Pain from scar tissue after c-section: Clear Passage Physical Therapy | Gainesville, FL
Clear Passage Physical Therapy | Gainesville, FL
A Non-Surgical, Drug-Free Treatment
Studies Published in Major Medical Journals
Hands-On Care With Proven Results
The Clear Passage®️ Approach is a revolutionary hands-on technique designed to break up adhesions, scar tissue and other blockages that prevent the muscles, organs and systems of your body from working properly. Our technique is a natural, non-surgical, drug-free solution that treats the core problem, not just the symptoms.
Learn about our specialties below:
Search
Select Language
Those who say “It cannot be done”
should not interrupt those who are doing it!
Dedicated To Your Needs
Our Mission Statement
Clear Passage®️ strives to provide our patients with the finest hands-on therapy in the world. We team with each patient and focus 100% of our effort on each patient’s goals, in a professional but compassionate environment. We are dedicated to obtaining positive results for each patient and to publishing meaningful research that accurately documents our results. We feel that our team of therapists, researchers, advisors and support staff must practice excellence, kindness and a deep understanding in order to deliver superior care to patients.
Welcome to our practice
Hands-On Care With Proven Results
WHAT WE TREAT
Clear Passage®️ specializes in the treatment of adhesions – internal scars that can cause various types of pain and dysfunction in patients. Adhesions are bands of internal scar tissue that the body forms in response to inflammation, infection, surgery, trauma, or radiation therapy.
WHO WE ARE
Over the years, the Clear Passage®️ team has developed, tested and published results on protocols that are effective in treating a wide variety of adhesion-related conditions including female infertility, women’s health, hormonal conditions, chronic and post-surgical pain, and bowel obstructions.
OUR RESULTS
Clear Passage® measures results scientifically. We provide statistical analyses of our results, publish scientific studies in peer-reviewed journals, and conduct clinical trials to evaluate the safety and effectiveness of our treatments. To learn more, please click the button below.
What We Treat
What We Treat
Clear Passage®️ specializes in the treatment of adhesions – internal scars that can cause various types of pain and dysfunction in patients. Adhesions are bands of internal scar tissue that the body forms in response to inflammation, infection, surgery, trauma, or radiation therapy.
Learn More
Who We Are
Who We Are
Over the years, the Clear Passage®️ team has developed, tested and published results on protocols that are effective in treating a wide variety of adhesion-related conditions including female infertility, women’s health, hormonal conditions, chronic and post-surgical pain, and bowel obstructions.
Learn More
OUR RESULTS
OUR RESULTS
Clear Passage® measures results scientifically. We provide statistical analyses of our results, publish scientific studies in peer-reviewed journals, and conduct clinical trials to evaluate the safety and effectiveness of our treatments. To learn more, please click the button below.
Learn More
A Personalized Approach to Patient Care
Our Treatment Philosophy
From your first visit, we examine your body and work to understand your goals. We then perform a highly specialized manual ‘hands-on’ therapy to treat the causes of your pain or dysfunction. We feel it is important to address the body as a whole, rather than in parts.
Because we see each patient as an expert in her/his body and its history, we invite each patient to become an active member of the team that is evaluating and treating them. Thus, we establish a two-way communication protocol with each patient to ensure their comfort level and full understanding of our intent and findings at all times.
A Streamlined Approach To Patient Care
Our Treatment Philosophy
From your first visit, we perform specialized manual ‘hands-on’ therapy to treat the causes of your pain or dysfunction. We feel it is important to address the body as a whole, rather than in parts.
Because we see each patient as an expert in her/his body and its history, we invite each patient to become an active member of the team that is evaluating and treating them. Thus, we establish a two-way communication protocol with our patient to ensure their comfort level and full understanding of our intent and findings.
Professionalism
Our integrity is inherent in all aspects of our conduct as we treat each patient in a responsible, honest and confidential manner.
Research
We are committed to developing meaningful scientific data that examines our methods and results and to increasing quality, knowledge and innovation in non-surgical healthcare, through scientific, educational and academic endeavors.
