home Consultations Treatment of the cervix using the radio wave method. Treatment of the cervix. Is it possible to carry out radio wave treatment of ectopia in nulliparous women?

Treatment of the cervix using the radio wave method. Treatment of the cervix. Is it possible to carry out radio wave treatment of ectopia in nulliparous women?

Radio wave therapy is one of the new methods of treating serious diseases. One of them is cervical erosion. It is increasingly common in young women and over time can lead to infertility and even cancer. Since moxibustion is an effective and painless method of treatment, it is increasingly gaining popularity and arousing interest.

Cauterization of cervical erosion with radio waves: what is the peculiarity of the treatment method

One of the most common and dangerous gynecological diseases is cervical erosion. In this case, various damages form on the epithelium of the organ: wounds, ulcers, cavities and other defects. The reasons can be very different. But the main pathogens are sexually transmitted diseases and other inflammatory processes.

If erosion is treated at an advanced stage, more serious inflammatory processes may begin. An early reaction to cervical erosion and improper treatment can cause infertility and even cancer.

Cauterization of erosion with radio waves is one of the newest methods of treating the cervix. Its essence consists of a targeted effect on the affected areas of the epithelium with high-frequency energy. During the procedure, the specialist directs a beam of radio waves to the erosion. The damaged tissue is exposed to very high temperatures. It is due to this that diseased cells begin to evaporate.

The main advantage of this treatment is painlessness. It is achieved due to the fact that cauterization does not affect healthy neighboring cells. Accordingly, negative consequences after surgery are minimized.

The main advantages of cauterization of cervical erosion:

No pain. Only slight tingling sensations are possible;
For those who are afraid of blood, this is an ideal treatment. It does not cause bleeding;
After the procedure there are no scars left;
Complete elimination of burns;
Rapid wound healing after surgery;
Healthy cervical tissue is not affected;
Cauterization sterilizes, which eliminates infection during surgery;
The radio wave operation lasts only 10-15 minutes;
The procedure is suitable for women of any age, whether they have given birth or not;
Minimizes the occurrence of new erosion.

All these advantages make treatment with radio waves an increasingly popular and sought-after procedure.

Discharge after cauterization of erosion with radio waves - normal and pathological

Cervical erosion is observed in half of the fair sex of the entire planet. Treatment must be approached seriously and responsibly. After radio wave therapy there will definitely be discharge, indicating a positive reaction of the body or pathology.

The normal period after surgery is characterized by:

Transparency of vaginal discharge;
Minor blood impurities;
A small amount of discharge.

If after cauterization the discharge is of this nature, then the procedure is considered successful. Sometimes there may be a slight burning sensation. But this is also the norm and indicates complete healing soon.

Large quantities of blood can be released only within 24 hours after surgery. This applies to those patients who have a fairly large affected area. The attending physician will definitely warn you about all the consequences. But if blood comes out abundantly on the second day, then you should inform a specialist about it.

In what cases is discharge after surgery considered a pathology:

Copious discharge and blood;
Thick;
Discharge mixed with brown and green shades;
Having an unpleasant odor;
Blood in the discharge for more than a day.

If you have any of these signs, you should also immediately report them to your gynecologist. In this case, the specialist will prescribe either drug treatment or a coagulation procedure.

Menstruation after cauterization of cervical erosion

Many people are interested in the question of when menstruation will begin after radio wave surgery. The day of the cauterization procedure is of great importance here. The fact is that the most optimal time is 5-7 days from the beginning of the cycle. At this time, heavy bleeding stops, but the tissues have not yet lost their increased ability to regenerate.

When cauterization of erosion occurs, microsores form on the walls. They should not bother the woman in any way. Within 7-10 days, the scars heal and turn into a dry crust - a scab. The crust begins to come off and it is possible that blood will appear in small quantities.

When the scab comes off, blood may appear. This period may take several days. If the discharge becomes abundant, then this will be considered the first menstruation.

Cauterization of cervical erosion should not disrupt the menstrual cycle. Women's Days may start a little later. This is a common occurrence after radio wave cauterization surgery. Most likely, stress may be the cause. The second period should come exactly on time. If a malfunction occurs or bleeding begins but does not stop, this is a signal of the appearance of a pathology.

