,
- bacteriological seeding
- blood and urine tests
- hormonal tests,
- ultrasound procedure.
Proper diagnosis will help determine the exact location and depth of the lesion.
The rehabilitation period takes from 5 to 7 days. During this time, the healing of the treated surface and the rejection of tissues exposed to temperature are observed. These days, a woman may feel nagging pain in the lower abdomen. Mucous discharge after cauterization with minor blood streaks continues up to ten days after the procedure. Full recovery occurs in a month and a half. After 8-9 weeks after cauterization of erosion by laser it is necessary to visit a gynecologist. During the examination, the doctor will determine how successful the healing has been.
Epithelial tissue must be fully restored. The need for re-manipulation occurs in isolated cases. Complications after cauterization are extremely rare and mainly due to a violation of the doctor's recommendations on the rules of behavior in the postoperative period. Prohibited all activities that can enhance the blood circulation of the pelvic organs:
- visiting the bath, sauna, hamam and other thermal procedures,
- drinking alcohol
- sports, other physical activities,
- massage of the lumbar region,
- swimming in open water and swimming in pools
In order to avoid negative consequences in the form of inflammation and bleeding, you must carefully observe the hygiene of the genital organs, do not use tampons and refrain from sexual contact. In the first month after the resumption of intimate relationships should use a condom.
Pros and cons of a laser procedure
The method of laser treatment of cervical erosion is used in gynecology relatively recently. Like any technique, laser vaporization has its advantages and disadvantages.
- lack of physical contact between the device and the patient’s body,
- minor trauma,
- point impact on damaged tissues without risk of damage to healthy,
- no blood loss
- impossibility of infection,
- low probability of complications
- procedure speed
- slight soreness
- carrying out cauterization in laboratory conditions
- fast healing
- preservation of female reproductive functions.
Despite the fact that the operation can be performed on any day of the cycle, with the exception of the critical ones, it is better to schedule the procedure for 6-7 days after menstruation, so that the cervical epithelium can recover before the next menstruation.
Unfortunately, it was not without flaws. Cons of laser treatment:
- high cost of the procedure
- restrictions on the size and depth of erosion,
- the need for a comprehensive examination of the patient.
To conduct the manipulation must be a qualified specialist, using high-quality equipment. Regular clinical examination will allow timely detection of cervical erosion. The earlier the pathology is detected, the sooner and safer the treatment is.
How does laser cauterization of the cervix occur?
Laser ablation, coagulation, vaporization are the names of the same technique. The technology of cauterization of erosion is quite simple, although it requires from the gynecologist certain skills and extensive experience in treating changes in the cervix. The outcome of the disease, the duration of the rehabilitation period and the reproductive health of the patient largely depend on the doctor’s actions.
When a laser beam hits an organic tissue, light energy is converted into heat. At this point, there is an instant heating of the tissues of the body to high temperatures, which leads to rapid evaporation of the liquid. The cells are destroyed, and the pathological focus disappears. In this case, the heat-affected zone is minimal, since the laser beam cannot penetrate to a greater depth and thereby damage the underlying tissues.
A minor area of impact on the cervix is another distinguishing feature of laser vaporization. On the one hand, it does not allow for cauterization with a laser for large and deeply located defects of the mucous membrane. On the other hand, it is the minimal area of exposure that makes laser ablation the method of choice for non-pregnant women. The smaller the cauterization zone, the faster the regeneration occurs, and less often complications develop after the procedure. Modern laser systems are capable of generating extremely short pulses, which further reduces the area of heat exposure on the tissue.
Laser vaporization is carried out in two versions:
- Ablation - targeted evaporation of tissue with a laser beam,
- Conization or excision - excision of the affected tissue with a laser.
In the process of laser ablation (or vaporization), the cells are destroyed and the liquid is evaporated from them.
The use of a laser for conization is not technically convenient and economically unprofitable. Currently, there are more comfortable methods for the conization of the body. Laser surgery is performed mainly in the form of ablation.
Indications for the use of laser therapy
Laser vaporization is indicated for such conditions:
- CIN I (cervical intraepithelial neoplasia or cervical dysplasia),
- CIN II (only as an excisional technique),
- Cervical leukoplakia,
- Eroded ectropion,
- Cervical canal polyps
- Papillomas and condylomas
- Cyst and Bartholin gland abscess.
Indications for cervical laser coagulation are determined by the doctor after a full examination of the patient.
For the most part, erosion is asymptomatic and is detected accidentally during a physical examination by a gynecologist. Very rarely, the disease makes itself felt by contact bleeding from the genital tract. In the event of an infection, the discharge becomes yellow or green, acquiring an unpleasant pungent odor.
All women are recommended to visit the gynecologist at least once a year for a routine examination. Regular visits to the doctor will allow you to identify dangerous pathology in time.
The annual gynecological examination helps to detect changes in the cervix in time and prevent the occurrence of possible complications.
During the examination, the doctor draws attention to the state of the cervix, reveals the zone of transformation. At this very moment, it is possible for the first time to see erosion as a pink or red spot on the mucous membrane. Find out what is this education, it is possible only after colposcopy.
