Uterine isthmocele : diagnostic methods and treatments

Authors

  • Tariq khaddour Tishreen University
  • Ahmad hasan youssef Tishreen University
  • Louai ibrahem hasan Tishreen University

Abstract

The  uterine isthmocele is a myometrial defect resembling a pouch on the anterior wall of the uterine isthmus over a previous cesarean scar  . in general  Most of the isthmoceles are asymptomatc  but There are an increase in consequences and symptoms  related to this defect  like menorrhagia, abnormal uterine bleeding (AUB), pelvic pain, dysmenorrhea, cesarean scar pregnancy and secondary infertility . Therefore, it is so important to establish an appropriate methods for diagnose and management of  the uterine  niche . Cesarean scar defect can be diagnosed  with  two- or three-dimensional transvaginal ultrasonography, as well as two- and  three-dimensional  nohysterography , hysterosalpingography, hysteroscopy or magnetic resonance imaging. Treatment should be offered according to the presence of symptoms, secondary infertility, defect size, and plans for childbearing.The defect can be minimally invasively repaired with sparing techniques by hysteroscopy for small defects, and by vaginal approach, laparoscopy, and combined laparoscopy and hysteroscopy for larger defects . The aim of this study is to analyze and describe the Diagnostic methods and treatments  of cesarean section niche.

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Published

2023-07-18

How to Cite

1.
خضور ط, أحمد حسن يوسف, لؤي إبراهيم حسن. Uterine isthmocele : diagnostic methods and treatments. Tuj-hlth [Internet]. 2023Jul.18 [cited 2024Apr.28];45(3):133-4. Available from: https://journal.tishreen.edu.sy/index.php/hlthscnc/article/view/15020

Issue

Vol. 45 No. 3 (2023): Tishreen University Journal for Research and Scientific Studies - Health Sciences Series

Section

Articles

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