Up to 70% of women who have had a previous caesarean section experience uterine niche, with 30% having symptoms. Prevalence rates vary between 24-70% using transvaginal ultrasonography and 56-84% using gel/saline instillation sonohysterography. Classification involves the ratio of myometrial thickness at the scar to adjacent myometrium, with severe deficiency defined by a ratio of ≤50%. Dehiscence is defined as at least 80% myometrial thinning. The aim of this work was to compare between the effectiveness of two different techniques of hysteroscopic ablation of cesarean scar defect and hormonal treatment to improve abnormal uterine bleeding and pelvic pain localized in the suprapubic area associated with isthmocele.
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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
presence or absence of intermenstrual spotting,
Timeframe: 6 months
presence or absence of postcoital bleeding
Timeframe: 6 months
presence or absence of pelvic tenderness or dyspareunia
Timeframe: 6 months