Incidence of abnormal uterine bleeding with uterine scar defect after cesarean section (uterine niche) (Isthmocele)
Abd El-Samie, A., El Baradie, S., Mojahed, E., Gad, O. (2023). Incidence of abnormal uterine bleeding with uterine scar defect after cesarean section (uterine niche) (Isthmocele). EKB Journal Management System, 11(1), 1-10. doi: 10.21608/fumj.2023.278456
Abd El-Samie A. Abd El-Samie; Sahar M. Y. El Baradie; Eman M. Mojahed; Omayma R. Gad. "Incidence of abnormal uterine bleeding with uterine scar defect after cesarean section (uterine niche) (Isthmocele)". EKB Journal Management System, 11, 1, 2023, 1-10. doi: 10.21608/fumj.2023.278456
Abd El-Samie, A., El Baradie, S., Mojahed, E., Gad, O. (2023). 'Incidence of abnormal uterine bleeding with uterine scar defect after cesarean section (uterine niche) (Isthmocele)', EKB Journal Management System, 11(1), pp. 1-10. doi: 10.21608/fumj.2023.278456
Abd El-Samie, A., El Baradie, S., Mojahed, E., Gad, O. Incidence of abnormal uterine bleeding with uterine scar defect after cesarean section (uterine niche) (Isthmocele). EKB Journal Management System, 2023; 11(1): 1-10. doi: 10.21608/fumj.2023.278456

Incidence of abnormal uterine bleeding with uterine scar defect after cesarean section (uterine niche) (Isthmocele)

Fayoum University Medical Journal
Volume 11, Issue 1, January 2023, Page 1-10  XML PDF (357.42 K)
Document Type: Full Length research Papers
DOI: 10.21608/fumj.2023.278456
View on SCiNiTO View on SCiNiTO
Authors
Abd El-Samie A. Abd El-Samie1; Sahar M. Y. El Baradie2; Eman M. Mojahed3; Omayma R. Gad email 4
1Obstetrics and Gynaecology department Fayoum university
2Obstetrics and Gynaecology department fayoum university
3Obstetrics and Gynaecology departemt fayoum university
4Obstetrics and gynecology department, faculty of medicine, Fayoum university
Abstract
Introduction: Niche is a long-term complication of Cesarean section (CS), which has sparked growing
interest worldwide. Clinical signs are not always present in patients with a niche in their Cesarean scar.
Aim of the study: The study aimed to evaluate the prevalence of uterine niche after CS in women with
abnormal uterine bleeding.
Subjects and Methods: The study included nonpregnant women at the reproductive age (20:38 years) who
had a CS more than six months ago, between February 2021 to February 2022, and were applied to the
gynecology clinic for abnormal uterine bleeding. Transvaginal Ultrasound (TVS) was used to measure the
standard scar parameters: residual myometrial thickness (RMT) and the depth and width of the hypoechoic
niche.
Results: CS niche was observed by TVS in 23% of women. Postmenstrual spotting was the most common
clinical pattern of bleeding found in women with observed niches.
Conclusions: There may be a correlation between CS niche and unexplained abnormal uterine bleeding,
especially postmenstrual spotting
Keywords
Isthmocele; niche; Cesarean section
Statistics
Article View: 177
PDF Download: 510