ArticleJournal of clinical medicine2023
Impact of Adenomyosis and Endometriosis on Chronic Pelvic Pain after Niche Repair.
Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- A Bicornuate Uterus with a Unilateral Focal Adenomyosis: A Case Report.International medical case reports journal · 2026Article
- Robotic-assisted laparoscopic niche repair (RALNR): technique development and pregnancy-associated outcomes.Journal of robotic surgery · 2025Article
- Is the hysteroscopic surgery of isthmocele related to the niche dimensions?Revista da Associacao Medica Brasileira (1992) · 2025Article
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Authors and funding
7 authors.
Funding
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Abstract
Chronic pelvic pain (CPP) is one of the main isthmocele symptoms, together with abnormal uterine bleeding and secondary infertility. When patients undergo a laparoscopic niche repair surgery, it is important to determine if they present associated pathologies, such as adenomyosis and/or endometriosis, which are also a cause of CPP. A retrospective study was performed on 31 patients with CPP undergoing a laparoscopic niche repair. The pre-operative ultrasound was analyzed to determine the presence of adenomyosis. Endometriosis was histologically diagnosed. CPP outcome was evaluated at early (3-6 months) and late (12 months) post-operative follow ups. In our population of 31 women presenting CPP, only six of them (19.4%) did not have any associated pathology. In the group of 25 patients with associated pathology, 10 (40%) had no benefit from the reconstructive surgery in terms of CPP at early follow-up (3-6 months) and 8 (32%) in the post-operative period at 12 months. Patients with CPP who undergo niche repair should be carefully selected as CPP does not seem to be a good indication for uterine scar repair in patients with concomitant adenomyosis and endometriosis.
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