Compassion
Our relationships with patients and their families are based on a depth of interest and understanding that is rarely seen in healthcare today. When we treat, the patient’s goals are our sole focus.
Dedication
Our number-one goal is success for each patient. Achieving this goal requires understanding each patient’s goals and providing focused, professional attention to every patient at all times.
Accredited & Experienced Professionals
What Sets Our Practice Apart?
Professionalism
Patients deserve to be treated with dignity, kindness and respect, their voices heard and their feelings acknowledged.
INTEGRITY
Integrity is inherent in all aspects of our conduct. We believe that hearing and knowing the truth are basic patient rights.
UNRUSHED HEALING
Most pain and dysfunction occurs over time. One to three-hour sessions allow us time to reverse longstanding problems.
Research
We are committed to meaningful scientific enquiry to examine the safety and measure the effectiveness of our therapy.
COMPASSION
Our relationships with patients and their families reflect a deep interest and understanding rarely seen in healthcare.
Dedication
Our primary goal is success for each patient. From the time we enter your room, our sole focus is achieving your goals.
Previous
Next
Previous
Next
A Natural, Non-Surgical, Drug-Free Solution
Conditions We Treat Caused by Scar Tissue and Adhesions:
Women’s Health
Post-Surgical Pain
Infertility
Chronic Pain
Abdominal Problems
Women’s Health
Post-Surgical Pain
Infertility
Chronic Pain
Abdominal Problems
A Natural, Non-Surgical, Drug-Free Solution
Conditions We Treat Caused by Scar Tissue and Adhesions:
Pregnancy Rate for
Blocked Fallopian Tubes
Prevented Surgery for
Bowel Obstruction
Increased Quality of Life
for Endometriosis
65-96%
Reduced
Chronic Pain
Women’s Health
Menstrual Pain
Lubrication & Orgasm
Intercourse Pain
Genital Mutilation
Endometriosis Pain
Cervical Stenosis
Chronic Pain
TMD/TMJ
Tailbone (Coccyx) Pain
Post-Radiation Pain
Neck Pain
Myofascial Pain
Migraines/Chronic Headaches
Early Surgery & Trauma
Back & Hip Pain
Abuse
Post-Surgical Pain
Myomectomy Pain
Mastectomy Pain
Hysterectomy Pain
C-section Pain
Abdominal Problems
Ulcerative Colitis
Small Intestinal Bacterial Overgrowth (SIBO)
Chron’s Disease
Bowel Obstructions
Adhesions
Abdominal P
Infertility
Unexplained Infertility
Secondary Infertility
PRE-IVF Treatment
Polycystic Ovarian Syndrome
Hydrosalpinx
FSH, Hormonal Problems
Endometrosis & Infertility
Blocked Fallopian Tubes
Opening Blocked
Fallopian Tubes
Decreased
Menstrual Pain (Endo)
15 Times
Less Total Bowel Obstructions
Pregnant with
Endometriosis
56% – 64%
Increased, First
Ever Orgasms
44% – 54%
Age 41+ IVF Pregnancies
2½ Times
Less Partial
Bowel Obstructions
45% – 50%
Hydrosalpinx Cleared
PCOS – Pregnancies
71% – 78%
Increased Libido
74% – 86%
Increased
Sexual Arousal
High FSH – Pregnancies
70% – 79%
Increased Lubrication
Decreased
Ovulation Pain (Endo)
Three Times
Fewer Bowel Surgeries
An Evidence-Based Approach
Published Success Rates
Previous
Next
Opening Blocked
Fallopian Tubes
Decreased
Menstrual Pain (Endo)
Less
Total Bowel Obstructions
93% – 96%
Decreased
Intercourse Pain
Fewer Surgeries for Bowel Obstructions
Pregnant
After
Opening Tubes
Pregnant with
Endometriosis
56% – 64%
Increased, First
Ever Orgasms
44% – 54%
Age 41+ IVF Pregnancies
Less Partial
Bowel Obstructions
45% – 50%
Hydrosalpinx Cleared
PCOS – Pregnancies
71% – 78%
Increased Libido
74% – 86%
Increased
Sexual Arousal
High FSH – Pregnancies
70% – 79%
Increased Lubrication
Decreased
Ovulation Pain (Endo)
Convenient Locations In The United States & United Kingdom
Treating Chronic Pain, Obstructions and Infertility Naturally
Patient Information
We look forward to helping you achieve a life free of pain and dysfunction. If you haven’t already done so, please complete our online Request Consultation form.
