Is pelvic inflammatory disease incurable? What are the surgical options for pelvic inflammatory disease?

Is pelvic inflammatory disease untreatable? What are the surgical options for pelvic inflammatory disease?

1. Pelvic inflammatory disease is divided into acute and chronic. The former has an acute onset and generally has an obvious cause. If the treatment is timely, thorough and effective, it can often be cured. When acute inflammation is not thoroughly treated, it can turn into a chronic disease. However, it is more likely to be caused by a slow onset and a mild condition that does not attract attention. Therefore, it is not treated in time and becomes a chronic disease. This type of pelvic inflammatory disease often causes infertility in women.

2. Chronic pelvic inflammatory disease often manifests as bilateral salpingitis. Over time, the opening of the fallopian tube, especially the end that receives the egg, called the umbrella end, is partially or completely blocked. The inflammation may also cause adhesion of the inner mucosa of the fallopian tube, causing the lumen to narrow or close. In this way, the passage of eggs, sperm or fertilized eggs is obstructed, leading to infertility. Severe pelvic inflammatory disease can spread to the pelvic peritoneum, uterus and tissues beside the cervix, eventually causing these organs and tissues to harden and become inactive. In particular, the fallopian tube loses its soft and peristaltic physiological properties, becomes stiff and twisted, and the lumen is completely blocked, reaching a level that cannot be cured.

3. In addition, pelvic inflammatory disease surgery can be performed by abdominal surgery or laparoscopic surgery according to the situation. The scope of surgery should be comprehensively considered based on the scope of the lesion, the patient's age, and general condition. The principle is to remove the lesion. Young women should try to preserve ovarian function and use conservative surgery as the main method; for older women, those with bilateral adnexal involvement or repeated adnexal abscesses, total hysterectomy and bilateral adnexectomy should be performed; the scope of surgery for extremely weak and critically ill patients must be determined according to specific circumstances.