OBJECTIVE: The objective of this study was to assess the detection rate of previous cesarean delivery scar (PCDS) defect by transvaginal ultrasonography (TVU) and to evaluate the effectiveness of resectoscopic surgery to correct this anatomic defect. STUDY DESIGN: In all, 57 women were included in our study. A diagnosis of a PCDS defect was established by TVU. We used resectoscopy to remove the flaplike fibrotic tissue that appeared underneath the pouchlike defect. RESULTS: A total of 22 patients received resectoscopic treatment. The detection rate of PCDS defects was 88% by TVU. The duration of postmenstrual bleeding shortened significantly after resectoscopic therapy. CONCLUSION: TVU examination performed during the period of postmenstrual bleeding allows us to readily identify this anatomic defect. Resectoscopy, in our opinion, should be considered the first choice to correct this defect because it is minimally invasive and yields good therapeutic results.
OBJECTIVE: The objective of this study was to assess the detection rate of previous cesarean delivery scar (PCDS) defect by transvaginal ultrasonography (TVU) and to evaluate the effectiveness of resectoscopic surgery to correct this anatomic defect. STUDY DESIGN: In all, 57 women were included in our study. A diagnosis of a PCDS defect was established by TVU. We used resectoscopy to remove the flaplike fibrotic tissue that appeared underneath the pouchlike defect. RESULTS: A total of 22 patients received resectoscopic treatment. The detection rate of PCDS defects was 88% by TVU. The duration of postmenstrual bleeding shortened significantly after resectoscopic therapy. CONCLUSION:TVU examination performed during the period of postmenstrual bleeding allows us to readily identify this anatomic defect. Resectoscopy, in our opinion, should be considered the first choice to correct this defect because it is minimally invasive and yields good therapeutic results.
Authors: Ajmw Vervoort; L F van der Voet; Wjk Hehenkamp; A L Thurkow; Pjm van Kesteren; H Quartero; W Kuchenbecker; M Bongers; P Geomini; Lhm de Vleeschouwer; Mha van Hooff; H van Vliet; S Veersema; W B Renes; K Oude Rengerink; S E Zwolsman; Ham Brölmann; Bwj Mol; Jaf Huirne Journal: BJOG Date: 2017-07-05 Impact factor: 6.531
Authors: Ana Vegas Carrillo de Albornoz; Irene López Carrasco; Nerea Montero Pastor; Carmen Martín Blanco; María Miró Matos; Luis Alonso Pacheco; Enrique Moratalla Bartolomé Journal: Int J Fertil Steril Date: 2019-04-27
Authors: A J M W Vervoort; L F Van der Voet; M Witmer; A L Thurkow; C M Radder; P J M van Kesteren; H W P Quartero; W K H Kuchenbecker; M Y Bongers; P M A J Geomini; L H M de Vleeschouwer; M H A van Hooff; H A A M van Vliet; S Veersema; W B Renes; H S van Meurs; J Bosmans; K Oude Rengerink; H A M Brölmann; B W J Mol; J A F Huirne Journal: BMC Womens Health Date: 2015-11-12 Impact factor: 2.809