Cesarean Section Complications
Conditions
Brief summary
The term CS niche (defect) describes the presence of a hypoechoic area within the myometrium in the isthmus (lower uterine segment) with discontinuation of myometrium at the site of previous CS. Hysterosalpingography is an important component in the diagnostic evaluation of the infertile woman. The number of hysterosalpingography examinations performed has significantly increased in recent years, likely due to the trend for women delaying pregnancy until later in life and the popularity of technical advances achieved in reproductive medicine.The term CS niche (defect) describes the presence of a hypoechoic area within the myometrium in the isthmus (lower uterine segment) with discontinuation of myometrium at the site of previous CS. The main purpose of the study is to evaluate the diagnostic role of HSG to early detect cesarean scar niche. To evaluate diagnostic role of hysterosalpingography (HSG) in cesarean scar niche at Early Cancer Detection and Gynecological Endoscopy Unit at Ain Shams Maternity Hospital within 6 months.
Interventions
hysterosalpingogram (HSG) is an X-ray visualization of the lumen of the uterus and fallopian tubes, which can detect abnormalities including blockage, polyps, and salinities
Sponsors
Study design
Eligibility
Inclusion criteria
* Age more than 18 years. * Previous history of cesarean delivery. * Cesarean scar niche confirmed by Hysteroscopy. * Premenopausal status
Exclusion criteria
* Pregnancy. * Contrast allergy. * Active pelvic infection. * Medical history interfering with HSG.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cesarean section niche appearance | baseline, pre-intervention | The ability of hysterosalpingography to detect the cesarean section niche appearance |
Countries
Egypt