gynecology and obstetrics medical project, gynecology journal, obstetrics, gynecologic oncology, reproductive medicine, gynecological endoscopy, ultrasonography, gynecology articles

Ginekologia i Poloznictwo
ISSN 1896-3315 e-ISSN 1898-0759

Comparative study between two dimensional Transvaginal Ultrasound (2D TVUS) and hysteroscopy in assessment of Cesarean Section (CS) scar defects: A diagnostic test accuracy study


Author(s): Mohamed A. Daoud, Manal A. Mohamed*, Alaa Eldin H. Elfeky and Alaa M. Atef

Background: One of the most frequently used surgical techniques in obstetric practise is the caesarean section. Studying the effects of this surgery on potential future fertility has become more crucial. To prevent its dehiscence or rupture during pregnancy or childbirth, CS scar integrity assessment requires special examinations.

Objective: Comparing the effectiveness of ultrasonography and hysteroscopy in identifying the location of the Cesarean section scar in females who are not pregnant as well as determining and commenting on the thickness, continuity, and ballooning of the scar.

Methods: During this study, 41 women with any indication of hysteroscopy were enrolled. Those who accepted the invitation were booked for an ultrasound examination for assessment of cesarean scar defect after hysteroscopic procedure.

Results: TVUS detected 13 (31.7%) out of 41 women having CSD, on the other hand, 16 women (39%) were diagnosed using hysteroscopy. There is a statistically significant correlation between the use of TVUS and hysteroscopy in determination of occurrence of scar defect after previous Cesarean sections. TVUS had sensitivity 68.8%, specificity 92%, positive predictive value 84.6% and negative predictive value 82.1% and accuracy 82.9%.

Conclusion: Although diagnostic hysteroscopy is still more accurate than ultrasound for assessing caesarean scar thickness and spotting scar defects.