How erosion heals after cauterization with radio waves: possible consequences of the operation

To prevent cauterization of erosion from causing unpleasant consequences, a number of rules must be followed.

Firstly, you need to take the procedure itself seriously. You should absolutely not start the procedure if:

There is an oncological disease;
Pregnancy at any stage;
There is a contraceptive device;
If the patient has poor blood clotting;
Infection;
Inflammation of the genital organs;
At high body temperature, the procedure is also contraindicated.

In the absence of such diseases and health problems, the period after surgery passes quickly and painlessly. During healing, there may be a clear discharge with a slight admixture of blood. Every 2 weeks during the first months you should be examined by a doctor.

The wound heals quickly and properly if the following recommendations are followed:

The first month after the operation you cannot be sexually active.
You should not exercise or lift weights for the first few weeks.
For a month you need to completely avoid baths, swimming pools and swimming in ponds. This can cause blood to appear in the discharge and lead to infection. It is recommended to take a short shower.
Tampons cannot be used.
Particular attention should be paid to personal hygiene: wash yourself as often as possible, use panty liners, intimate hygiene gel. Any wound heals faster this way. You also need to carefully monitor your health. Hypothermia can lead to complications. Cauterizing the erosion may not help in this case.

One of the newest methods of treating cervical diseases in women today is radio wave treatment.

Thanks to this technique, it is possible to carry out non-contact therapeutic manipulation on the cervix, when, thanks to the high frequency of waves generated by the device, the tissues that are affected evaporate.

All this happens painlessly and, most importantly, within healthy tissue, almost bloodlessly and with minimal possible complications. This is one of the few methods of treating cervical pathology used in nulliparous women, since there is no scar formation on the cervix and its deformation.

Now let's take a closer look at all the aspects of treating cervical erosion, the reasons that cause damage to the cervix and the possible consequences of the radio wave treatment used.

Let's remember what erosion is?

This concept refers to damage to the epithelium of the cervix under the influence of various factors.

In young girls (under 22 years of age), cervical lesions of an erosive nature occur more often due to hormonal imbalance. In other words, this cervical disease is called ectopia of the prismatic epithelium of the cervix.

In patients over 22 years of age, the doctor is often faced with so-called true (real) erosion of the cervix. In this condition, the epithelium of the cervix, for certain reasons (which we will discuss below), undergoes rejection and, as a result, its defect-wound is formed. It may bleed, and the woman may complain of light vaginal discharge, often after physical activity (sexual intercourse).

Later, if erosion is not treated, pathological microorganisms begin to multiply in the wound surface, resulting in inflammation and complaints of unpleasant vaginal discharge. Sometimes a woman is not even aware of the existence of erosion when there are no complaints. This is why it is so important to regularly visit a gynecologist, since only with a gynecological examination and special tests can a doctor suspect an epithelial defect on the cervix.

What is the cause of cervical erosion?

In young girls, erosive lesions of the cervix occur more often due to hormonal changes in the body, accompanied by menstrual irregularities.
Traumatic damage to the mucous membrane of the cervix through frequent use of tampons, douches, rough sexual intercourse, as well as postpartum ruptures lead to scar deformities on the cervix.
The tendency to the appearance of cervical erosion is growing among girls who began sexual activity early and often change sexual partners.
The danger of viral infection of the cervix lies in the fact that the papillomavirus infection, penetrating into the epithelial cell, affects it and changes its structure so that in the future it can begin to divide uncontrollably. And this is the first step for development.
A great role in the development of erosion belongs to sexually transmitted infections, such as chlamydia, ureo- and mycoplasmosis, trichomoniasis, gonorrhea, syphilis, as well as opportunistic microflora.

Signs of cervical erosion

When examined by a gynecologist, the cervix is noticed by a red spot on the pink background of the healthy mucosa, which, when stained with Lugol's solution, does not change color, unlike the normal cervical epithelium, which has a brown tint.

When examined through a colposcope, which allows you to enlarge the picture and see the mucous membrane very clearly on the screen with all the existing epithelial defects, examine the affected vessels in detail and suspect the relationship of the eroded area to precancer or cancer and begin further treatment in a timely manner.

