Buzzing the cervical canal: a description, features and consequences

Atresia (infection) of the cervical canal leads to its full or partial obstruction, which becomes an obstacle to the release of menstrual flow. There is an atresia of the cervical passage, and there is atresia of the body of the uterus. By its origin, the narrowing of the passage of the cervix can be congenital and acquired. Unsuccessful moxibustion and curettage can lead to narrowing and even infection of the cervical passage. To restore its patency resort to surgery, which is called bougie cervical canal.

Causes of infection

Factors affecting the onset of atresia:

• Inflammatory processes of the cervical canal.
• Scarring caused by pathological processes.
• Children's infectious diseases (parotitis, diphtheria).
• Inaccurate curettage.
• Lesions of malignant neoplasms, endometritis, endocervicitis.
• The injuries that occurred during childbirth or abortion.
• Burns of the mucous channel caused by chemicals.
• Electrocoagulation of the canal.
• Spontaneous age atresia.

After the cervical channel bougie, all functions are usually restored.

The structure of the cervix

A small segment between the cervical canal and the uterus, about 1 cm, is called the isthmus. Here, in the area of the isthmus, there is an internal pharynx. The lower part of the uterine cavity and the isthmus form the so-called lower segment, which plays an important role in the process of gestation and childbirth.

The lower part of the cervix descends into the vagina, and the upper part rises above it. In nulliparous girls, as a rule, has a conical shape. After giving birth, the neck becomes wider, acquires the shape of a cylinder, and the channel also has a cylindrical shape. The external throat is the opening of the cervical canal, seen with a vaginal examination. In the delivering patients, the external pharynx acquires a slit shape, the cause of this is the neck rupture during labor. In nulliparous girls zev punctate.

Buzhirovanie cervical canal is used quite often. The method is described in more detail below.

Diagnostics

For examining the uterine cavity, various manipulations are carried out, for example, sounding of the uterine cavity, its curettage, the introduction of drugs, diagnostic fluids, endoscopy of the uterine cavity, various operations - all these manipulations are performed with the expansion of the cervical canal. Carried out without proper training, professionalism and competence, such manipulations can lead to traumatized mucous channel and, as a consequence, to narrowing and infestation of the canal.

As mentioned above, one of the causes of atresia of the cervical passage can be inflammation of the mucous canal - endocervicitis. This disease is most often caused by pathogenic cocci, rods, sometimes viruses. Often endocervicitis is combined with other inflammatory diseases (for example, colpitis, salpingoophoritis, endometritis).

From patients complaints are received on mucopurulent discharge, not accompanied by painful sensations. When examined, swelling and hyperemia of the mucosa and abundant secretion are noticeable. The prolonged course of the disease can lead to the spread of the process to the muscle walls, glands. In this case, the bougie of the cervical canal is shown.

Endocervicitis is diagnosed on the basis of a clinical examination, a study of a vaginal smear and a cervical canal. In an acute period, antibiotics and local procedures are prescribed for treatment. Treatment of chronic form requires injections of antibacterial drugs into the cervix, physiotherapy, local irrigation with a solution of protargol, treatment of cervical passage with silver solution.

Primary Artresia

Diagnosis of primary atresia occurs during the first menstrual period. Menstrual blood, not finding an outlet outside, accumulates in the cavity of the uterus, overflowing it and stretching. At the same time, overall well-being suffers greatly. When the blood spread through the tubes, purulent inflammation of the tubes may begin.

If at this time do not bougie cervical canal, the consequences can be deplorable.

Secondary arthresis

Secondary atresia for a long time can not be manifested. A diagnosis is made when the patient begins to be examined for infertility. The blood that enters the tubes creates obstruction, making it impossible for the egg to enter the uterus.

To clarify the diagnosis of atresia allows ultrasound, sounding, MRI, gistrosalpingoscopy and urethroscopy.

Narrowing of the cervical canal - stenosis - is a serious obstacle to the penetration of spermatozoa into the uterus, which leads to infertility. And because of the obstruction of the tubes, the egg can not enter the uterine cavity, which also makes fertilization impossible. Stenosis is eliminated by manipulation called bougie cervical canal. Another cause of atresia is neoplasm. The most known malignant tumor is adenocarcinoma. Symptoms of the disease: weight loss, anemia as a result of prolonged hemorrhage, pain in the lower abdomen.

Benign tumors that affect the emergence of atresia: myoma, fibroids, polyps, cysts, fibromyoma, leiomyoma, and endometriosis. Symptoms of these diseases are quite diverse: these are pain during menstruation and sexual intercourse, swelling, violation of defecation and urination.
Determination of the goodness of the tumor is performed by histological examination of the contents of the canal scraping. Examination and treatment take place under visual control.

During birth, with diagnostic curettage, with abortions and other medical procedures, as well as improper contraception, cervical canal injuries, also capable of leading to atresia, can occur.

Preparing for an operation

Eliminate this pathology can be using the procedure of cervical bougie or laser recanalization.

The bougie operation is carried out under general anesthesia, the following studies are needed for its carrying out:

• general blood analysis;
• Analysis for infection;
• Blood for syphilis and HIV;
• Colposcopy;
• Hepatitis B and C antigens;
• Coagulogram;
• A swab from the vagina and cervical canal;
• ECG;
• fluorography;
• Bacteriological of the vagina and the Central Committee;
• Blood for biochemistry;
• Ultrasound;
• Specialist consultation.

But in some cases it is possible to bougie a cervical canal without anesthesia. About this further.

How does the operation proceed?

To conduct the bougie operation, the patient is hospitalized in a hospital. The procedure lasts about 30 mi and is performed under local or general anesthesia. With the complete closure of the canal, the operation is performed under general anesthesia, with a slight narrowing of local anesthesia. The patient is located on the gynecological chair, the operating field, the genital slit, treated with an antiseptic, then lidocaine is sprayed. Introduce an anesthetic and begin the very procedure of expansion with the introduction of the narrowest nozzle for bougie first, gradually increasing the diameter of the nozzles (medium, wide). Gradual expansion of the passage promotes gentle treatment.

After applying general anesthesia, the patient is discharged 24 hours later, and after the local one - immediately. Therefore, it is preferable to bougie the cervical canal without anesthesia. The reviews confirm that the stay in outpatient care is 7-10 days. Locally, to accelerate epithelization, anti-inflammatory and wound-healing candles are prescribed until the cervical passage is fully healed. In the case of a relapse of atresia, an artificial alloplastic canal is implanted.

Measures to prevent infection and narrowing of the passage

1. Treatment of acute and chronic inflammatory processes of the uterus and cervical passage.
2. Conducting medical examinations for the timely detection and therapy of gynecological diseases and tumors.
3. Competent and qualified curettage, abortion in order to avoid the occurrence of injuries. Accurate obstetrics with gradual opening of the cervix.
4. Explanatory conversations to exclude uncontrolled use of syringes with aggressive solutions that are not intended for this, and chemical contraceptives.

For the prevention of primary infection from childhood should adhere to a healthy lifestyle, play sports, avoid the possibility of infection with infectious diseases. During pregnancy, try not to be exposed to teratogenic factors affecting the child's future.

Cervical canal boring: price

The cost depends on the clinic and the region. The minimum price is 600 rubles, the maximum price is 2000 rubles.

Buzzing the cervical canal: reviews

This method of extending the cervical canal has been used for a long time. Feedback is mostly positive. Women easily tolerate it, it rarely gives complications. Especially if the constriction is not too pronounced and local anesthesia is used.