A colposcopy is an examination of the cervix under a microscope. During the study, the doctor determines the type of erosion and assesses the area of possible cauterization. Depending on the evidence, a biopsy is taken - tissue sampling for histological examination.
Colposcopy (examination of the cervix under a microscope) is mandatory when abnormal cells are detected in a cytological smear.
Cauterization of cervical erosion by laser or other means without prior examination is not carried out. The diagnosis must be confirmed by the indicated methods.
Immediately before the procedure, the patient should pass such tests:
- Blood test (general, biochemical),
- Survey smear on flora,
- STI screening (including HPV),
- Blood test for syphilis, viral hepatitis, HIV,
- General urine analysis.
Technique for laser vaporization during cervical erosion
Laser coagulation is performed on the 5-7 day of the menstrual cycle. In menopausal patients, the procedure can be performed on any given day.
Is it painful to cauterize the erosion of the cervix with a laser? The procedure is considered quite painless and usually does not require anesthesia. If necessary, cauterization of large areas, as well as in the case of removal of papillomas and warts, local anesthesia is performed with lidocaine solution.
Moxibustion erosion is carried out on an outpatient basis. The patient has a comfortable position on the gynecological chair. The doctor enters the mirror, fixes them in the vagina. Excess mucus is removed from the cervix and the cauterization space is cleaned. The impact zone is labeled with Lugol solution.
If you experience any discomfort, you should immediately inform your doctor.
After anesthesia (if necessary), the doctor sets up the equipment and, under the control of the colposcope, directs the laser beam to the affected area. The placement is done in a specific order, starting at the back of the cervix. The laser beam penetrates to a depth of 3 mm on the outer part of the cervix and up to 7 mm inside the cervical canal. During cauterization, the inflamed glands and their ducts are destroyed. The whole procedure takes 5-15 minutes.
Laser cautery procedure takes from 5 to 15 minutes. If necessary, local anesthesia is performed.
Rehabilitation after a session of laser therapy
Recovery after the procedure takes about 4 weeks. Immediately after cauterization, a woman may experience mild nagging pain in the lower abdomen and some discomfort in the perineum. This is normal. All unpleasant symptoms disappear within 2-3 days. If the pain persists for a long time, you must inform the doctor.
Within 1-3 weeks after cauterization of erosion by the laser, insignificant bleeding from the genital tract is noted. Gradually, the discharge will decrease, become transparent and watery, and then disappear completely.
Recommendations after laser vaporization:
- Sexual rest for a month
- Limitation of physical activity in the same period
- It is forbidden to visit the pool, bath, sauna,
- You can not hold douching,
- You should not put any suppositories or use other means of local treatment without a doctor's prescription,
- It is recommended to follow simple rules of hygiene, use special means to care for sensitive areas,
- Do not use tampons to complete healing of erosion. When bloody discharge, you can use sanitary pads.
To reduce the rehabilitation period and to avoid injury to the cervix or joining the inflammatory process, doctors recommend observing sexual rest for a month after the procedure.
After 2-6 months, a control colposcopy is performed, a smear is taken for oncocytology, and HPV analysis is done. Earlier 8 weeks after cauterization, it is impractical to do so. In the future, a woman is recommended to visit a gynecologist at least once every 6 months.
The benefits of laser treatment
Currently, cauterization of cervical erosion by laser is considered the best method for young women who have not given birth along with radio wave ablation. What are the benefits of laser therapy?
- The possibility of complete removal of the lesion without damaging healthy tissue (clear dosing and targeted effect of the laser beam on the pathological area),
- Controlling the process with colposcopy reduces the risk of complications,
- After laser cautery, scarring almost never remains, cervical deformity does not occur,
- Rapid wound healing within 4 weeks without scab,
- Low risk of bleeding and infection
- The possibility of conducting on an outpatient basis without anesthesia (the procedure is practically painless and well tolerated by patients of any age),
- Low recurrence rate.
After successful laser vaporization, it is possible to safely conceive and carry a child. Births after cauterization are usually conducted through the birth canal, if there are no other indications for cesarean section.
Successful laser vaporization does not affect the ability to conceive and carry a child.
The cost of laser coagulation depends on the region, the level of the clinic and the qualifications of the doctor. On average in Moscow the price of cauterization of cervical erosion by laser is from 6,000 to 10,000 rubles. In the regions, the cost will be different. Accurate information can be obtained in a particular clinic.
Patient reviews: "for" and "against"
Most women respond well to therapy. Many patients note that the procedure was completely painless. Some women complain of a slight pulling pain in the lower abdomen during cauterization and during the first days after the procedure. All discomfort usually disappears within a week.
In the responses of patients, attention is drawn to the fact that many women managed to successfully become pregnant and have a healthy child after cauterization. It should be noted that erosion does not recur after laser vaporization. In due course of therapy, according to women, helped them avoid the development of severe dysplasia and cervical cancer.
Some women note that during the procedure they experienced discomfort and even pain. This is probably due to the individual sensitivity of the organism and the low pain threshold, since such reviews are rare.
