Isthmocele: From Risk Factors to Management

Revista Brasileira De Ginecologia E Obstetricia : Revista Da Federacao Brasileira Das Sociedades De Ginecologia E Obstetricia, 41(1), 44-52

DOI 10.1055/s-0038-1676109

Abstract

Objective

The aim of the present study was to perform a comprehensive review of the literature to provide a complete and clear picture of isthmocele-a hypoechoic area within the myometrium at the site of the uterine scar of a previous cesarean section-by exploring in depth every aspect of this condition.

Methods

A comprehensive review of the literature was performed to identify the most relevant studies about this topic.

Results

Every aspect of isthmocele has been studied and described: pathophysiology, clinical symptoms, classification, and diagnosis. Its treatment, both medical and surgical, has also been reported according to the actual literature data.

Conclusion

Cesarean section is the most common surgical procedure performed worldwide, and one of the consequences of this technique is isthmocele. A single and systematic classification of isthmocele is needed to improve its diagnosis and management. Further studies should be performed to better understand its pathogenesis.

Topics

isthmocele cesarean scar defect, uterine scar niche diagnosis, cesarean section complications fertility, myometrial defect after c-section, isthmocele surgical treatment, uterine scar management, cesarean scar defect classification, hysteroscopy cesarean scar repair, isthmocele pathophysiology, abnormal uterine bleeding cesarean scar, secondary infertility cesarean scar

Cite this article

Iannone, P., Nencini, G., Bonaccorsi, G., Martinello, R., Pontrelli, G., Scioscia, M., Nappi, L., Greco, P., & Scutiero, G. (2019). Isthmocele: From Risk Factors to Management. *Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia*, *41*(1), 44-52. https://doi.org/10.1055/s-0038-1676109

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