Hysteroscopic findings in patients with post-menstrual spotting with prior cesarean section

Objective: To identify uterine hysteroscopic findings among patientswith prior cesarean section and whom had post-menstrual bleedingspotting type. Methods: We conducted a descriptive and prospective study between June 2008 and December 2009 involving women admitted to our clinic in Ji-Paraná (RO), B...

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Main Authors: Valdely Helena Talamonte, Umberto Gazi Lippi, Reginaldo Guedes Coelho Lopes, Sueli Aparecida Batista Stabile
Format: Article
Language:English
Published: Instituto Israelita de Ensino e Pesquisa Albert Einstein 2012-03-01
Series:Einstein (São Paulo)
Subjects:
Online Access:http://apps.einstein.br/revista/arquivos/PDF/2080-53-56.pdf
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author Valdely Helena Talamonte
Umberto Gazi Lippi
Reginaldo Guedes Coelho Lopes
Sueli Aparecida Batista Stabile
author_facet Valdely Helena Talamonte
Umberto Gazi Lippi
Reginaldo Guedes Coelho Lopes
Sueli Aparecida Batista Stabile
author_sort Valdely Helena Talamonte
collection DOAJ
description Objective: To identify uterine hysteroscopic findings among patientswith prior cesarean section and whom had post-menstrual bleedingspotting type. Methods: We conducted a descriptive and prospective study between June 2008 and December 2009 involving women admitted to our clinic in Ji-Paraná (RO), Brazil, and who complained of prolonged genital bleeding after menstrual period. A total of 20 women with the simultaneous following characteristics were selected: at least one prior cesarean section, aged between 18 and 45 years, no use of hormonal contraceptives, and no history of uterine surgery that could change the cavity anatomy. All participants underwent a hysteroscopic examination. Results: During hysteroscopy, in 90% of the patients, the presence of a cesarean section scar was observed in the last third of the cervix. This scarring causes an anomaly in the uterine cavity anatomy, characterized by the viewing of an enlargement followed by a retraction of the anterior wall, which affords the presence of a pseudocavity with depth and lumen narrowing in variable degrees. Two patients did not present the pseudocavity. Conclusion: Pseudocavities in cesarean section scar are usually found in hysteroscopic examination of patients with prior cesarean section and abnormal uterine spotting.
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spelling doaj.art-12ff1ab66d5143fd8ac3c855b2a4a9b62022-12-22T02:52:15ZengInstituto Israelita de Ensino e Pesquisa Albert EinsteinEinstein (São Paulo)1679-45082012-03-011015356Hysteroscopic findings in patients with post-menstrual spotting with prior cesarean sectionValdely Helena TalamonteUmberto Gazi LippiReginaldo Guedes Coelho LopesSueli Aparecida Batista StabileObjective: To identify uterine hysteroscopic findings among patientswith prior cesarean section and whom had post-menstrual bleedingspotting type. Methods: We conducted a descriptive and prospective study between June 2008 and December 2009 involving women admitted to our clinic in Ji-Paraná (RO), Brazil, and who complained of prolonged genital bleeding after menstrual period. A total of 20 women with the simultaneous following characteristics were selected: at least one prior cesarean section, aged between 18 and 45 years, no use of hormonal contraceptives, and no history of uterine surgery that could change the cavity anatomy. All participants underwent a hysteroscopic examination. Results: During hysteroscopy, in 90% of the patients, the presence of a cesarean section scar was observed in the last third of the cervix. This scarring causes an anomaly in the uterine cavity anatomy, characterized by the viewing of an enlargement followed by a retraction of the anterior wall, which affords the presence of a pseudocavity with depth and lumen narrowing in variable degrees. Two patients did not present the pseudocavity. Conclusion: Pseudocavities in cesarean section scar are usually found in hysteroscopic examination of patients with prior cesarean section and abnormal uterine spotting.http://apps.einstein.br/revista/arquivos/PDF/2080-53-56.pdfUterine hemorrhageCesarean sectionCicatrixHysteroscopy
spellingShingle Valdely Helena Talamonte
Umberto Gazi Lippi
Reginaldo Guedes Coelho Lopes
Sueli Aparecida Batista Stabile
Hysteroscopic findings in patients with post-menstrual spotting with prior cesarean section
Einstein (São Paulo)
Uterine hemorrhage
Cesarean section
Cicatrix
Hysteroscopy
title Hysteroscopic findings in patients with post-menstrual spotting with prior cesarean section
title_full Hysteroscopic findings in patients with post-menstrual spotting with prior cesarean section
title_fullStr Hysteroscopic findings in patients with post-menstrual spotting with prior cesarean section
title_full_unstemmed Hysteroscopic findings in patients with post-menstrual spotting with prior cesarean section
title_short Hysteroscopic findings in patients with post-menstrual spotting with prior cesarean section
title_sort hysteroscopic findings in patients with post menstrual spotting with prior cesarean section
topic Uterine hemorrhage
Cesarean section
Cicatrix
Hysteroscopy
url http://apps.einstein.br/revista/arquivos/PDF/2080-53-56.pdf
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