The Clinical Features and Postsurgical Outcomes of Women With Cesarean Scar Endometriosis

Esra Keleş
In: Haydarpasa Numune Training and Research Hospital Medical Journal · 2024 · pp. 333–339 · doi:10.14744/hnhj.2023.24571 · W4402679256
article OA: hybrid CC0
🔓 Open OA copy Full text JSON View on OpenAlex View at publisher
⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-10 ⓘ

This study analyzed 34 women with cesarean scar endometriosis, finding surgical excision effective in reducing pain symptoms with a low recurrence rate over 32 months.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 · read from full text ⓘ

This retrospective study evaluated the clinical features and postsurgical outcomes of 34 women diagnosed with cesarean scar endometriosis at a single hospital between April 2019 and May 2022, collecting clinical, surgical, and follow-up data. All reported lesions were confined to the corners of a Pfannenstiel incision, and follow-up over a median 32 months showed recurrence in five patients. Postoperative VAS scores for dysmenorrhea, non-cyclic pelvic pain, and dyspareunia significantly improved, with reported ultrasonography and volumetric measures of lesion size. The paper does not specify a comparator group or randomized design, limiting causal inference about treatment effectiveness. This paper is centrally about endometriosis — it focuses specifically on cesarean scar endometriosis and surgical excision outcomes.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Abstract

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 Ltfi Krdar 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 mm (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.
Full text 2,947 characters · extracted from oa-doi-fallback · 5 sections · click to expand

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.

Keywords

Cesarean scar endometriosis, Cesarean section, Pfannenstiel incision. Corresponding Author: Esra Keleş, Türkiye Manuscript Language: English Manuscript Language: English

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

⚙ Ask this paper AI returns verbatim quotes from the full text · source: oa-doi-fallback ⓘ

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Outcome instruments

VAS-pain

Condition tags

endometriosisdysmenorrheadyspareunia

Citation neighborhood (no data yet)

We don't have any in-corpus citations linked to this paper yet. This is a recent paper (2024) — citers typically take a year or two to land, and the OpenAlex reference graph may still be filling in.

Source provenance

openalex
last seen: 2026-06-10T17:14:06.276822+00:00
License: CC0 · commercial use OK