Heba Elsayed Abd Elrazek Elsayed
Lecturer
Ultrasonographic Diagnosis of Cesarian Section Niche in Correlation with Clinical Symptoms in Non-Pregnant Women
• 2025
Publication Information
Authors
H.E.Abdel Raziq [1], Nelly Elshenawy Abdelwahab Nasef [1], Ashraf Esmail Elmashad [1],
Ehab El Sayed Barakat [1]
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publication.type
Local
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Abstract
anechoic areas associated with various gynecological symptoms. However, the prevalence
and clinical significance of niches remain debated.
Objectives: This study aimed to investigate the prevalence of niches in women with previous
CS, correlate their presence with clinical symptoms, and evaluate their impact on quality of
life.
Methods: A cross-sectional study was conducted on 100 women with previous CS.
Transvaginal ultrasound (TVUS) was used to identify and measure niches. Patients were
classified as symptomatic or asymptomatic based on their symptoms.
Results: Uterine niche was detected in 42% of patients, with TVUS identifying 80% and SIS
95% of the cases (p=0.02). Postmenstrual spotting was the most common symptom, reported
in 65% of patients with a niche. Infertility was observed in 20% of the affected group, and a
significant correlation was found between niche size and symptom severity (p
and clinical significance of niches remain debated.
Objectives: This study aimed to investigate the prevalence of niches in women with previous
CS, correlate their presence with clinical symptoms, and evaluate their impact on quality of
life.
Methods: A cross-sectional study was conducted on 100 women with previous CS.
Transvaginal ultrasound (TVUS) was used to identify and measure niches. Patients were
classified as symptomatic or asymptomatic based on their symptoms.
Results: Uterine niche was detected in 42% of patients, with TVUS identifying 80% and SIS
95% of the cases (p=0.02). Postmenstrual spotting was the most common symptom, reported
in 65% of patients with a niche. Infertility was observed in 20% of the affected group, and a
significant correlation was found between niche size and symptom severity (p