What is the standard for cure of endometrial tuberculosis?

Surgical treatment is currently the main method for treating endometrial tuberculosis, and it is also a very effective method. In fact, there are many different surgical treatment methods, and we must choose a method that suits us for treatment. The following will introduce to you what the criteria for curing endometrial tuberculosis are.

1. Conservative surgery: including laparotomy and laparoscopic surgery. The scope of surgery includes separation of pelvic adhesions, electrocautery or removal of pelvic lesions, uterine suspension, ovarian endometrial tuberculosis cyst excision, and simultaneous removal of uterine fibroids. For patients with severe dysmenorrhea, it is often recommended to remove the presacral nerve. Normal ovarian tissue should be preserved as much as possible during the operation. It is suitable for young patients with persistent infertility, when conservative treatment is ineffective, or severe dysmenorrhea that cannot be relieved by drugs. The postoperative pregnancy rate is. The postoperative recurrence rate is high, and some patients often need another surgical treatment.

2. Semi-conservative surgery: mainly removes the uterus and endometrial tuberculosis lesions, and preserves ovarian function. It is suitable for those under 45 years old who have no fertility requirements, or those with extensive lesions and cannot preserve fertility, or those with uterine fibroids or adenomyosis. The recurrence rate after surgery is low.

3. Radical surgery: It is a total hysterectomy and bilateral adnexectomy without preserving ovarian function. If it is difficult to perform a total hysterectomy due to severe adhesions, a subtotal hysterectomy or only bilateral ovarian removal can be performed. It is suitable for those who are near menopause or young but have serious conditions. The incidence of menopausal syndrome after surgery is high. For those with severe symptoms, low-dose estrogen treatment can be given. If the medication recurs, the medication should be stopped in time.

The above surgical treatments have different therapeutic effects for different types of endometrial tuberculosis. Sometimes, treatment is just a process. In this process, as long as we can figure out which surgical method is suitable for our treatment, we can effectively cure endometrial tuberculosis.