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When and how should we treat cesarean scar defect — isthmocoele?
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Abstract
The reported number of cesarean sections in Poland is approximately 30% and is associated with increasing number of early and late complications. The myometrial discontinuity at the site of previous cesarean section is known in the literature as “isthmocoele”, “niche”, “pouch” or cesarean scar defect. In most cases presence of isthmocoele has no clinical significance, but in some patients it may cause abnormal uterine bleeding, dysmenorrhea, dyspareunia, pelvic pain or be associated with secondary infertility. This defect may be treated by laparoscopy, hysteroscopy or vaginal surgery.
Abstract
The reported number of cesarean sections in Poland is approximately 30% and is associated with increasing number of early and late complications. The myometrial discontinuity at the site of previous cesarean section is known in the literature as “isthmocoele”, “niche”, “pouch” or cesarean scar defect. In most cases presence of isthmocoele has no clinical significance, but in some patients it may cause abnormal uterine bleeding, dysmenorrhea, dyspareunia, pelvic pain or be associated with secondary infertility. This defect may be treated by laparoscopy, hysteroscopy or vaginal surgery.
Keywords
cesarean scar defect, isthmocoele, niche, pouch, cesarean section
About this articleTitle
When and how should we treat cesarean scar defect — isthmocoele?
Journal
Issue
Article type
Review paper
Pages
664-668
Published online
2016-09-30
Page views
3313
Article views/downloads
13665
DOI
Pubmed
Bibliographic record
Ginekol Pol 2016;87(9):664-668.
Keywords
cesarean scar defect
isthmocoele
niche
pouch
cesarean section
Authors
Konrad Futyma
Krzysztof Gałczyński
Katarzyna Romanek
Aleksandra Filipczak
Tomasz Rechberger