Also, as possible signs of erosion, a woman may have complaints of unpleasant vaginal discharge of various types, sometimes accompanied by itching or an unpleasant odor. Confirmation of the presence of inflammation on the cervix as erosion progresses may be not entirely “good” results of smears on the flora taken from the site of the defect on the cervix.

Poor results will be indicated by the presence of a large number of leukocytes in the smear and the presence of pathogenic microflora. A cytological examination of the smear will answer the question of whether there is a precancerous disease or cancer in the area of the altered epithelium, but the final diagnosis can only be made by histological examination, by taking material from the eroded area through a biopsy.

Radio wave surgery has come to the aid of doctors and patients. With the help of radio waves, it is possible to make an incision in soft tissues and perform coagulation of bleeding vessels without traumatizing the epithelium of the cervix.

The generator of the high-frequency pulse is such devices as “Surgitron”, “Fotek”, which practically do not differ in the effect of the wave on the tissue, the only difference is in the manufacturer, price and the sound signal that the “Fotek” device produces to facilitate the doctor’s work.

It turns out that treatment of uterine erosion with high-frequency radio waves is achieved by cutting the energy of the wave, and not by current or cold, as in other methods used. Due to this method of action on the tissue, the radio wave does not cause the formation of scars and deformations of the cervix.

Advantages of radio wave treatment of the cervix:

The time required for cervical treatment is reduced
The manipulation is painless due to the fact that the radio wave coagulates the nerve vessels and the woman does not feel pain
The eroded area heals faster without the formation of scar tissue, which is extremely positive for nulliparous women. And also, unlike other methods, tissue necrosis (death, scab) does not form.
Also, due to the action of a high-frequency pulse on blood vessels, through coagulation, bleeding from the wound surface is minimized and is subject to less infection from the outside. After the procedure, a thin film forms at the site of the wound, which painlessly separates on its own without prolonged heavy discharge by the end of the first week after radio wave treatment.
Due to the fact that the tissue is not destroyed during the radio wave procedure, high efficiency is achieved when conducting a histological examination of the resulting material.
Radio wave treatment is carried out on an outpatient basis in a clinic and does not require hospitalization or anesthesia.

For better healing of the wound surface, it is recommended to perform radio wave exposure on the cervix approximately immediately after the end of menstruation, having previously sanitized the vagina and eliminated precancerous conditions of the cervix.

Indications for the use of radio wave treatment of the cervix:

Benign processes in the epithelium of the cervix (erosion, ectopia, leukoplakia, cervical dysplasia (CIN1))
Cicatricial deforming changes on the cervix
Endometrioid heterotopias on the cervix
Increase in cervical size
Long-term infectious processes of the endocervix (cervicitis)
Taking a biopsy for histological examination
Treatment of cervical erosion with radio waves, consequences?
Contraindications for radio wave manipulation are:
The patient has a pacemaker
Pregnancy
Menstruation
Infectious diseases of the genital tract
Current acute infectious diseases and fever
Mental disorders
Severe diabetes mellitus
Disturbances in the blood coagulation system

However, after a radio wave procedure on the cervix, in women who do not have the above contraindications, the consequences are minimal and do not pose a threat to her health. After the manipulation, slight scanty discharge is possible for a couple of days, which does not cause concern to the woman. Sometimes there is aching pain in the abdomen, namely in the lower part, or in the perineal area. The wound itself heals within a month.

During the healing period, you should limit the use of tampons and douching, sexual relations, visiting baths, swimming in open water and in the bathroom, only using the shower, you should also limit sports and physical activity, and do not take medications that contain aspirin.

To sum up what has been said, we can conclude that the radio wave technique for treating cervical erosion in nulliparous women is the method of choice. Wave energy is best suited for taking biopsies of eroded epithelium. The risk of bleeding, scarring, burns, necrosis, and inflammation of the cervix is minimized. The most important thing is that the procedure is painless and you should not be afraid of it! And the recovery period lasts only a month! Be healthy! And may illnesses pass you by!

Radio wave treatment of cervical erosion is by far the safest and most effective method of removing pathological areas of soft tissue without destroying their structure. Timely detection and elimination of benign neoplasms and precancerous diseases localized in the cervix, vagina and vulva are among the secondary prevention of the formation of malignant oncological processes in the female body. At the same time, radiosurgical treatment is the safest method of combating various pathologies of the cervix.

