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RCOG World Congress 2025
June 23 - 25, 2025 | ExCeL London, UK
EP.1162
Successful laparoscopic management of symptomatic isthmocele- case series and comprehensive review
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Successful laparoscopic management of symptomatic isthmocele. A case series and comprehensive review
The isthmocele is a myometrial defect resembling a pouch on the anterior wall of the uterine isthmus, over a previous cesarean scarDefect presents with abundant and ectatic vessels, covered in smooth mucosa and menstrual blood often fills the pouch
Isthmocele symptoms
Post menstrual spotting
Chronic foul-smelling discharge
Infertility
Sexual discomfort and embarrassment
Incidence of asymptomatic women diagnosed with isthmocele on TVS 24% -70% and Symptomatic women incidence is 19.4% - 84%
Post menstrual spotting as most common symptom
It is imperative to increase awareness about this condition among clinicians, to develop TVS diagnostic criteria and to develop surgical techniques.
Laparoscopic repair is the procedure of choice for symptomatic women and those requiring future fertility with no or minimal residual myometrial thickness.