Exploring Threads in Gynecology for Non-Invasive Surgeries

Threads in gynecology are absorbable or non-absorbable seams that serve various medical and aesthetic purposes without the need for traditional surgeries. In gynecology, threads are used for vaginal rejuvenation, pelvic organ support, urinary incontinence, cosmetic gynecology, post-delivery and post-traumatic care, and vaginal revirgination. 

What are Threads in Gynecology? 

Threads in gynecology are absorbable or non-absorbable sutures, often made of materials like polydioxanone or poly-L-lactic acid, which are used for various medical and aesthetic purposes and serve as an alternative to traditional surgical procedures. 

These specialized threads are inserted into the skin or tissues to achieve certain outcomes without the need for surgical interventions. 

Types of Threads Used in Gynecology 

In gynecology, there are several types of threads used to achieve specific medical and aesthetic results. The nine different types of threads found in gynecology are as follows: 

1. Gynecological Threads: Gynecological threads are more often used to correct a wide opening of the vagina. These threads are placed on a “cross” and help reduce the defects that arise due to the lack of vaginal elasticity.
   
2. Cog Threads: Cog threads are uni-directional barbed threads [follow one direction] and are commonly used during obstetrical and gynecological procedures like myomectomy, hysterectomy, and sacrocolpopexy. 
   
3. Polydioxanone [PDO] Threads: PDO threads are absorbable threads made from a synthetic polymer called polydioxanone. These threads are primarily used for vaginal rejuvenation to address skin laxity around the area. 
   
4. Poly-L-Lactic Acid [PLLA] Threads: PLLA threads are absorbable and boost collagen growth in the treated area. Typically, PLLA threads are used for skin tightening and volumizing. 
   
5. Polyglycolic Acid [PGA] Threads: PGA threads are braided, synthetic, and absorbable threads made from glycolic acid. These threads have been used throughout the years across several medical fields, including gynecology, and are a popular option due to their strength and biocompatibility. 
   
6. Barbed Threads: Barbed threads have tiny barbs across their length which allows them to firmly grip and lift tissues. These threads are commonly used to lift sagging skin or tissues, particularly in transvaginal prolapse repair. 
   
7. Braided Threads: Braided threads have several strands woven together; therefore, they are commonly used in procedures where additional support is required. 
   
8. Monofilament Threads: Monofilament threads are smooth, single-stranded threads that are used for fine adjustments in gynecological procedures. 
   
9. Absorbable and Non-Absorbable Threads: Finally, there are several threads that are absorbable and non-absorbable to the body. The choice of such threads is based on the procedure and desired effect. 

The choice of threads depends upon the patient’s conditions, specific procedure, and the desired outcome. It’s crucial to find a licensed gynecologist who can choose the right option and has the skills to perform the procedure safely and effectively. 

Application of Threads in Gynecology 

As discussed earlier, threads are used across several procedures in gynecology as an alternative to surgical methods. Some of its applications are as follows: 

1. Vaginal Rejuvenation: Threads can be used to treat specific concerns like vaginal laxity and loss of elasticity. Threads help tighten and rejuvenate the vaginal tissues. 
   
2. Pelvic Organ Support: Threads, especially barbed or cog threads, can be used to provide additional support to the pelvic organs in case of a prolapse. Using threads can restore the normal anatomy and function of the organs. 
   
3. Urinary Incontinence Treatment: In the case of urinary incontinence, threads can be used to provide support to the structures around the urethra and bladder neck. 
   
4. Cosmetic Gynecology: Threads are also commonly used for aesthetic purposes, like labiaplasty and vulvar rejuvenation. They can help improve the appearance and function of the genital area. 
   
5. Post-Delivery and Post-Traumatic Relief: In some cases, after childbirth, threads can be used to alleviate symptoms like tissue elasticity and discomfort. 
   
6.  Vaginal Revirgination: PDO threads may be used for vaginal revirgination to treat tissue flaccidity or softness around the genital area that is caused by weight loss or aging.  
   
7. Boost Collagen Production: Certain threads like PLLA stimulate collagen production which helps improve tissue quality and firmness in the affected area. 
   
8. Minimally Invasive Gynecological Surgeries: Threads with bards or cogs are used to treat specific gynecological concerns like myomectomy, hysterectomy, and sacrocolpopexy. Using threads offers the patients a minimally invasive procedure as compared to traditional surgeries. 

Considerations and Safety of Using Threads in Gynecology 

Some of the essential factors to consider prior to undergoing a thread procedure: 

1. Importance of Professional Training and Certification: If you plan to undergo a thread procedure, it’s crucial you choose a qualified practitioner. Choose trained and certified doctors who have specific training using the threads. 
   
2. Adherence to Regulatory Guidelines: Ensure you choose a facility that follows all the regulatory guidelines and standards. 
   
3. Patient Selection Criteria: As with all surgeries, it’s important to conduct a detailed analysis of the patient’s medical history, including any previous surgeries, existing health conditions, and medications. It’s essential your doctor understands every aspect of your health to ensure the safety of the thread procedure. 
   
4. Informed Consent: It’s important your doctor walks you through the procedure, explaining the potential risks and outcomes. It’s also necessary that they educate you on the right post-operative care to better the results and minimize complications. 

Potential Risks and Complications 

Here are some of the potential risks or complications associated with a threads procedure: 

1. Infection: In some cases, threads can introduce the risk of infection. Ensure you follow the right post-operative care to minimize the chance of infection and contact your doctor immediately if any worrying signs occur. 
   
2. Bruising and Swelling: After a threads procedure, it’s common to experience some bruising and swelling around the treated area. This is only temporary and should be resolved shortly. 
   
3. Migration of Threads: If the threads aren’t adequately secured, it can lead to unintended movement or migration, which can cause asymmetry and other complications. 

 It’s important you understand the potential risks and consider the essential factors before undergoing the procedure. Always choose a qualified gynecologist who can help you find the best course of action and has valid experience using the threads.  

 Get Help with Dr. Mozhgan 

Without a doubt, the usage of threads in gynecology brings tremendous benefits with minimal procedure and downtime. However, it’s essential to choose a qualified professional to perform the procedure. If you’re looking for the best gynecologist in Dubai to undergo a threads procedure, consider Dr. Mozhgan. Dr. Mozhgan is one of the best gynecologists in Dubai with over 25 years experience in the UAE. With her consultation, you’re guaranteed a smooth and easy procedure. 

Book an appointment today & take control of your health!