Hysteroscopic treatment of cesarean scar defect

Arch Gynecol Obstet. 2020 Nov;302(5):1215-1220. doi: 10.1007/s00404-020-05739-4. Epub 2020 Aug 14.

Abstract

Objective: To investigate the effect of hysteroscopic surgery on the outcomes of obstetrics and gynecology among patients with cesarean section diverticulum.

Methods: Ninety-nine infertile patients with cesarean section diverticulum received hysteroscopic treatment and were retrospectively analyzed. Patients were followed for 1 year.

Results: The study included ninety-nine symptomatic patients with cesarean section diverticulum. After surgery, the menstrual periods of patients were improved from 11.15 ± 4.44 to 7.69 ± 2.85 days. Forty-seven (47/99) women became pregnant after surgery. The number of patients who became pregnant with an anteflexion uterus after hysteroscopic surgery is 32 (32/57), and the number of women who became pregnant with a retroflexion uterus is 15 (15/42).

Conclusion: Hysteroscopic surgery could improve the PCSD-associated prolonged menstrual bleeding, and satisfactory obstetrical outcomes could be achieved by the surgery treatment in women with cesarean defect.

Keywords: Cesarean scar diverticulum; Hysteroscopic surgery; Obstetrics outcomes; Prolonged menstrual bleeding.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Cesarean Section / adverse effects*
  • Cicatrix / etiology*
  • Cicatrix / pathology
  • Cicatrix / surgery*
  • Diverticulum / surgery*
  • Female
  • Humans
  • Hysteroscopy / adverse effects
  • Hysteroscopy / methods*
  • Infertility, Female / etiology
  • Infertility, Female / surgery
  • Pregnancy
  • Retrospective Studies
  • Treatment Outcome
  • Uterine Hemorrhage / etiology
  • Uterine Hemorrhage / surgery*