Meet The Clear Passage®️ Therapists
Endorsed by Doctors and Patients Around the World
More Physician Endorsements (Found Here)
Our Testimonials
The love story of Belinda and Larry Wurn, and the birth of the Wurn Technique reveals that when we approach the body with reverence, intelligence and a desire to reduce suffering, we can repair what the most sophisticated technologies fail to fix.
Julia IndichovaDirector, Fertile Heart Studio, Author of ” Inconceivable” and “The Fertile Female”
I don’t know which is more amazing: the adventure of discovering the treatment, the published medical studies, or the dozens of Miracle Moms who shared their stories of success with this 100% natural therapy.
Gilli MoorhawkAuthor of “Miracle Babies,” and “Meditations and Positive Thoughts for Pregnancy & Birth”
Clear Passage Therapy is remarkable. It is the only therapy empirically shown to improve all four phases of female sexual function — arousal, lubrication, orgasm, and satisfaction, as well as the current gremlins, “low desire” and “pain on intercourse”.
Dr. John D. Perry, Ph. D.Psychologist, Author of “The G Spot”
As a Fertility and IVF specialist, I am always looking for new options to improve success. Any therapy that helps restore natural pelvic organ function will help increase and preserve fertility. The “Wurn Technique” seems to do just that. I have seen patients benefit.
Dr. Mark Kan,Ob/GynIVF and Reproductive Medicine Physician, Newport Beach, CA
Adhesions are a major problem for women with endometriosis, causing pain which can continue for decades, sexual and bowel function problems, and other movement. Previously, only surgery was available, which in itself could lead to more adhesions.
Dr. Mary Lou Ballweg, Ph.D.Co-founder, President, Executive Director, Endometriosis
I really believe that my treatment sessions improved my hormonal function. Prior to my treatment, ovulation was a one-day burst. After treatment, I had a gradual rise in estrogen which is consistent with healthy hormonal balance.
AlexisDecember 13, 2020
What a much-needed, useful and safe way to deal with the common, yet mystifying problem of adhesions. You have perfected a technique to treat adhesions, with years of experience, scientific ‘backup’ and case studies to prove it.
Dr. Leslie Mendoza TempleMedical Director, Integrative Medicine
Faculty: Northwestern University Medical School
The journey has been an incredible, eye-opening experience. From the moment I met my therapists and completed the comprehensive initial evaluation, I felt like a team of experts was intensely focusing on fixing my body of pain and adhesions.
RebeccaApril 04, 2018
I attended treatment and found that my pain reduced markedly. I stopped experiencing pain in my bowels, neck, and back. Things in life that most people take for granted, but that had been denied to me for so long, slowly began to return.
GinnyMarch 07, 2019
Session after session, day after day, my body was slowly and methodically worked on. As each hour passed, my body was loosening up and moving with less effort and pain. I truly feel like I had a full body renovation with my treatment at Clear Passage®️.
ReeseJanuary 06, 2021
From every aspect, Clear Passage®️ fulfills it’s mission of care, compassion and successful treatment beyond any of my hopes. Without exception, the wonderful people who staff this beautiful relaxed environment encourage trust and confidence.
LeaOctober 06, 2020
Featured & Published In:
Contact Our Practice
National Headquarters: 4421 NW 39th Ave, Suite 2-2 Gainesville, FL 32606
License: MA11614
At Clear Passage®️, you get more than a physical therapist — you get a partner in your health. We have clinics throughout North America and the United Kingdom. Patients travel from all over the world to receive treatment at our various locations.