Another interesting point worth paying attention to. According to the reviews, some women are not satisfied with the treatment, and the reason is not at all in discomfort. Often in the forums you can find the opinion that it is not necessary to cauterize the erosion of the cervix, and laser treatment is a waste of time and money. This is not quite true. Cauterization of cervical erosion has its own indications, and do not ignore them. Far from all erosion can take place without treatment. To answer the question whether you need to cauterize erosion of the cervix, can only a doctor after a full examination of the patient.
Methods cauterization erosion of the cervix
The method of physiological surgical burning is performed with liquid nitrogen, electric current, laser, radio waves, and ionized argon with the help of special devices.
Advantages: gentle, has a low percentage of complications and does not require long periods of treatment.
Types of cauterization
- Cryodestruction - freezing with liquid nitrogen,
- Radio wave exposure
- Laser coagulation,
- Chemical coagulation.
- Argon plasma ablation
All methods are successfully used in nonparturiating women, except electrocoagulation. It can cause scar formation and deformation due to the depth of the lesion. Let us consider in detail each method of cauterization of cervical erosion, its pros and cons.
Coagulation is the process of clumping of cells. The edges of the defect are connected, and the wound surface heals over time.
Electrocoagulation is one of the very first methods. Under the action of an electrode heated by electric current, the wound is cleaned. In fact, it is a thermal burn with charring and smoking of tissues, which is accompanied by an unpleasant smell. The procedure can be painful and anesthesia is desirable. After removal of the lesion, healing occurs within two months.
Cauterization of erosion of the cervix current is acceptable for giving birth, because the scars can cause a narrowing of the cervical canal, which will serve as an obstacle to conception. This complication is not desirable for the future mother.
Laser cauterization of cervical erosion is a unique method that requires jewelry laser possession. A beam of high-intensity light evaporates water from the cells and coagulates tissue. It has a proven result, completely painless.
The method does not have such consequences as electrocoagulation and recovery occurs in a month and a half. It requires good practical medical skills and experience of the staff, because of this is not always available.
Wave coagulation is the most promising and fastest method of treatment. The thinnest electrode creates such powerful energy on the tip that the cells literally evaporate. Nerve endings coagulate, so the procedure is painless. Reparation in a month.
The advantage of the method is the absence of a scar. Given that the effects of cauterization of cervical erosion by radio waves are minimal, this type of surgery is popular with non-pregnant women. The most gentle and safe form of exposure - healthy tissue does not suffer.
Cauterization of cervical erosion by radio waves does not apply to patients with an artificial pacemaker and pregnant women.
A liquid nitrogen
Cryodestruction is a method of freezing a pathological area with nitrogen. A gentle form of erosion treatment. It is safe and proceeds painlessly. The duration of healing is 2 months. Also leaves no scars and other complications.
Chemical coagulation method
“Solkovagin” acts as a coagulant - a mixture of acids that have an effect only on the damaged parts of the cervix of the uterus and practically do not cling to healthy parts of the mucous membrane. During extended colposcopy (up to 8 times increase), the doctor applies the drug to erosion. The method is well proven in small erosion.
They also use “Vagothyl” - a medicine with a double effect: cauterizing and anti-inflammatory, accelerates recovery from erosion.
Argon plasma coagulation method
Argon plasma ablation is a progressive method of treating erosion. The latest development of non-contact impact, which allows you to control the depth of penetration. With the help of argon plasma it is possible to achieve a surface action to a depth of only 0.5 mm.
While in hospitals there are few similar devices and the method is currently expensive. Reparation takes place in two months without the formation of scars.
Causes of cauterization of cervical erosion
Modern cauterization methods have virtually no complications. Rarely there are bloody discharge - they are not dangerous. The duration of discharge after cauterization can last two weeks.
If the period of bleeding is delayed or bleeding after cauterization, you should immediately contact a gynecologist for examination. There may have been damage to the vessel.
Also, a normal reaction is a slight pulling pain in the lower abdomen and an increase in the amount of clear discharge. This indicates the activation of the healing process.
One of the most unpleasant consequences is endometriosis. The phenomenon is rare, characteristic of electrocoagulation. To prevent this, minimally invasive surgery is done in the second phase of the cycle.
A large area of necrosis with the destruction of tissues can cause the addition of a secondary infection. Then the discharge acquires an unpleasant smell. A woman should pay attention to this.
Cauterization of cervical erosion by laser
Treatment of cervical erosion with a laser or laser vaporization is an effective and fundamentally new to date treatment method, which is the most predictable and careful.
The essence of the treatment is that the laser makes it possible to radically destroy the erosive focus within intact tissues with absolute preservation of the sexual, reproductive, as well as the menstrual function of the female body.
The CO2 laser not only destroys the pathological foci, but also has a coagulative effect on the affected focus.
In addition, it has a stimulating effect on tissue repair, improves local hemodynamic processes, normalizes redox processes in the erosive focus, and also has a pronounced anti-inflammatory effect.
All this prevents the involvement in the process of infectious complications. As a result, this kind of complex impact on the problem significantly reduces recovery time.
