Incisional endometriosis after cesarean section, episiotomy and other gynecologic procedures

• DOI: 10.1111/j.1447-0756.2005.00322.x
• Publication Date: 2005-09-15T14:16:20Z
• Authors: Muzeyyen Gunes; Fulya Kayikcioglu; Esmen Ozturkoglu; Ali Haberal
• Keywords: Episiotomy; Menstruation

Abstract Aim: To report 11 cases of incisional endometriosis after cesarean section, episiotomy and other gynecologic procedures. The diagnostic approaches therapies for are also evaluated. Methods: Eleven patients who presented with a painful nodule that was increasing in size during menstruation on the scar previous procedure were examined retrospectively. Results: All palpable lesion, located section incision, perineal incision or vaginal cuff hysterectomy. masses all had been having cyclical pain worsened menstrual periods. mean age 28.2 years. onset symptoms referred at variable intervals surgery ranging between 2 years (mean: 5.72 years). Ultrasound examination confirmed hypoechoic mass septated cystic solid components abdomin without intra‐abdominal communications. endometriotic completely excised under general anesthesia. sent microscopic which diagnosis endometriosis. Conclusion: Incisional seems to be common women have although it does occur procedures de novo. It is suggested caution exercised avoid transplantation endometrium anterior abdominal wall. preferred management excise lesion even if this necessitates fascial excision.