In all cases, we review your specific goals, process all paperwork, and scrutinously review your medical history through our Gainesville Headquarters. This helps ensure that the Clear Passage®️ Approach has the best chance to be safe and effective for you. Once we feel confident about that, we are glad to help you choose the therapist(s) and location that will serve you best.
Apply for Therapy
Request Info
Free Consult
Request Information
- Medical Websites by O360
- Legal Notices
Clear Passage Physical Therapy | Gainesville, FL
A Non-Surgical, Drug-Free Treatment
Studies Published in Major Medical Journals
Hands-On Care With Proven Results
The Clear Passage®️ Approach is a revolutionary hands-on technique designed to break up adhesions, scar tissue and other blockages that prevent the muscles, organs and systems of your body from working properly. Our technique is a natural, non-surgical, drug-free solution that treats the core problem, not just the symptoms.
Learn about our specialties below:
Search
Select Language
Those who say “It cannot be done”
should not interrupt those who are doing it!
Dedicated To Your Needs
Our Mission Statement
Clear Passage®️ strives to provide our patients with the finest hands-on therapy in the world. We team with each patient and focus 100% of our effort on each patient’s goals, in a professional but compassionate environment. We are dedicated to obtaining positive results for each patient and to publishing meaningful research that accurately documents our results. We feel that our team of therapists, researchers, advisors and support staff must practice excellence, kindness and a deep understanding in order to deliver superior care to patients.
Welcome to our practice
Hands-On Care With Proven Results
WHAT WE TREAT
Clear Passage®️ specializes in the treatment of adhesions – internal scars that can cause various types of pain and dysfunction in patients. Adhesions are bands of internal scar tissue that the body forms in response to inflammation, infection, surgery, trauma, or radiation therapy.
WHO WE ARE
Over the years, the Clear Passage®️ team has developed, tested and published results on protocols that are effective in treating a wide variety of adhesion-related conditions including female infertility, women’s health, hormonal conditions, chronic and post-surgical pain, and bowel obstructions.
OUR RESULTS
Clear Passage® measures results scientifically. We provide statistical analyses of our results, publish scientific studies in peer-reviewed journals, and conduct clinical trials to evaluate the safety and effectiveness of our treatments. To learn more, please click the button below.
What We Treat
What We Treat
Clear Passage®️ specializes in the treatment of adhesions – internal scars that can cause various types of pain and dysfunction in patients. Adhesions are bands of internal scar tissue that the body forms in response to inflammation, infection, surgery, trauma, or radiation therapy.
Learn More
Who We Are
Who We Are
Over the years, the Clear Passage®️ team has developed, tested and published results on protocols that are effective in treating a wide variety of adhesion-related conditions including female infertility, women’s health, hormonal conditions, chronic and post-surgical pain, and bowel obstructions.
Learn More
OUR RESULTS
OUR RESULTS
Clear Passage® measures results scientifically. We provide statistical analyses of our results, publish scientific studies in peer-reviewed journals, and conduct clinical trials to evaluate the safety and effectiveness of our treatments. To learn more, please click the button below.
Learn More
A Personalized Approach to Patient Care
Our Treatment Philosophy
From your first visit, we examine your body and work to understand your goals. We then perform a highly specialized manual ‘hands-on’ therapy to treat the causes of your pain or dysfunction. We feel it is important to address the body as a whole, rather than in parts.
Because we see each patient as an expert in her/his body and its history, we invite each patient to become an active member of the team that is evaluating and treating them. Thus, we establish a two-way communication protocol with each patient to ensure their comfort level and full understanding of our intent and findings at all times.
A Streamlined Approach To Patient Care
Our Treatment Philosophy
From your first visit, we perform specialized manual ‘hands-on’ therapy to treat the causes of your pain or dysfunction. We feel it is important to address the body as a whole, rather than in parts.