Specialists recommend using laser treatment for cervical erosion in nulliparous girls and women, since no scars remain on the cervix after the procedure.
Advantages of laser erosion treatment:
- laser action is subject to strict dosage for area and depth of penetration. That is, damage to the adjacent intact areas of the mucous membrane is excluded,
- The procedure for treating cervical erosion with a laser is controlled by colposcopy. Using an enlarged image on the colposcope, you can achieve high accuracy in the aiming direction of the laser beam,
- after the procedure, there is not even the slightest scarring and narrowing of the cervical canal. That is why laser coagulation is the most gentle method for non-giving patients.
No less important is the fact that the treatment of cervical erosion with a laser is carried out on an outpatient basis, that is, the patient does not need a long hospitalization.
Immediately before the procedure, a vaginal and cervical reorganization is performed during the week. The treatment itself is performed under local anesthesia. For this purpose, most often used 1% lidocaine solution. In those situations when a very small area of the mucous membrane has undergone erosion, the procedure can be carried out without prior anesthesia.
Cauterization of cervical erosion by laser is performed on the fifth or sixth day after the end of menstruation. Remarkable is the fact that complete epithelialization of the wound (that is, its final healing) ends just before the next menstruation.
There are a number of contraindications to the implementation of laser coagulation erosion. These include:
- postpartum period and pregnancy
- inflammation of the vagina and cervix,
- malignant neoplasms.
If during colposcopy it is not possible to precisely delineate the border of the transition zone between healthy and diseased tissue, doctors refuse this technique.
As for the complications, they are extremely rare. There is a possibility of uterine bleeding. Therefore, the gynecologist will necessarily inform each patient that in the postoperative period (up to twenty days after the intervention), slight spotting of blood or serous discharge is possible.
Treatment of cervical erosion with a laser is the most modern, gentle and highly effective.
In addition, there is no trauma to intact surrounding tissues and a complex effect on erosive foci.
However, the choice of treatment tactics is strictly individual and is carried out by a doctor only after a thorough examination of the patient, as well as the identification of all possible contraindications.
The method of cauterization of cervical erosion by laser
Today, with the development of medicine, new methods of treating diseases have appeared, which were previously corrected in rather painful ways.
Thus, laser coagulation, that is, a procedure for cauterization of pathology with a laser, is increasingly used to treat wounds and ulcers on the mucous membranes of the cervix. This method is now extremely popular, despite the fact that it is expensive.
It has many advantages and a rather simple and painless rehabilitation period. A woman should know in advance how a laser treatment of cervical erosion takes place in order to make her choice.
Nuances and indications of the procedure
If we consider the distinctive features of this method as laser coagulation for cauterization of a neoplasm, it is worth remembering your childhood. That is the time when a person gets a lot of abrasions. Any wound is covered with a small crust, under which, in fact, is healing. It is a fairly innocuous process on the skin, the scab falls off and a new skin remains under it.
But if the same scab appears on the surface of the mucous membrane of the cervix, the difficulty of overgrowing pathology is noted. In addition, the presence of a wound even with a scab leads to an increased risk of developing infectious and inflammatory diseases.
If cauterization was carried out with a laser, then due to the effect of evaporation, there is no overgrowing at the wound site, therefore the risk of infectious inflammation is completely eliminated, and the process of tissue repair occurs much faster.
The principle of laser exposure is quite simple. A ray of light heats the tissues to such an extent that they evaporate.
The peculiarity of such a technique as the removal of cervical erosion with a laser is that the light beam cuts off damaged tissue with a very thin layer. Due to this, there is a rapid restoration of the epithelium after the procedure, since it is not damaged deep inside.
It is worth considering that due to the specific nature of the device operation, discharge of a watery nature may be noted. To this must be prepared and not to worry. Normally, such discharge lasts from 1 to 3 weeks.
In the normal course of the rehabilitation process, they do not require medical intervention.
But if, after laser therapy, spotting began, and even very abundant, you should immediately consult a doctor.
What other advantages?
The laser cautery procedure has other benefits. Their doctors even put in a separate list:
- The laser does not damage and does not affect healthy tissue.
- The use of this technology contributes to faster healing (discharge after the procedure can go, but should not be particularly disturbing)
- The intervention itself lasts a very short time - literally several minutes: on average, the time of execution varies between 10-40 minutes depending on the degree of tissue damage and the size of the pathology. At the same time, it can be performed on any day of the cycle, with the exception of menstruation
- Reduced recovery period of the mucous after the intervention - in a month everything will be considered as completely healed.
- The undoubted advantage of cauterization with a laser is that all patients call the complete absence of pain.
- This treatment option is great for women who have not given birth, because after it there are no scars on the uterus and the risk of adhesions is excluded.
Who should refrain
Although this kind of intervention is considered to be low-impact and suitable for almost everyone, it still has certain contraindications that should be considered in order not to cause any harm to health. The most serious complication can only be clear watery discharge, which will quickly pass. Contraindications include:
It is often advised to refrain from cauterizing the procedure for women who have been diagnosed with severe inflammation of the vagina and surrounding tissues. In such patients, often there may be as symptoms abundant discharge and bloody leucorrhea between regular bleeding.
