الفهرس 
HYSTEROSCOPYOnly 14 pages are availabe for public view
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Abstract
Cesarean scar defect (niche) constitutes a frequent cause of postmenstrual spotting in patients with previous CS. Therefore, cesarean scar defect should be included in the differential diagnosis of AUB and pelvic pain in premenopausal women with history of previous CS. Symptomatic niche should be treated. In patients with postmenstrual spotting who do not expect future pregnancy, hysteroscopic correction of the cesarean scar niche may constitute the first choice of treatment being a minimally invasive technique that improves the symptoms. On the other hand, in women who expect future pregnancy, it seems to be important to consider the RMT above the vertex of the niche to select the best surgical technique for correction of the defect. Hysteroscopic resection of cesarean scar defect (niche) also seems to be a safe and effective technique in patients who present an RMT of > 4 mm. Nevertheless, further studies are needed to determine the surgical technique and type of treatment which would be better for each patient.