Because we see each patient as an expert in her/his body and its history, we invite each patient to become an active member of the team that is evaluating and treating them. Thus, we establish a two-way communication protocol with our patient to ensure their comfort level and full understanding of our intent and findings.
Professionalism
Our integrity is inherent in all aspects of our conduct as we treat each patient in a responsible, honest and confidential manner.
Research
We are committed to developing meaningful scientific data that examines our methods and results and to increasing quality, knowledge and innovation in non-surgical healthcare, through scientific, educational and academic endeavors.
Compassion
Our relationships with patients and their families are based on a depth of interest and understanding that is rarely seen in healthcare today. When we treat, the patient’s goals are our sole focus.
Dedication
Our number-one goal is success for each patient. Achieving this goal requires understanding each patient’s goals and providing focused, professional attention to every patient at all times.
Accredited & Experienced Professionals
What Sets Our Practice Apart?
Professionalism
Patients deserve to be treated with dignity, kindness and respect, their voices heard and their feelings acknowledged.
INTEGRITY
Integrity is inherent in all aspects of our conduct. We believe that hearing and knowing the truth are basic patient rights.
UNRUSHED HEALING
Most pain and dysfunction occurs over time. One to three-hour sessions allow us time to reverse longstanding problems.
Research
We are committed to meaningful scientific enquiry to examine the safety and measure the effectiveness of our therapy.
COMPASSION
Our relationships with patients and their families reflect a deep interest and understanding rarely seen in healthcare.
Dedication
Our primary goal is success for each patient. From the time we enter your room, our sole focus is achieving your goals.
Previous
Next
Previous
Next
A Natural, Non-Surgical, Drug-Free Solution
Conditions We Treat Caused by Scar Tissue and Adhesions:
Women’s Health
Post-Surgical Pain
Infertility
Chronic Pain
Abdominal Problems
Women’s Health
Post-Surgical Pain
Infertility
Chronic Pain
Abdominal Problems
A Natural, Non-Surgical, Drug-Free Solution
Conditions We Treat Caused by Scar Tissue and Adhesions:
Pregnancy Rate for
Blocked Fallopian Tubes
Prevented Surgery for
Bowel Obstruction
Increased Quality of Life
for Endometriosis
65-96%
Reduced
Chronic Pain
Women’s Health
Menstrual Pain
Lubrication & Orgasm
Intercourse Pain
Genital Mutilation
Endometriosis Pain
Cervical Stenosis
Chronic Pain
TMD/TMJ
Tailbone (Coccyx) Pain
Post-Radiation Pain
Neck Pain
Myofascial Pain
Migraines/Chronic Headaches
Early Surgery & Trauma
Back & Hip Pain
Abuse
Post-Surgical Pain
Myomectomy Pain
Mastectomy Pain
Hysterectomy Pain
C-section Pain
Abdominal Problems
Ulcerative Colitis
Small Intestinal Bacterial Overgrowth (SIBO)
Chron’s Disease
Bowel Obstructions
Adhesions
Abdominal P
Infertility
Unexplained Infertility
Secondary Infertility
PRE-IVF Treatment
Polycystic Ovarian Syndrome
Hydrosalpinx
FSH, Hormonal Problems
Endometrosis & Infertility
Blocked Fallopian Tubes
Opening Blocked
Fallopian Tubes
Decreased
Menstrual Pain (Endo)
15 Times
Less Total Bowel Obstructions
Pregnant with
Endometriosis
56% – 64%
Increased, First
Ever Orgasms
44% – 54%
Age 41+ IVF Pregnancies
2½ Times
Less Partial
Bowel Obstructions
45% – 50%
Hydrosalpinx Cleared
PCOS – Pregnancies
71% – 78%
Increased Libido
74% – 86%
Increased
Sexual Arousal
High FSH – Pregnancies
70% – 79%
Increased Lubrication
Decreased
Ovulation Pain (Endo)
Three Times
Fewer Bowel Surgeries
An Evidence-Based Approach
Published Success Rates
Previous
Next
Opening Blocked
Fallopian Tubes
Decreased
Menstrual Pain (Endo)
Less
Total Bowel Obstructions
93% – 96%
Decreased
Intercourse Pain
Fewer Surgeries for Bowel Obstructions
Pregnant
After
Opening Tubes
Pregnant with
Endometriosis
56% – 64%
Increased, First
Ever Orgasms
44% – 54%
Age 41+ IVF Pregnancies
Less Partial
Bowel Obstructions
45% – 50%
Hydrosalpinx Cleared
PCOS – Pregnancies
71% – 78%
Increased Libido
74% – 86%
Increased
Sexual Arousal
High FSH – Pregnancies
70% – 79%
Increased Lubrication
Decreased
Ovulation Pain (Endo)
Convenient Locations In The United States & United Kingdom
Treating Chronic Pain, Obstructions and Infertility Naturally
Patient Information
We look forward to helping you achieve a life free of pain and dysfunction. If you haven’t already done so, please complete our online Request Consultation form.
