Transvaginal Management of Cesarean Scar Section Diverticulum: A Novel Surgical Treatment

BACKGROUND The aim of this study was to investigate the clinical value of transvaginal management of cesarean section scar diverticulum. MATERIAL/METHODS We evaluated 64 patients receiving transvaginal management of previous cesarean scar defect (PCSD). RESULTS The PCSD was successfully treated by transvaginal surgery, without evident complications. The mean operation time was 33.6±4.1 min, blood loss was 37.9±16.8 ml, and the mean hospital stay after surgery was 6±2.9 days. Symptoms related to the prolonged menstruation in 53 patients were improved after surgery, vaginal bleeding time was reduced by an average of 7.3±2.8 days, and a significant difference was noted between the mean pre- and post-operative duration of menstruation (P<0.01). Of 11 patients with guttate between menstrual periods, guttate was absent in 9 patients and improved in 2. Clinical improvement was observed in 85.9% (55/64). CONCLUSIONS Transvaginal intervention is feasible and safe for the management of PCSD.