Pelvic adhesions, often referred to as pelvic scar tissue, are bands of fibrous tissue that can form between organs in the pelvis. These adhesions can develop as a result of surgery, infection or endometriosis, leading to potential complications such as chronic pain, infertility and digestive issues. Learn the diagnosis and treatment options for pelvic adhesions from the best gynecologist doctor in Kolkata.
What Are Pelvic Adhesions?
Pelvic adhesions are abnormal bands of scar tissue that can cause organs within the pelvis to stick together. These adhesions can form after abdominal surgery, such as a cesarean section or appendectomy or as a result of pelvic inflammatory disease (PID), endometriosis or trauma. The fibrous tissue that makes up the adhesions can bind the reproductive organs, intestines and other structures, leading to a range of symptoms.
Symptoms and Diagnosis
The symptoms of pelvic adhesions can vary widely, depending on their location and severity.
Common symptoms include:
- Chronic pelvic pain
- Pain during intercourse
- Irregular menstrual periods
- Infertility
- Painful bowel movements or urinary issues
Diagnosing pelvic adhesions can be difficult, as they often do not show up on routine imaging studies like X-rays or ultrasounds. However, several diagnostic approaches can help:
- Medical History and Physical Examination: A thorough review of symptoms and a physical examination can provide initial clues. The best gynecologist doctor in Kolkata will inquire about the patient’s medical history, including any previous surgeries or conditions associated with pelvic adhesions.
- Imaging Studies: While adhesions themselves are difficult to visualize, imaging tests such as ultrasound, MRI or CT scans can sometimes reveal complications or associated conditions like cysts or abnormalities in the organs.
- Laparoscopy: This minimally invasive surgical procedure is often the definitive method for diagnosing pelvic adhesions. During laparoscopy, a thin, lighted tube is inserted through a small incision in the abdomen, allowing the physician to directly view and assess the presence and extent of adhesions.
Treatment Options
Treatment for pelvic adhesions aims to reduce symptoms and address any underlying causes. Options include:
- Surgical Intervention: In cases where symptoms are severe or other treatments are ineffective, surgical intervention may be necessary. Adhesiolysis, the surgical procedure to remove or release adhesions, can be performed laparoscopically. This approach helps reduce the risk of forming new adhesions and may minimize pain and improve organ function.
- Treatment of Underlying Conditions: Addressing the underlying cause of the adhesions, such as treating endometriosis or resolving infections, is crucial. In some cases, managing these conditions can reduce the formation of new adhesions.
- Fertility Treatments: For individuals facing infertility due to pelvic adhesions, fertility treatments or assisted reproductive technologies (ART) may be considered. In some cases, surgical treatment of adhesions can improve fertility outcomes.
Conclusion
Pelvic adhesions can significantly affect quality of life, but with timely diagnosis and treatment, many patients can find relief from their symptoms. Consult the best gynecologist doctor in Kolkata to know more about this condition.