Before the procedure of cauterization, it is necessary to undergo a biopsy of the tissues in order to study their good quality or incipient rebirth.
If cancer growths are present, other methods should be used, and the presence of associated complications should be checked. In any case, physicians will need a full examination of the patient to determine the cause of erosion.
This will allow you to quickly deal with the problem, because it will be possible to eliminate the catalyst.
How is the procedure itself
The best option is to conduct the cautery procedure in the first half of the menstrual cycle. Actually, most therapies and studies of diseases of the pelvic organs are advised to hold in the same period of time. Be sure to take some examination, which includes:
- Inspection and consultation gynecologist
- Cytology of smears taken directly from the mucous necks
- Tests for the presence of various infectious pathologies, including sexually transmitted diseases
If there are no contraindications and temporary drawbacks, you can proceed to the procedure.
Moreover, this option is endoscopic surgery, that is, the doctor controls the entire course of treatment through a special monitor. This significantly improves hit accuracy and work accuracy. The film, which develops on the site of evaporated tissue, covers the damaged area instantly, and then is torn away when it is no longer necessary.
The peculiarity of the method lies in the fact that the beam works directly with the focus of inflammation.
One of the undoubted advantages of the procedure is called the fact that it is bloodless. This is due to the fact that under the influence of the laser and the high temperature to which it heats the tissues, the vessels immediately become blocked, and the wounds heal almost instantly. This allows the intervention to be carried out completely without blood.
What side effects may develop
Usually this kind of gynecological surgery does not give special complications and undesirable effects. But nevertheless each lady going for laser coagulation should consider that the following inconveniences are possible:
- A small amount of blood or even bleeding
- Fairly modest tissue swelling
- Pulling pain in lower abdomen
All troublesome sensations should be told to the doctor. May require additional observation. But, as a rule, such problems are the result of any intervention and pass on their own soon enough without the use of any special means.
Laser cautery of cervical erosion
Cervical erosion is damage to the epithelial tissue, which is a wound. As a result, if you do not treat the disease, it will open the door to your body for all types of viruses and infections. However, it is necessary to begin treatment as soon as possible. After all, it is not a secret at all that over time the disease can develop into a malignant tumor.
There is an option where erosion will not interfere, but it is only in women 20-25 years old, when it can be considered innate. And if you are older, do not expect a miracle.
With the help of radio wave treatment, treatment can give a good result, but despite this, laser treatment is by far the most popular method. During the procedure, damaged parts are cauterized. In this case, with the destruction of erosion, there is no injury to intact tissues.
How is moxibustion going?
Laser treatment is the most gentle way to treat such a delicate problem.
Working in the affected areas, with the help of a powerful light flux, erosion is removed, after which the resuscitation sites will be tightened with new tissues.
The laser has protective properties against germs and inflammation, helps the rapid healing of problem areas, and also boasts the absence of spotting and painful sensations during this operation.
When undergoing laser treatment, the use of anesthesia is not required. In this process, the correct dosage of the beam is needed. While laser cauterization of erosion of the cervix occurs - CO2 not only destroys the site of the inflammatory area, but also speeds up the restoration of the epithelium, improves blood circulation, and normalizes the oxidation process in the radiation source.
Laser coagulation allows specialists to obtain complete evaporation of the pathological site.
Then there is a quick recovery, it is possible to save the opportunity to get pregnant and give birth without problems, as many women mistakenly believe that after such treatment there will be a scar.
Treatment of cervical erosion with a laser provides one hundred percent guarantee that it will not affect future fertility.
Эрозия может быть заподозрена и если вы обеспокоены, чувствуете дискомфорт, болезненные ощущения в момент половой близости, выделения, вы должны немедленно обратиться за медицинской помощью, чтобы диагностировать заболевание. If the doctor has diagnosed erosion, then he will make you a smear analysis on the microflora and bacteria.
Erosion treatments require surgical operations, such as laser removal of cervical erosion. Before the operation, the patient needs to be tested to check for infections transmitted through sexual contact.
Getting rid of cervical erosion begins with getting rid of the cause of the disease. You can get rid of bacterial infections with antibiotics. Antiviral drugs are prescribed if viral infections, such as genital herpes, are to be treated.
And post-traumatic erosion and allergic wounds from the use of aggressive methods may not be treated with drugs at all, if the injury stops contacting with the use of chemical products (spermicides, latex condoms) that caused a traumatic condition.
In this method, such as diathermocoagulation, there is an action in which electrical heat or chemical elements are used to burn off abnormal cells and also help to stop the bleeding. However, this process can cause scarring in the cervical region. That is why laser cauterization often becomes a preference instead of this method.
The benefits of laser processing
Cauterization of cervical erosion with a laser has several advantages compared with such a treatment as cryosurgery:
- slight damage to healthy tissue
- completely non-invasive method
- no scars,
- no control over the work
- painless and bloodless
- fast recovery period
- does not bring pain after the procedure.
- postoperative period.
