Hysteroscopic evaluation of cesarean scar defect features and its correlation with women complaints

Abstract

ising CS rates coincide with increasing its complications and prevalence of cesarean scar defect formation with its gynecological and obstetric complications. CSD defined as a reservoir-like pouch on the anterior wall of the uterine isthmus located at the site of a previous cesarean delivery scar. This cross-sectional observational study was performed in Early Cancer Detection Unit and Gynecological Endoscopy in Ain Shams Maternity Hospital during the period between January 2018 and October 2019. Women with at least one cesarean section underwent hysteroscopic evaluation after being screened for the inclusion and exclusion criteria. The first 200 women with CSD were enrolled in our study and the various gynecological complaints prevalence was observed. Our study group aged between 18 to 35 years with a mean of 29± 5 years, mean gestational age at the last CS was 38 ±1 weeks and time since the last CS was 2.92 ± 1.87 years.