Abstract

SUBTIL, Simone et al. Uterine niche: implications in gynecology. Acta Obstet Ginecol Port [online]. 2019, vol.13, n.1, pp.32-37. ISSN 1646-5830.

The uterine niche presents as a recess located in the anterior uterine wall, at the site of previous hysterorrhaphy. Although obstetric complications associated with a history of cesarean delivery are well known, recognition of the niche as a surgical sequel and its association with gynecological symptoms such as abnormal uterine bleeding and pelvic pain is poorly described, compromising its identification in clinical practice. There are no validated guidelines for the diagnostic criteria of uterine niche. Treatment includes hormonal methods and surgery, namely hysteroscopic or laparoscopic isthmoplasty.

Keywords : Niche; Isthmocele; Cesarean.

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