Isthmocele endometriosis: when two is definitely not better than one

Gornet, Megan E.; Abhari, Sina; Christianson, Mindy S.

doi:10.1016/j.fertnstert.2022.04.011

Cited by 1 publication

(1 citation statement)

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“…Although isthmocele and endometriosis are distinct pathologies, some scientific evidence suggests a correlation between them [21]. Specifically, some women who have undergone a cesarean section and subsequently develop an isthmocele may have a slightly increased risk of developing endometriosis [22].…”

Section: Endometriosismentioning

confidence: 99%

Isthmocele and Infertility

Baldini,

Lot,

Malvasi

et al. 2024

JCM

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Isthmocele is a gynecological condition characterized by a disruption in the uterine scar, often associated with prior cesarean sections. This anatomical anomaly can be attributed to inadequate or insufficient healing of the uterine wall following a cesarean incision. It appears that isthmocele may impact a woman’s quality of life as well as her reproductive capacity. The incidence of isthmocele can range from 20% to 70% in women who have undergone a cesarean section. This review aims to sum up the current knowledge about the effect of isthmocele on fertility and the possible therapeutic strategies to achieve pregnancy. However, currently, there is not sufficiently robust evidence to indicate the need for surgical correction in all asymptomatic patients seeking fertility. In cases where surgical correction of isthmocele is deemed necessary, it is advisable to evaluate residual myometrial thickness (RMT). For patients with RMT >2.5–3 mm, hysteroscopy appears to be the technique of choice. In cases where the residual tissue is lower, recourse to laparotomic, laparoscopic, or vaginal approaches is warranted.

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Section: Endometriosismentioning

confidence: 99%