Laser treatment of cervical erosion is carried out in the second week of the female calendar cycle, under local or general anesthesia for 10-15 minutes. Then you can go home and live your normal life.
In the first two weeks after the laser therapy procedure, you will have mucus with a yellow tinge, this is quite normal. But as a rule, then you will not remember any discomfort.
Then the cauterization surface will be completely healed in 4-5 weeks.
Patients after the procedure of cauterization of erosion with a laser do not need to go to the sauna for one month, take a hot bath, be sexually active, use tampons.
Approximately four weeks after the operation, you must visit the doctor to determine how the recovery process went, and then do a routine inspection every six months. Cauterization by laser is used to get rid of bad cells, which can later develop into cervical cancer, despite the fact that they are benign (not cancerous).
According to the Department of Medicine and Gynecology, normal cervical cells do not experience any effects from a laser beam during such a procedure as laser erosion treatment, only abnormal cells, which gives the right to consider it a more successful treatment option.
Cauterization of cervical erosion by radio waves, laser and current: effects and feedback
Frequent diagnosis in the field of gynecology is cervical erosion. Pathology in the absence of timely treatment can cause infections or even malignant neoplasms. Today, this should no longer scare a woman, because there are several ways to erode cervix. A detailed description of each can be found below.
The uterus connects to the vagina with a special channel - the neck, lined inside by a cylindrical epithelium. This fabric has only 1 layer, consisting of cells tightly adjacent to each other. For the outer layer is characterized by a different structure. It already includes several layers formed by layers of cells. Erosion causes infections due to:
- breaks during childbirth,
- damage during abortion,
- inflammatory diseases of the vagina.
Mucous gradually becomes bare, begins to bleed. This is true erosion. It can last only 1-2 weeks. After that, it either passes or flows into pseudo-erosion.
The disease is characterized as follows: the outer part of the cervix, lined by multi-layered epithelium, is replaced by cylindrical cells. How to treat erosion? The goal of physicians is to identify the causative agent of the disease in order to conduct antibacterial therapy.
To completely cure erosion, removal of diseased tissue is performed, which can be done in several ways.
Erosion treatment with this method consists in exposing the pathological tissue to cold. Assigning it the name “cauterization with liquid nitrogen” is wrong, because the process is freezing.
What is the difference of such concepts? Cautious scars remain and the elasticity of the fabric is lost. This does not occur during freezing. The procedure itself is not accompanied by pain and discharge of blood.
Here are some more characteristics of cryodestruction:
- recommended for 7-10 days after the onset of menstruation,
- requires preliminary preparation with a gynecological examination and testing,
- among the consequences may be weakness, dizziness and watery discharge with a duration of 2-3 weeks after the procedure,
- characterized by a shallow impact on the fabric, therefore, often leads to recurrence of erosion.
Cauterization of uterine erosion by radio waves
Radio wave coagulation of the cervix is effective, but costly. It is carried out using a special apparatus, which has the name "Surgitron", equipped with electrodes in the form of wires.
The latter emit high-frequency waves. Due to the resistance of the tissues, a large amount of heat is released and the pathological surfaces seem to evaporate. Does it hurt the erosion of the cervix? The procedure is painless.
Blood is also not observed, because the vessels instantly coagulate.
This method of cauterization of erosion of the cervix of the uterus is allowed for birthless and moms recently. In addition to safety and low trauma, radio-coagulation has several other characteristics:
- the procedure is performed on the 4-7 day of the menstruation cycle,
- exposure to radio waves is a portion of dead white tissue, which is rejected in 5-7 days,
- spotting after cauterization of erosion lasts several days,
- at the end of cauterization, a protective film is applied to the wounds to prevent infections from getting there.
Diathermocoagulation of the cervix
Cauterization of cervical erosion by the method of diathermocoagulation is painful, so the procedure is performed under local anesthesia. Especially unpleasant is the smell of roasted meat during cauterization. Diatermocoagulation of the cervix leads to:
- coarse scars,
- loss of tissue elasticity,
- serious problems in the following genera.
Because of such serious consequences, electrocoagulation is used only for the older age group, which includes women who no longer have plans to give birth. The procedure itself consists in exposing the tissues to high-frequency current.
To do this, use 2 electrodes: passive and active. The first is enclosed under the rump of a woman, and the second is performed by manipulations.
Due to the effect of temperature of about 100 degrees, interstitial fluid is evaporated, and the epithelium itself is cauterized.
For diathermocoagulation characteristic:
- post menstruation or until prescribed by a doctor,
- preliminary examination for the presence of pregnancy, malignant tumors and inflammatory processes,
- bleeding, especially on days 7-12, which account for the rejection of dead tissue,
- complete healing within 2 months.
Cauterization of the cervix with a laser
The latest achievement of scientists is laser vaporization of the cervix. Its advantage is to leave intact neighboring tissues with pathological. This makes it possible to attribute the cautery erosion by laser to less traumatic methods.
Its essence lies in the heating of the tissues by the laser beam, whose cells begin to die off. The procedure itself is performed on the 8-9 day of the cycle on an outpatient basis under local anesthesia, but there is no bleeding and pain. Its duration is 15-20 minutes.