Meet The Clear Passage®️ Therapists
Endorsed by Doctors and Patients Around the World
More Physician Endorsements (Found Here)
Our Testimonials
The love story of Belinda and Larry Wurn, and the birth of the Wurn Technique reveals that when we approach the body with reverence, intelligence and a desire to reduce suffering, we can repair what the most sophisticated technologies fail to fix.
Julia IndichovaDirector, Fertile Heart Studio, Author of ” Inconceivable” and “The Fertile Female”
I don’t know which is more amazing: the adventure of discovering the treatment, the published medical studies, or the dozens of Miracle Moms who shared their stories of success with this 100% natural therapy.
Gilli MoorhawkAuthor of “Miracle Babies,” and “Meditations and Positive Thoughts for Pregnancy & Birth”
Clear Passage Therapy is remarkable. It is the only therapy empirically shown to improve all four phases of female sexual function — arousal, lubrication, orgasm, and satisfaction, as well as the current gremlins, “low desire” and “pain on intercourse”.
Dr. John D. Perry, Ph. D.Psychologist, Author of “The G Spot”
As a Fertility and IVF specialist, I am always looking for new options to improve success. Any therapy that helps restore natural pelvic organ function will help increase and preserve fertility. The “Wurn Technique” seems to do just that. I have seen patients benefit.
Dr. Mark Kan,Ob/GynIVF and Reproductive Medicine Physician, Newport Beach, CA
Adhesions are a major problem for women with endometriosis, causing pain which can continue for decades, sexual and bowel function problems, and other movement. Previously, only surgery was available, which in itself could lead to more adhesions.
Dr. Mary Lou Ballweg, Ph.D.Co-founder, President, Executive Director, Endometriosis
I really believe that my treatment sessions improved my hormonal function. Prior to my treatment, ovulation was a one-day burst. After treatment, I had a gradual rise in estrogen which is consistent with healthy hormonal balance.
AlexisDecember 13, 2020
What a much-needed, useful and safe way to deal with the common, yet mystifying problem of adhesions. You have perfected a technique to treat adhesions, with years of experience, scientific ‘backup’ and case studies to prove it.
Dr. Leslie Mendoza TempleMedical Director, Integrative Medicine
Faculty: Northwestern University Medical School
The journey has been an incredible, eye-opening experience. From the moment I met my therapists and completed the comprehensive initial evaluation, I felt like a team of experts was intensely focusing on fixing my body of pain and adhesions.
RebeccaApril 04, 2018
I attended treatment and found that my pain reduced markedly. I stopped experiencing pain in my bowels, neck, and back. Things in life that most people take for granted, but that had been denied to me for so long, slowly began to return.
GinnyMarch 07, 2019
Session after session, day after day, my body was slowly and methodically worked on. As each hour passed, my body was loosening up and moving with less effort and pain. I truly feel like I had a full body renovation with my treatment at Clear Passage®️.
