Hysteroscopic resection of a uterine caesarean scar defect (niche) in women with postmenstrual spotting: a randomised controlled trial.

ABSTRACT:

Objective

To compare the effectiveness of a hysteroscopic niche resection versus no treatment in women with postmenstrual spotting and a uterine caesarean scar defect.

Design

Multicentre randomised controlled trial.

Setting

Eleven hospitals collaborating in a consortium for women's health research in the Netherlands.

Population

Women reporting postmenstrual spotting after a caesarean section who had a niche with a residual myometrium of ≥3 mm, measured during sonohysterography.

Methods

Women were randomly allocated to hysteroscopic niche resection or expectant management for 6 months.

Main outcome measures

The primary outcome was the number of days of postmenstrual spotting 6 months after randomisation. Secondary outcomes were spotting at the end

SUBMITTER: Vervoort A 

PROVIDER: S-EPMC5811899 | biostudies-literature | 2018 Feb

REPOSITORIES: biostudies-literature