Prevalence and Risk Factors of Cesarean Scar Defect | ||||
| Al-Azhar International Medical Journal | ||||
| Volume 2025, Issue 1, January 2025 | ||||
| DOI: 10.58675/2682-339X.2843 | ||||
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| Authors | ||||
| Nadia Gazar; Doaa Saleh; Aya Abd El-Salam | ||||
| Obstetrics and Gynecology, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt | ||||
| Abstract | ||||
| Background: Delivery by Cesarean Section (CS) is indicated for several fetal and maternal reasons and can be a life-saving surgery. The rates of delivery by CS have been rising in the last years worldwide, particularly in developing countries. Aim: This study aimed to examine the frequency and risk factors of cesarean scar defect in the Al Zahraa Hospital outpatient clinic at Al-Azhar University. Patients and methods: This observational research was performed on 300 women with previous CS attending the outpatient clinic at Al Zahra University Hospital Faculty of Medicine for Girls Al Azhar University from November 2021 till November 2022. Results: The prevalence of bleeding after menses was 20.4%, and no bleeding after menses was 79.6%. The prevalence of regular menses was 73.0%, and irregular menses was 27.0% of the studied cases. The main symptoms of the niche were dysmenorrhea 59.1%, dyspareunia reported in 27.7 pelvic pain reported in 19% of cases. Conclusion: We concluded that pain, infertility, or less common complications like abscess, fistula, or cesarean scar ectopic pregnancy are among the unusual occurrences that patients may experience after a CSD. Postmenstrual spotting, or AUB, is the most common symptom. Surgical approaches to symptomatic CSDs can vary from hysteroscopic to laparoscopic to vaginal, with the choice ultimately falling on the surgeon's comfort level, skill set, as well as clinical findings. | ||||
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