General ideas about radio wave techniques

In gynecological practice, there are several instrumental methods for removing pathologically changed areas of the cervix - diathermocoagulation, electrocoagulation, laser excision, cryotherapy and others. In recent years, the most popular methods have been those based on the use of low-frequency electric current and laser radiation. However, numerous studies have proven the existence of a significant risk of scar deformities of the soft tissues of the cervix after such an intervention. Pathological discharge from the genital tract and the development of complications are due to the fact that during the procedure, significant overheating of the surrounding tissue occurs. In this case, the severity of the injuries they received can be compared with a burn of II-III degree.

Today, more and more gynecologists prefer to treat cervical erosion with radio waves. Excision of pathologically altered areas of the epithelium, carried out by this method, completely eliminates the destruction of the soft tissue structure in this area. The complete safety of the procedure is guaranteed by the fact that the generated radio signals cause local dehydration of cellular elements in the pathological focus without affecting the surrounding tissue.

Advantages of radiosurgical treatment technique

Radio wave treatment of cervical erosion is carried out through the use of several types of devices, the most famous of which is the Surgitron apparatus (radio knife). Excision carried out with its help differs significantly from mechanical, electrocoagulation or laser effects on the affected areas of the epithelial layer, and is characterized by the following features:

1. When the radiosurgical method is used, the incision or coagulation (depending on the shape of the generated waves) of the epithelium occurs due to instant heating of the cells from the inside. The thermal effect in this case occurs as a result of the resistance of cellular elements to wave action.

2. The main advantage that radio wave surgery is characterized by is the lack of contact between cellular structures and the electrodes of the device. This makes it possible to eliminate the occurrence of burns to the tissues surrounding the pathological area, since throughout the entire procedure the active electrode emitting a radio signal remains constantly cold.

3. According to clinical characteristics, a radio wave wound is no different from an incision made with a sharp scalpel. At the same time, the traumatic effect of the radioknife on soft tissues is minimized, since there is no contact between them and the electrode.

4. Excision of pathological areas of the epithelial layer of the cervix with radio waves is characterized by minimal blood loss in comparison with other treatment methods. Also, in the postoperative period, pathological discharge from the genital tract does not occur.

5. Removal of deformed areas of the epithelium using a radioknife causes the least pathological changes at the edges of the surgical wound. This allows you to reduce the healing period by 1.5-2 times. Cauterization of cervical erosion with radio waves differs from electrosurgical and laser treatment methods in that postoperative complications in this case occur extremely rarely. There are practically no scars in the epithelial layer of the cervix after radio wave therapy. Thanks to this, this treatment method can be used in nulliparous women.

Features of prescribing radiosurgical treatment

Due to the presence of a large number of advantages, in comparison with other surgical interventions, the radio wave method guarantees more effective treatment of various diseases of the cervix, vagina and vulva.

Indications for radiosurgical treatment

Today, this method of performing operations in gynecological practice has become universal and is used in the following clinical cases:

Erosion of the epithelial layer, both true and ectopic;
. ectropion;
. formation of scar deformities on the cervix after complicated childbirth;
. confirmed endometriosis or leukoplakia;
. cervical neoplasia;
. removal of benign neoplasms (papillomas, condylomas) of the vagina, vulva, perineal area;
. cervical canal polyps and vaginal cysts;
. removal of nevi localized in the genital area;
. the need to take a sample of biological material for subsequent histological examination;
. dissection of synechiae (fusion of the labia).

Since instant coagulation of the wound surface is observed during the use of a radioknife, removal of the deformed area of the epithelial layer occurs 1.5 times faster (compared to other surgical techniques). Also, the patient’s recovery period after this treatment procedure is significantly reduced.

Despite the fact that radio wave therapy practically does not cause the development of complications in the patient, there are certain situations in which such intervention is prohibited:

The presence of an acute period of development of the inflammatory process in the reproductive system;
. identification of highly infectious infections in the patient that are transmitted through unprotected sexual contacts;
. pathological discharge from the genital tract, changes in the clinical smear (3-4 degree of purity);
. the presence of acute infectious diseases affecting other organs and systems in the patient’s body, for example, influenza;
. an unreasonable increase in a woman’s body temperature;
. bloody discharge from the genital tract of varying degrees of intensity of unspecified origin;
. menstrual bleeding;
. the patient has any pathologies of internal organs and systems that are in the stage of decompensation;
. suspicion of a woman developing malignant oncological processes in the reproductive system;
. period of pregnancy and breastfeeding.

