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

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.