Prevalence of Cesarean Scar Niche after Single Cesarean Section and Its Association with Possible Related Symptoms

Abstract

Cesarean section delivery is becoming more frequent. The progressive increase in the incidence of cesarean birth has been a notable feature of contemporary obstetric practice and cesarean delivery is now the most frequent major surgical procedure performed in obstetrics and gynaecology (Martin et al., 2002). The surgical techniques for performing cesarean delivery has changed from time to time, from surgeon to surgeon and these changes were involved both, of the uterine and skin incisions. Only a small number of these techniques have been evaluated in randomized controlled trials (Tully et al., 2002). In the last decades we became aware of gynecological symptoms after a CS, such as postmenstrual spotting, dysmenorrhea, chronic pelvic pain and dyspareunia (Wang et al., 2009; Bij de Vaate et al., 2011; van der Voet et al., 2014a). Already in 1999 it was postulated that these symptoms could be