Argon plasma coagulation of the cervix
The most progressive method of cauterization of cervical erosion can be called argon plasma coagulation. This term refers to the effect on plasma tissue of ionized argon. During the procedure, there are no touches, smoking, charring of burnt epithelium.
Everything is done through an argon plasma torch. It occurs between the high-frequency current that feeds the electrode and the pathological tissue. Pain relief is not required, because there is only a slight discomfort. The wound heals faster than after other methods of cauterization.
With any method of treating cervical erosion, the tissue healing process will occur. Approximately 10-14 days may appear serous discharge, which indicate the rejection of the scab. This is a crust formed at the site of treatment with a current, liquid nitrogen or a laser. It is a natural reaction to the use of an annoying external factor.
Monthly after cauterization occur in a timely manner, but may begin earlier. Such a sign is considered normal, but if the cycle does not return to the state before the procedure in 2 months, you must inform the doctor.
Another negative symptom may be bleeding that occurs after cauterization. The reason lies in the fact that a large vessel was touched.
Lower abdominal pain is also normal - it is easy to eliminate pain by taking antispasmodics, which only a doctor can prescribe.
What not to do after cauterization of erosion
An important factor in the successful healing of the wound surface is the restriction of having sex for a month. Then it is better to use a condom, and even for those who have a regular partner, because for a woman any flora is alien. Planning a pregnancy should be no earlier than 3-6 months after the procedure. Doctors do not recommend:
- take a hot bath
- swim in open ponds or pools,
- use tampons and vaginal suppositories,
- do sport.
How much does it cost to cauterize cervical erosion
The most affordable is to cauterize cervical erosion by electrocoagulation. It will cost approximately 1500–4000 p., Although this procedure is provided free of charge at a state polyclinic. The cost of other methods of cauterization in private clinics is:
- liquid nitrogen cryodestruction - 1,200-3,500 r.,
- laser treatment - 7 000-12 000 p.,
- radio wave cauterization - 3 500-10 000 r.,
- argon plasma coagulation - 6 000-13 000 r.
: Do I need to cauterize cervical erosion
Elena, 26 years old: I was burned with liquid nitrogen. I didn’t feel any pain, only then my stomach pulled. Feelings are similar to PMS. The first 2 weeks were abundant watery discharge - uncomfortable, but you can live. The prophylactic reception of the gynecologist showed that there are no scars left.
Love, 33 years old: I treated erosion in a private clinic. I was advised to radio wave method, as the most effective and matotravmatic. During the procedure I really did not feel anything, but sometimes it was just a tingling sensation. The next day, nothing hurt, and everything healed in a month.
Tatiana, 49 years old: At the next examination, the gynecologist showed erosion. Only electrocoagulation was done at the state clinic. I had been reading bad reviews about her, which hurt and still smell unpleasant, so I turned to a private center. I paid 7 500 p. for laser cauterization, but was pleased: there was no pain or bleeding.
Characteristic of the disease
Cervical erosion is a pathological process in which uterine tissue is affected. Most often, the disease is detected in young women under the age of 40 years.
Erosion has its varieties, it can be false, true and innate. Her education can cause a variety of reasons. These include:
- Hormonal failure in the body.
- The use of hormones to prevent pregnancy.
- The development in the body of a sexually transmitted infection or inflammation of the genital organs.
- Damage to the uterus.
- Impairment of the immune system.
- Diseases of the endocrine system.
- Earlier onset of sexual activity.
In most cases, patients do not mark any clinical manifestations of the pathology. But some symptoms may still be there. This is the presence of blood discharge, pain during sexual contact. Such secretions may also indicate the presence of inflammation of the cervix.
A female disease is detected using a routine examination by a gynecologist, a laboratory smear test that is necessary for determining the causative agent, and colposcopy.
Laser cautery is actively used in modern medicine. In gynecology, it is often used to cope with inflammatory diseases in women. Unlike other methods of cauterization of erosion, this technique is used relatively recently.
The advantage of a laser is that it is a harmless and gentle method of cauterization. Other medical techniques are not so cloudless. Some believe that the treatment of erosion by folk remedies is very effective and they burn the wound with honey. This opinion is fundamentally wrong. This method is the most dangerous.
The doctor cannot prescribe the operation without examining the patient, so the woman first needs to undergo a medical examination, pass tests and other diagnostic measures recommended by a specialist.
How is laser treatment performed? The essence of the technique is as follows: when exposed to the beam, the affected tissues are heated up strongly, as a result of which they simply evaporate. Laser cutting of diseased tissue by a thin layer. Due to cauterization of erosion, the regenerative process of the epithelium is quickly activated and the neck is covered with a new healthy layer.
This is the same when a person gets an abrasion and a crust forms on the skin, under which the wound heals slowly. But if it remains on the skin crust, the overgrowing of the wound will occur slowly. Removing it, the abrasion heals quickly. So when cauterizing cervical erosion laser.
After the procedure, many women notice a watery discharge from the vagina. But they are not pathological, but they say that the mucous begins to actively recover. Such manifestations can disturb up to 3 weeks. But if there is intense blood flow, you should immediately inform the doctor.
