Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
With the rising incidence of caesarean section all around the world, it becomes important to study short and long term risks associated with it. We at Meenakshi Mission Hospital and Research Centre, Tamilnadu decided to study about prevalence and symptoms associated with “Niche” also known as “Isthmocele” or “Caesarean Scar Defect”, one of the long term side effect of Caesarean Section. The prospective observational study was done over period of two years from September 2017 to September 2019. A total of 131 women were with history of previous caesarean section underwent transvaginal ultrasound by a single consultant. The ones who had other pelvic pathologies and other conditions which might have been responsible for their presenting complaints were excluded from study. Niche was found in 47% of studied women. Among them 87% were symptomatic with abnormal uterine bleeding reported in 49% of women. Other symptoms reported were dysmenorrhoea 10%, chronic pelvic pain 7%, brownish vaginal discharge 11%, secondary infertility 7% and urinary urge incontinence 3%. Among women who reported abnormal uterine bleeding, 27% reported post menstrual spotting, being the most common symptom reported, 11% reported inter menstrual bleeding and 11% reported heavy menstrual bleeding. The study shows significance of Niche causing symptoms and emphasis the fact that clinicians should have this as differential diagnosis while treating the patient.
How to cite this article:
Rashmi Kenchegowda and S. Padma. Uterine Niche: A Long Term Complication of Caesarean Section: A Prospective Observational Study.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.12.722.729
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.12.722.729