In addition to categorical contraindications to radio wave surgery, there are clinical situations in which this method of treatment in women is used with extreme caution:

A) the patient has a pacemaker - radiosurgical therapy in this case is carried out only after preliminary approval of its admissibility with the cardiac surgeon;

B) the presence of any devices connected to the patient, for example, a hearing aid - during surgery, such medical devices must be turned off to prevent the negative impact of radio waves on them;

C) the patient’s use of certain medications (anticoagulants, non-steroidal anti-inflammatory drugs) - the risk of bleeding during surgery in this case increases significantly;

D) the elderly age of the patient, the woman has a history of diabetes mellitus - in this case, the recovery period is extended several times;

E) radiosurgery is carried out no earlier than 3 months after any medical manipulation on the cervix.

In these situations, the gynecologist exercises extreme caution during surgery and exercises enhanced control over the healing processes of the patient’s postoperative wound.

Technology of radiosurgical treatment

To prevent negative consequences during the rehabilitation period after radio wave surgery, it is necessary to carry out certain preparation for the patient.

Necessary diagnostic measures

Treatment of benign diseases of the cervix using the radio wave method is carried out only after a detailed examination of the patient:

1. Examination of the external genitalia.
2. Visual examination of the cervix in speculums.
3. Bimanual (two-handed) examination of the internal buttock organs.
4. Clinical examination of blood and urine.
5. Specific blood tests (detection of antibodies to treponemal and cardiolipin antigens, AIDS, hepatitis A and C).
6. Colposcopic examination of the cervix - overview and extended.
7. Cytological examination of smears.
8. Ultrasound of the pelvic organs.

In some cases, the gynecologist may prescribe additional laboratory tests to rule out sexually transmitted diseases. If such infections are diagnosed in a patient, radio wave treatment of benign pathologies of the cervix is carried out only after specific therapy for highly infectious pathologies has been carried out.

Methodology for radio wave treatment of erosion

Based on many years of practical experience, gynecologists have established that radiosurgical therapy must be carried out taking into account the phase of the menstrual cycle. To prevent the patient from developing a complication such as endometriosis, surgical intervention on the cervix should be performed on the 5-10th day.

The volume and type of medical intervention is determined individually, depending on the severity of pathological changes in the epithelial layer, as well as on the localization of areas of deformation. During surgical removal of cervical erosion, the gynecologist adheres to the following algorithm of actions:

1. Local anesthesia of the surgical site with solutions of novocaine or lidocaine. For this purpose, you can use the Austrian gel-like drug Katijel, which is administered to the patient endocervically or endovaginally 5-10 minutes before the surgical procedure.

2. Turn on the device that generates radio waves and warm it up for 15-20 seconds.

Radio wave coagulation is a surgical technique that is based on non-traumatic incisions and coagulation of soft tissue using high-frequency waves. Radio waves in gynecology are used to correct pathologies of the cervix (cervix), such as erosion, polyps, ectopia, cicatricial deformities, and vaginal cysts.

Most often, radio wave surgery of the cervix (RWS) is performed using the Surgitron device, which generates high-frequency waves (range - 3.8-4 MHz). Under the influence of radio waves, tissue incision and coagulation is realized. The shape of the device looks like a pen with a tip made of metal material (the device is also called a radio wave knife), but in essence it is a thin electrode connected to a wave source.

Radiocoagulation of the cervix is carried out from the 5th to the 10th day of the cycle, since during this time period the processes of estrogen production are intensified, which helps to reduce the time of tissue regeneration. The answer to the question of how long it takes for the cervix to heal after cauterization with radio waves is determined by the area of tissue that is damaged during the procedure. If a small fragment of tissue has been ablated, the wound will heal by the beginning of the next cycle.

The procedure lasts no more than 15 minutes. Inpatient monitoring after radiosurgery of the cervix is not required.

