The Clinical Features and Postsurgical Outcomes of Women With Cesarean Scar Endometriosis
Ahmet Kale1, Esra Keleş2, Elif Cansu Gündoğdu1, Tuğba Gül Yılmaz1, Kürşad Nuri Baydili3, Elif Unlugedik Sayın1, Emre Mat2, Ebru Kale4, Taner Usta51Department of Obstetrics and Gynecology, University of Health Sciences Türkiye, Kartal Dr. Lütfi Kırdar City Hospital, İstanbul, Türkiye2Department of Gynecologic Oncology, University of Health Sciences Türkiye, Kartal Dr. Lütfi Kırdar City Hospital, İstanbul, Türkiye
3Department of Biostatistics, University of Health Sciences Türkiye, Hamidiye Faculty of Medicine, İstanbul, Türkiye
4Department of Biochemistry, University of Health Sciences Türkiye, Hamidiye Faculty of Medicine, İstanbul, Türkiye
5Department of Obstetrics and Gynecology, Endometriosis and Pelvic Pain Center, Acıbadem Mehmet Ali Aydınlar University, Acıbadem Altunizade Hospital, İstanbul, Türkiye
INTRODUCTION: Cesarean scar endometriosis is a rare form of extra-pelvic endometriosis. The aim of the study was to investigate the clinical and surgical outcomes of patients with cesarean scar endometriosis.
METHODS: We collected the clinical, surgical, and follow-up data of patients diagnosed with cesarean scar endometriosis who attended Kartal Lütfi Kırdar Research and Training Hospital, Istanbul, from April 2019 to May 2022.
RESULTS: There were 34 patients with a median age of 32.5 (range: 26-45). All cesarean scar endometriosis was located in the corners of the Pfannenstiel incision: 18 (52.9%) on the left and 16 (47.1%) on the right corners, respectively. Follow-up examination over 32 months revealed that five patients had a recurrence. The median volume of the CSE was 2467.51 mm³ (range: 635.97-56013.3). The mean size on ultrasonography was 26.1 mm. There was a significant improvement in the postoperative VAS scores for dysmenorrhea, non-cyclic pelvic pain, and dyspareunia.
DISCUSSION AND CONCLUSION: This study indicates that surgical excision is the preferred and effective treatment. Postoperative VAS scores for dyspareunia, dysmenorrhea, and non-cyclic pelvic pain were dramatically decreased after surgical treatment.
Manuscript Language: English