After the laser erosion surgery is completed, some rules need to be taken into account for the patient. This will allow the body to recover faster. Experts recommend the following:
- You can not have sex for a month. Then you should have sex only with a condom.
- It is not recommended to lift weights, this can lead to bleeding.
- It is not allowed to drink alcohol,
- You can not swim in any water bodies during the month, be it a river or a pool.
- Do not use tampons.
A month after cauterization of erosion with a laser, it is necessary to go to a gynecologist. He will confirm a positive result and restoration of the cervix, as well as give recommendations for the future.
What other methods of cauterization are used?
Quite often in medical institutions prescribed such a procedure as diathermocoagulation. Its essence lies in the fact that an electric current is passed through the affected tissues, thereby burning them.
Among the drawbacks of this procedure is the manifestation of pain and scar formation. Soreness occurs because strong muscle contractions occur. Therefore, the operation is performed under general anesthesia.
After the procedure, the woman may experience bleeding, damage to the cervix, impaired reproductive function, exacerbation of chronic diseases. Typically, this technique is used for patients who no longer want to give birth to children.
Another method of cauterization is cryodestruction. It is carried out using low temperatures. The active substance is liquid nitrogen. This technique is considered the most secure. When a substance acts on damaged tissue, they die. Plus the procedure is that healthy cells do not suffer.
In most cases, such an operation is prescribed for the treatment of young girls. It is not allowed to use it if the patient has cryoglobulinemia, a malignant tumor, a large lesion, inflammatory diseases of the uterine cervix. It is also not recommended to carry out the procedure for pregnant and lactating women.
In modern medicine, this method of cautery is often used as chemical coagulation. It can be carried out to all women, whether they have given birth or not. Its essence lies in cauterizing the wound with a chemical agent called Solkovagin. They are soaked with a tampon and injected into the cervix. Erosion disappears due to the effects of this substance.
Thus, laser therapy for cervical erosion is a safe method of cauterization of the wound, which has its advantages and disadvantages. Which method to use for therapy is decided by the attending physician.
Diagnosis before cauterization
Однако прежде чем производить удаление эрозии шейки матки лазером, необходимо произвести все необходимые для данной процедуры диагностические исследования. In particular, materials are taken from the cervical canal (the so-called smear), as well as from the vagina in order to detect such diseases as AIDS, HIV, STIs, and various kinds of infections.
The next stage of preparation for laser coagulation will be the delivery of blood tests to determine the amount of hormones, a general analysis, as well as a biochemical analysis.
After that, the so-called colposcopy is usually carried out, that is, a study for the implementation of which special optical devices are used.
This procedure contributes to the establishment of various kinds of tissue changes.
Laser coagulation can also imply an ultrasound examination, which can reveal various pathologies of both the structure and functioning of the pelvic organs, as well as completely eliminate the possibility of tumors on the surface of the ovaries, on the surface of the fallopian tubes or on the uterus itself.
After an ultrasound examination, the medical specialist determines whether it is possible to treat cervical erosion with medication or still need to be cauterized with a laser.
The final stage of preparation for the procedure to remove cervical erosion using a laser is the so-called biopsy of the cells of a given organ of the female body that have been changed as a result of the disease. If during the biopsy it is confirmed that these cells are benign, the coagulation of cervical erosion will be prescribed by a medical specialist.
Laser cautery procedure
How is the procedure for cauterization of cervical erosion using a laser? Cauterization of cervical erosion by laser consists of two stages.
- At the first stage, the treatment of cervical tissue with the help of special tools is carried out. This should be done a week before the operation.
- At the second stage, the process of the removal of cervical erosion is carried out directly using a laser.
Cauterize erosion of the cervix with a laser can be either using local or general anesthesia, or without it. A laser tip is inserted into the patient's vagina by a medical specialist.
The laser beam is directed strictly to the area of accumulation of altered cells, which, in turn, makes possible the removal (evaporation) of cells that are not characteristic of the outer part of the uterine orifice.
At the same time, small capillaries are “sealed” to eliminate the possibility of bleeding and the development of infection in the area of impact.
Laser radiation actively contributes to the stimulation of the regeneration process, as a result of which the area of impact is fully restored by new cells that line the cervix.
The advantages of this method
What are the advantages of cauterization of cervical erosion with a laser?
Cauterization of cervical erosion with a laser has the following advantages:
- Having the ability to control the degree of laser power,
- The most accurate exposure to laser radiation,
- The possibility of carrying out the procedure on an outpatient basis, without hospitalizing the patient,
- The use of special surgical instruments in minimal quantities
- The short period of the laser beam,
- 100% guarantee of success of the procedure,
- Low degree of injury to healthy tissue
- Having the opportunity to avoid the occurrence of bleeding due to simultaneous coagulation of blood vessels,
- Short duration of the rehabilitation period,
- The absence of any pain in the patient during the operation,
- Slight risk of scarring.
As for the shortcomings of the procedure, the only one of them is the inability to adhere to the uniformity of the laser exposure.