ReeseJanuary 06, 2021
From every aspect, Clear Passage®️ fulfills it’s mission of care, compassion and successful treatment beyond any of my hopes. Without exception, the wonderful people who staff this beautiful relaxed environment encourage trust and confidence.
LeaOctober 06, 2020
Featured & Published In:
Contact Our Practice
National Headquarters: 4421 NW 39th Ave, Suite 2-2 Gainesville, FL 32606
License: MA11614
At Clear Passage®️, you get more than a physical therapist — you get a partner in your health. We have clinics throughout North America and the United Kingdom. Patients travel from all over the world to receive treatment at our various locations.
In all cases, we review your specific goals, process all paperwork, and scrutinously review your medical history through our Gainesville Headquarters. This helps ensure that the Clear Passage®️ Approach has the best chance to be safe and effective for you. Once we feel confident about that, we are glad to help you choose the therapist(s) and location that will serve you best.
Apply for Therapy
Request Info
Free Consult
Request Information
- Medical Websites by O360
- Legal Notices
Scar after caesarean section – WMT high-tech clinic in Krasnodar
The number of births by caesarean section increases every year and reaches about 40%, so women are more likely to deal with the problem of an inconsistent (thinned) scar on the uterus. The main cause of scar failure is chronic sluggish metroendometritis, the main symptoms are prolonged postmenstrual spotting and pain in the lower abdomen.
DIAGNOSIS
Diagnosis of an incompetent scar on the uterus at the stage of pregnancy planning is especially difficult, since it is difficult to make a correct diagnosis only on the basis of ultrasound results. Therefore, the WMT clinic uses the entire range of diagnostic measures to clarify the diagnosis:
- Ultrasound of the small pelvis (“niche” in the projection of the scar, the thickness of the scar is less than 3 mm, the absence of vascularization in CDI indicates failure)
- Hydrosonography with anechoic contrast. The study is carried out on the 4-8th day of the cycle. A saline solution is injected into the uterine cavity, which allows obtaining objective information about the state of the scar, the nature of the blood flow in the scar, and the reserve of intact myometrium.
- Office hysteroscopy. It is performed on the 4-6th day of the menstrual cycle, retractions in the scar area, the absence of blood vessels are detected, which indicates a pronounced predominance of fibrosis. It also allows you to identify volumetric formations in the scar area, endometriosis of the scar and changes in the scar zone with the formation of multiple cavities (niches) in the myometrium.
- MRI of the pelvis with an assessment of the condition of the scar.
TREATMENT OF FAULTY SCAR
When the diagnosis of an incompetent scar on the uterus is confirmed at the stage of preconception preparation, the surgeons of the WMT clinic perform a reconstructive plastic surgery – metroplasty. The operation can be performed by laparotomy (open), laparoscopic and vaginal access. Preference is given to laparoscopic access. During surgical intervention, economical excision of the connective tissue scar and layer-by-layer restoration of the uterine wall are performed.
Indications for surgical treatment:
- Thinning of the myometrium in the area of the scar 3 mm or less.
- Thinning of the scar on the uterus in combination with endometriosis and foreign bodies (encapsulated ligatures) in the structure.
Assessment of the consistency of the scar after metroplasty is carried out after 1, 3, 6 and 12 months using ultrasound. Only after receiving data on the satisfactory condition of the scar, you can plan a pregnancy.
ULTRASONIC SIGNS OF A POSITIVE RESULT OF THE OPERATION:
- The position of the scar corresponds to the area of the operation.
- There are no deformations, “niches”, areas of retraction from the side of the serous membrane and the uterine cavity in the scar zone.
- The thickness of the myometrium in the region of the lower uterine segment is equal to the thickness of the anterior wall of the uterus.
- Adequate blood flow in the scar area.
BOOK YOUR APPOINTMENT
Make an appointment with the gynecologist at the WMT Clinic by calling 8 (861) 206-03-03 . or leave a request on the site.
