Long-Term Risks of C-Section Scar Dehiscence

The incision from a cesarean section has reopened years later?

Hello Dr.
Tsao,
After my menstrual period ended in July, I experienced continuous light bleeding.
Two weeks later, I visited a doctor who said that the incision from my previous cesarean sections had reopened (I had two cesarean deliveries four years apart).
However, I haven't had any trauma or injury, and my youngest child is already 13 years old, so how could the incision reopen? I would like to ask, is it possible for a cesarean incision to reopen many years later? The doctor prescribed me two medications, which I took before and after the surgery, but these medications don't seem related to the reopening of the incision, right? (Esomeprazole 0.625 mg and Provera 5 mg).
My understanding is that electrocautery should stop the bleeding immediately, but it took me three weeks to stop.
Additionally, the doctor mentioned that I have a 2 cm fibroid located near the bladder, and he said it cannot be treated.
Is it okay to leave it untreated? Each of these questions reflects my concerns, and I want to understand my health and the management options.
However, my doctor has many patients and often moves between three examination rooms, frequently leaving me with just a few words before attending to another patient, or he answers phone calls during consultations.
Therefore, I have many questions that I cannot get answered from him, so I am seeking your help, Dr.
Tsao.
Thank you very much!

Lily, 40~49 year old female. Ask Date: 2016/10/22

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, I apologize for being unable to diagnose based on the described symptoms.
The likelihood of a cesarean section scar opening years later is quite low.
A 2 cm fibroid should be monitored without intervention.
If discomfort persists, I recommend consulting a gynecologist for further evaluation.
Wishing you good health.

Reply Date: 2016/10/22

More Info

Dear Patient,
Thank you for reaching out with your concerns regarding the long-term risks associated with C-section scar dehiscence and your current health situation. It’s understandable to have questions, especially when it comes to your body and any potential complications from past surgeries.

Firstly, it is indeed possible for a C-section scar to experience complications, even many years after the surgery. Scar tissue can change over time due to various factors, including hormonal changes, physical activity, and even the natural aging process of the tissue. In some cases, the scar may weaken, leading to dehiscence, which is the reopening of the surgical wound. This can happen without any direct trauma or injury, particularly if there are underlying issues such as infection, excessive strain on the abdominal wall, or other medical conditions that affect healing.

Regarding the medications prescribed to you, it’s important to clarify their purpose. The medications you mentioned, such as the hormonal treatment (likely a form of estrogen) and possibly an anti-inflammatory or pain management medication, may not directly relate to the scar healing but could be aimed at managing symptoms or addressing other gynecological issues. Hormonal treatments can sometimes help with uterine health, especially if there are concerns about fibroids or other conditions.

As for the 2 cm fibroid located near your bladder, it’s common for fibroids to be monitored rather than immediately treated, especially if they are not causing significant symptoms. The decision to treat a fibroid often depends on its size, location, and the symptoms it may be causing. If the fibroid is not affecting your bladder function or causing heavy bleeding, your doctor may recommend a watchful waiting approach. However, if you experience increased symptoms, such as pain or changes in urination, further evaluation and potential treatment options may be necessary.

It’s also worth noting that the presence of a fibroid does not inherently mean that you will experience complications related to your C-section scar. However, if you have concerns about the fibroid or any other symptoms, it’s crucial to communicate these with your healthcare provider. If you feel that your current doctor is not providing the attention or answers you need, consider seeking a second opinion or asking for a referral to a specialist, such as a gynecologist who focuses on high-risk pregnancies or reproductive health.

In summary, while long-term risks of C-section scar dehiscence exist, they are not common, and many factors can influence healing and scar integrity. Your symptoms warrant further investigation, and it’s essential to have open communication with your healthcare provider about your concerns. If you feel that your questions are not being adequately addressed, don’t hesitate to seek additional medical advice.

Take care of yourself, and I hope you find the answers and reassurance you need regarding your health.

Best regards.

Similar Q&A

Understanding C-Section Risks for Keloid-Prone Patients: What to Know

Hello: I have decided to undergo a cesarean section, but I have a predisposition to keloids. I have a keloid scar on my chest that is approximately 6 cm long, 3 cm wide, and 0.3 cm thick. I have previously treated it with cryotherapy and steroid injections, which had good initial...

Dr. Zhan Deqin reply Obstetrics and Gynecology
1. If you have this type of constitution, there is a possibility of developing keloids after a cesarean section. Applying silicone sheets immediately after surgery and using them for more than six months may help improve the condition. 2. Natural vaginal delivery can also lead ...

Effective Remedies for Postpartum Scar Treatment After C-Section

Hello, I had a cesarean section, but I neglected to care for the incision after delivery, resulting in a long, dark, and raised scar on my lower abdomen. What can I do to remedy this and make the scar lighter and flatter?

Dr. Zheng Lizhen reply Dermatology
Based on your description, your issue may be keloids. The formation of keloids is related to individual constitution and occurs when there is an improper regulation of wound healing, leading to the development of this thickened scar tissue. Treatment for keloids includes intrales...

Understanding Scar Tissue and Its Impact on Sexual Activity After Childbirth

About eight years ago, during a pregnancy check-up at a few weeks gestation, there was no heartbeat detected, and a dilation and curettage (D&C) was performed. Five years ago, the pregnancy proceeded smoothly, and she gave birth. During the prenatal check-ups, the doctor ment...

Dr. Huang Jianzhong reply Obstetrics and Gynecology
About eight years ago, during a pregnancy check-up at a few weeks gestation, there was no heartbeat detected, and a dilation and curettage (D&C) procedure was performed. Five years ago, the pregnancy proceeded smoothly, and during the prenatal check-ups, the doctor mentioned ...

Understanding C-Section Wound Care: Concerns and Best Practices

Hello, doctor. I would like to ask about my situation. I am a mother who had a cesarean section. For the first two months, I diligently used 3M surgical tape, but later I noticed a little bleeding from the wound. The doctor advised me not to use iodine and just to keep it clean. ...

Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, based on your description, it is possible that scar formation may occur. Typically, this can happen within 8 months post-surgery and is related to individual physiology or the tension on the wound. You may continue to use silicone gel or other scar treatment products. Than...