Procedure

Cauterization of the cervix with radio waves is carried out on a gynecological chair. Before the manipulations, the specialist inserts a gynecological speculum into the vagina, treats the mucous membrane with disinfectants, and then injects an analgesic drug.

Then the radio wave knife is directed to the pathological focus without physically touching it. This is how the removal of a cervical polyp is carried out using the radio wave method; other variants of the procedure are carried out according to the same scheme.

The action of radio waves causes heating and destruction of damaged cells. Radio wave therapy of the cervix allows you to get rid of the affected tissue and coagulate the remaining tissue of the lesion to prevent bleeding and ensure rapid regeneration. There are no scars or cicatricial lesions left at the site of the waves, which makes it possible to use the technique for nulliparous women.

During manipulation, the radio wave knife does not heat up. Its use allows you to make incisions with different depths, which do not require subsequent sutures. During the procedure, the possibility of simultaneous removal of several pathological foci is not excluded.

Advantages

RVC of the cervix is a promising method for correcting various gynecological pathologies and has the following advantages:

non-contact;
minimizing pain;
no bleeding after surgery;
minimizing damage to healthy tissue located in the immediate area
proximity to the pathological focus;
the ability to smooth out existing scar changes and normalize local immunity;
absence of scars and cicatricial damage after the procedure;
no need to take antibiotics after manipulation due to the antiseptic effect of radio waves;
a single procedure allows you to achieve the desired therapeutic effect;
the possibility of destruction of several pathological foci;
short intervention time;
quick recovery after the procedure;
minimizing the risk of recurrence of pathology;
the opportunity to obtain samples of pathological tissues for subsequent
histological examination;
no need for hospitalization for the procedure.

The disadvantages of RVT of the cervix include the high cost of the procedures and their use not in all healthcare institutions.

The price for cauterizing cervical erosion with radio waves starts from 5,000 rubles.

Preparation

Before radio wave treatment of cervical pathologies, the following manipulations and examinations are necessary:

gynecological examination;
microflora smear;
bacteriological culture of mucus from the cervical canal;
blood test for tumor markers and infections (syphilis, hepatitis B and C, HIV);
blood test for hCG to exclude pregnancy;
tissue biopsy of the pathological focus if necessary.

If diseases requiring immediate treatment are identified, a full therapeutic course is carried out before the ablation procedure.

Before radio wave coagulation, 10 days of sexual abstinence are required. Doctors also prescribe ascorutin to patients one tablet three times a day three days before the intervention.

Contraindications

The list of conditions and diseases for which radio wave therapy is contraindicated includes:

pregnancy;
bleeding disorders;
diabetes;
installed intrauterine device;
presence of a pacemaker;
increased body temperature above 37 degrees;
uterine bleeding;
period of menstrual bleeding;
extensive area of the pathological focus;
oncopathology;
inflammatory diseases of the reproductive and excretory systems;
acute phase of chronic pathologies;
mental disorders.

The procedure can be prescribed only in the absence of the above conditions and diseases.

Rehabilitation

The postoperative period requires compliance with the therapy prescribed by the attending physician. A follow-up examination to assess how the cervix is healing is carried out two weeks after the intervention. If necessary, certain medications are prescribed. For example, when correcting papillomas, a specialist prescribes antiviral drugs.

Refusal of active sex life.
Limiting physical activity.
Daily hygiene procedures.
Exclusion of visiting swimming pools, saunas, baths, swimming in open water, and taking baths.
Avoid using tampons and douching.

The patient should be informed that for several days (up to 14) after radio wave treatment, watery or bloody discharge is possible. They go away on their own and do not require any correction measures. Mild pain in the lower abdomen cannot be ruled out.

Complete healing takes from one to one and a half months. During this period, you must regularly visit your doctor. If after the procedure there are sharp pains, heavy discharge, or a rise in temperature, then an immediate emergency visit to a specialist is required, who, depending on the clinical situation, will prescribe analgesic and antipyretic medications.

Thus, radio wave therapy is a modern, gentle method for correcting a wide range of gynecological pathologies. Judging by the reviews of doctors and patients themselves, radiocoagulation makes it possible to eliminate the source of the disease in a short time and prevent serious complications.

Cervical erosion is considered the most common gynecological disease, characterized by an ulcerative disruption of the integrity of the mucous membrane of the cervix located in the vagina. There are congenital, true and pseudo-erosion (ectopia). It is ectopia that occurs at the site of true erosion in the event of improper healing that doctors most often diagnose.

The causes of erosion can be different:

infectious and inflammatory diseases of the vagina;
hormonal imbalance;
weakened immunity;
early onset of sexual activity;
frequent change of sexual partners;
injury to the cervix during childbirth, surgery, etc.

Despite the fact that cervical erosion is a benign process, there is always a possibility of occurrence in advanced cases. Do not forget that this disease can be asymptomatic and women may not know about its existence until visiting a gynecologist. That is why doctors recommend visiting them regularly and, in cases of erosion, carrying out comprehensive treatment.

Currently, treatment of cervical erosion can be carried out using liquid nitrogen (cryodestruction), laser (laser coagulation), electrical discharges (diathermocoagulation), chemicals and radio waves.

The most effective and least traumatic method of treating this disease, which is increasingly popular, is radio wave destruction.

Description of the method of radio wave treatment of cervical erosion

The main instrument for the procedure is the modern Surgitron device, made in the USA, which generates high-frequency radio waves from 3.8 to 4 MHz, under the influence of which tissue incision and coagulation occurs. The device itself resembles a pen with a metal tip (the so-called radio wave knife) and is a very thin electrode that is connected to a source of radio waves.

The procedure is usually carried out from the 5th to the 10th day of the menstrual cycle, since it is during this period that the body produces a large amount of estrogen, which promotes rapid tissue healing. In the case of a small area of affected tissue, complete healing of the wound occurs by the beginning of the next menstrual cycle. The procedure itself takes on average no more than 15 minutes (depending on the size of the damaged tissue) and does not require further hospitalization.

The woman sits in a gynecological chair. Before starting cauterization, the doctor inserts vaginal speculum, treats the cervix with a special disinfectant solution and administers an anesthetic. Only after this the doctor directs the radio wave knife to the damaged tissues without touching them.

Under the influence of radio waves, damaged cells heat up until they completely evaporate. In this way, not only the excision of damaged cells occurs, which are subsequently sent for histological analysis, but also thermal coagulation of the tissue: a thin film is formed that prevents bleeding and ensures rapid healing. No scars or cicatrices are formed at the cauterization site, making it possible to treat erosion even in nulliparous women. The radio wave knife does not heat up throughout the entire procedure. With its help, the doctor can make incisions of different depths without suturing. It is possible to remove many other formations at the same time.

Advantages and disadvantages of radio wave treatment

Radio wave treatment is a modern and promising method of treating many gynecological diseases, including cervical erosion, which has a huge number of advantages:

non-contact method, all manipulations are carried out using high-frequency waves;
complete absence of blood and minimal pain;
minimal or complete absence of destruction of underlying intact tissues;
smoothing existing scars on the cervix and restoring local immunity;
the absence of postoperative scars and scars, which makes it possible to carry out this procedure for nulliparous women;
the antiseptic effect of radio waves, which completely eliminates further infection and allows you to refuse to take special antimicrobial drugs;
To obtain the desired positive effect, only one procedure is necessary;
easy and doctor-controlled tissue dissection under the influence of radio waves;
the possibility of simultaneous excision of pathological tissues in different places;
The duration of the procedure takes several minutes;
rapid healing of tissues, with complete preservation of the structure of the cervical muscles;
minimal, close to zero, risks of re-development of the disease;
the possibility of obtaining samples for histological analysis;
the possibility of carrying out the procedure in a clinic with or without local anesthesia.

There are significantly fewer disadvantages of the rvx treatment method and these include:

high cost of treatment (price in different medical institutions varies depending on the size of the lesion from 3 to 10 thousand rubles, excluding the price of preliminary tests and medications needed in the postoperative period);
not used in all medical institutions (this is due to the high cost of special equipment).

Radio wave treatment of cervical erosion is the latest, high-tech, safe technology for treating the disease with a low probability of possible complications and minimal tissue trauma.

Preparatory stage

Before you begin treating erosion with RVH, it is necessary to carry out several additional examinations:

examination on a chair;
smear for the presence of viral or infectious diseases;
bacteriological culture;
blood test for syphilis, HIV, hepatitis B, C, SCC tumor marker;
blood test for hCG to exclude possible pregnancy;
biopsy (according to doctor's indications);
colposcopy.

If gynecological diseases are detected, in order to prevent further postoperative complications, it is necessary to undergo a full course of treatment. Also, if you have problems with the immune system, it is necessary to undergo complex treatment that improves immunity.

sexual abstinence 10 days before the procedure;
take one tablet of Ascorutin three times a day three days before the procedure.

Despite the fact that the procedure is considered quite simple and quick, you must take your health seriously and carefully follow the necessary requirements to obtain the best possible result.

Contraindications

In order for the operation to be successful, without complications, it is necessary to take into account all contraindications to radio wave destruction of the cervix, which include:

pregnancy at any stage;
low blood clotting;
diabetes;
the presence of an intrauterine device and a pacemaker;
body temperature more than 37°C;
mental illness;
any uterine bleeding;
menstruation period;
a large area of damaged tissue located at the border of the vaginal vault and the cervix;
oncological diseases;
inflammatory diseases of the genitourinary system;
exacerbation of chronic diseases.

It is important to know that during lactation this procedure can be performed due to the fact that radio waves do not in any way affect the quality of breast milk. Also, the presence of papilloma virus in a woman’s body is not a contraindication.

Only in the absence of all contraindications can cauterization of erosion be performed with radio waves.

After the procedure, the attending physician draws up an individual plan for further therapy, including examinations (the first examination 2 weeks after the procedure) and examinations necessary to obtain the final results of the treatment. If a woman has a papilloma virus, it is necessary to carry out additional treatment, including removal of papillomas and taking antiviral drugs. If a woman is healthy (there are no sexually transmitted infections), then the need for taking antibiotics or hormonal drugs is completely eliminated. Doctors recommend that during the first 4 weeks after radio wave treatment of erosion:

refuse any sexual contacts;
limit any physical activity (lifting heavy objects, any sports activities);
take responsibility for daily genital hygiene to prevent infection;
exclude visiting saunas, swimming pools, baths, swimming in the sea or other bodies of water, taking baths;
do not use tampons (replace them with panty liners);
refuse to douche (rinse with a gynecological syringe) of the vagina;

The first few days (up to two weeks) after cauterization of erosion with radio waves, small watery or watery lesions are possible that go away on their own. There may also be minor pain in the lower abdomen that does not require additional treatment. The period of complete tissue healing is approximately 4 - 6 weeks. Throughout this time, the woman must be observed by her doctor. If sharp pain, heavy discharge or fever occurs, you should immediately seek help from a specialist. You may need to take additional painkillers and antipyretics (Ibuprofen or Acetaminophen).

Video: Radio wave treatment of the cervix

The speed and success of healing very much depends on the woman herself, on how much she adheres to the doctor’s recommendations.

Treatment of cervical erosion is mandatory; in no case should you resort to self-medication. The use of folk remedies not only does not eliminate the disease, but also due to a long absence of medical intervention, erosion can reach larger sizes.

It is known that the mucus produced by the cervix contains immunoglobulins, which protect the body from various types of infections. This mucus forms a mucus plug, which prevents bacteria and viruses from entering the uterine cavity. In turn, erosion that occurs on the cervix is a source of infectious and inflammatory processes, thereby negatively affecting the antimicrobial properties of mucus: it reduces its effectiveness. In addition, any attempts to treat other gynecological inflammatory diseases may not yield any results.

The presence of cervical erosion also negatively affects the process of childbirth: the cervix dilates poorly and ruptures easily. It is quite difficult to sew up a defective torn cervix. An unsuccessfully sutured cervix does not perform its protective function well, allowing bacteria into the uterine cavity, and in the event of pregnancy, it is unable to hold the fetus.

That is why doctors recommend taking care of your health, not allowing diseases to develop, and seeking help in a timely manner. Cervical erosion detected and treated in time will not cause any problems in the future. Moreover, now doctors have an effective method for treating cervical erosion with radio waves, which allows treatment to be carried out quickly and without possible complications. Radio wave destruction of the cervix is suitable even for nulliparous women, since thanks to radio waves, damaged cells are carefully removed, scars do not appear after cauterization, and possible problems associated with cervical disease in future pregnancy and childbirth are eliminated.