Appointment
Inpatient operations – Laparotomy metroplasty (in case of failure of the scar on the uterus after Cesarean section) near the house
At the preoperative appointment, the surgeon-gynecologist will select the most appropriate method of performing the operation, taking into account all the factors individually for each patient.
Currently, an increasing number of pregnancies end in operative delivery by Caesarean section. In this regard, the frequency of such a pathology as the failure of the scar on the uterus has increased. It is almost impossible to avoid this complication by performing certain actions – it all depends on the woman’s body, her reaction to the suture material, the location of the uterus and the situation that arose earlier, which led to the use of surgical delivery.
A uterine scar after a caesarean section may or may not be successful. A wealthy scar has sufficient thickness and does not contain any cavities (niches). Such a scar is quite elastic and can stretch and withstand the load during pregnancy and childbirth. An inconsistent scar is distinguished by a small thickness, the formation of recesses (niches). Need to treat an inconsistent scar on the uterus? The answer depends on the patient’s future plans for childbearing, on the symptoms that bother her. The decision is made individually in each case!
Pregnancy with an incompetent uterine scar is associated with a risk of uterine rupture during pregnancy and childbirth, rotation of the placenta into the scar area.
All these conditions threaten the life of the patient and the fetus. Also described is the perforation of the uterus in the niche area when an intrauterine device is inserted into the uterine cavity. Diagnosis of insolvency of the scar on the uterus is complex and requires the use of a complex of instrumental studies. You can conduct all types of examinations for making this diagnosis in our Paracelsus Medical Center on the day you apply for a gynecological surgeon!
Ultrasound is an important method for assessing the course of reparative processes and evaluating the viability of the scar of the operated uterus. Ultrasound criteria for a complete failed scar on the uterus: complete or partial (thinning of the myometrium up to 2 mm) defect of the myometrium in the form of a niche (depression) in the projection of the scar on the uterus. Also characteristic is the heterogeneity of the scar and a decrease in blood flow (vascularization) in the scar area, which indicates the presence of coarse scar tissue. Magnetic resonance imaging (MRI) of the pelvis is a fairly accurate method for assessing the condition of the scar on the uterus after cesarean section. MRI allows you to determine the size of the niche and the thickness of the uterine wall in the area of the scar, assess the condition of the periuterine tissue and the severity of the scar process in the vesicouterine space.
If a failure of the scar on the uterus is detected or it is suspected, according to the above studies, a diagnostic hysteroscopy is indicated. With the insolvency of the scar, the presence of a niche, retraction in the area of the scar is noted. The paucity of the vascular pattern and the whitish color of the scar tissues are often noted, which indicates the predominance of the connective tissue component. Sometimes you can find the remnants of suture material and endometrioid cysts in the scar area. This pathology is treated only by surgery. The most effective method of scar plastic surgery is through laparotomy access. Laparotomy is a surgical intervention in which all manipulations are carried out through an incision on the anterior abdominal wall of a woman. Access during laparotomy, can be longitudinal and transverse, view decision
laparotomy is accepted by the surgeon and depends on many factors, such as comorbidities, previous surgical interventions and the presence of a postoperative scar in the patient.
In most cases, a transverse suprapubic approach (according to Pfannenstiel) is used to perform uterine scar plasty. After entering the abdominal cavity, the gynecologist surgeon examines and evaluates the internal organs, highlights the uterus, evaluates the scar.
Complete or partial excision of an incompetent scar on the uterus within healthy tissues, if necessary, separation of adhesions. After that, the uterine wall is restored with several rows of sutures. Absorbable material is used to suture the uterine wall.
All removed tissues must be sent for histological examination.
After inspection and cleansing (sanation) of the abdominal cavity, control of the absence of bleeding, the instruments are removed. The anterior abdominal wall is sutured. The skin is sutured with an intradermal, cosmetic suture. To date, there are a number of special gels that the surgeon injects into the abdominal cavity to prevent adhesions
You can undergo the entire scope of the preoperative examination at the Paracelsus Multidisciplinary Clinic in one day! Examination for surgical intervention and validity period of examination results: