Measuring the effectiveness of hysteroscopic resection of symptomatic cesarean scar defects and its effect on quality of life
Mohammed, T., mohammed, O., Ibrahim, Z., Kishk, E., Gadallah, A. (2023). Measuring the effectiveness of hysteroscopic resection of symptomatic cesarean scar defects and its effect on quality of life. EKB Journal Management System, 27(2), 65-72. doi: 10.21608/egyfs.2023.297463
Tamer Y. Mohammed; omnia orabi mohammed; Zakia M. Ibrahim; Eman A. Kishk; Ahmed M. Gadallah. "Measuring the effectiveness of hysteroscopic resection of symptomatic cesarean scar defects and its effect on quality of life". EKB Journal Management System, 27, 2, 2023, 65-72. doi: 10.21608/egyfs.2023.297463
Mohammed, T., mohammed, O., Ibrahim, Z., Kishk, E., Gadallah, A. (2023). 'Measuring the effectiveness of hysteroscopic resection of symptomatic cesarean scar defects and its effect on quality of life', EKB Journal Management System, 27(2), pp. 65-72. doi: 10.21608/egyfs.2023.297463
Mohammed, T., mohammed, O., Ibrahim, Z., Kishk, E., Gadallah, A. Measuring the effectiveness of hysteroscopic resection of symptomatic cesarean scar defects and its effect on quality of life. EKB Journal Management System, 2023; 27(2): 65-72. doi: 10.21608/egyfs.2023.297463

Measuring the effectiveness of hysteroscopic resection of symptomatic cesarean scar defects and its effect on quality of life

The Egyptian Journal of Fertility of Sterility
Article 10, Volume 27, Issue 2 - Serial Number 11106352, March 2023, Page 65-72  XML PDF (3.29 MB)
DOI: 10.21608/egyfs.2023.297463
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Authors
Tamer Y. Mohammed1; omnia orabi mohammed email 2; Zakia M. Ibrahim3; Eman A. Kishk3; Ahmed M. Gadallah4
1Assistant Professor of Obstetrics and Gynecology, Department of Obstetrics and Gynecology, Faculty of Medicine, Suez Canal University. Ismailia, Egypt.
2obstetrics and gynecology, faculty of medicine, suez canal university, ismailia, Egypt
3Professor of Obstetrics and Gynecology, Department of Obstetrics and Gynecology, Faculty of Medicine, Suez Canal University
4Lecturer of Obstetrics and Gynecology, Department of Obstetrics and Gynecology, Faculty of Medicine, Suez Canal University.
Abstract
Background: Cesarean section (CS) delivery increased to represent more than one third of all deliveries. CS related complications include CS scar defects that result in abnormal uterine bleeding which affect female sexual function and women’s quality of life.
Aim: To evaluate the effectiveness of hysteroscopic resection of cesarean scar defects in symptomatic women.
Materials and methods: A randomized clinical trial conducted in the obstetrics and gynecology department of a tertiary hospital. Patients were recruited according to inclusion and exclusion criteria. 70 Patients were allocated into two groups: a study group who had hysteroscopic resection of the scar defect and a control group who were managed ex- pectantly. Patients were assessed for postmenstrual spotting amount and duration. Evaluation of spotting related discom- fort and dysmenorrhea was done using a visual analogue scale. Quality of life was evaluated using the Arabic vali- dated SF 36 quality of life questionnaire. Patient satisfaction was measured using a five- point Likert scale.
Results: There was a statistically significant difference between both groups regarding the total number of spotting days post-procedure. The visual analogue scale decreased from 8.37 ± 1.57 and 2.69 ± 1.57 to 3.31 ± 1.76 and 1.43 ± 1.01 for discomfort and dysmenorrhea respectively in the study group. The study group showed significantly increased scores of each component of the quality-of-life questionnaire. Patients’ satisfaction was significantly increased in the study group than the control one. The overall satisfaction rate was 74.28%.
Conclusion: Hysteroscopic niche resection resulted in improved patients’ symptoms and quality of life.
Keywords
niche; resection; postmenstrual bleeding; hysteroscopy
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