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1 . 2025

Incompetent uterine scar associated with chronic pelvic pain

Abstract

A clinical observation of a 29-year-old patient with an incompetent uterine scar is presented. Favorable outcomes of pregnancies and vaginal births with one uterine scar, as well as the development of chronic pain syndrome as a result of uterine scar incompetence in the late postpartum period (after the third birth), against the background of endometriosis, are demonstrated.

Keywords: incompetent uterine scar; endometriosis of the uterine scar; chronic pelvic pain syndrome; laparoscopy; metroplasty

Funding. The study had no sponsor support.

Conflict of interest. The authors declare no conflict of interest.

oeva O.G., Grigoryants A.A., Aksenenko V.A., Yakhya Zh.M. Incompetent uterine scar associated with chronic pelvic pain. Akusherstvo i ginekologiya: novosti, mneniya, obuchenie [Obstetrics and Gynecology: News, Opinions, Training]. 2025; 13 (1): 120–2. DOI: https://doi.org/10.33029/2303-9698-2025-13-1-120-122 (in Russian)

References

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2. Kafkasli A., Franklin R.R., Sauls D. Endometriosis in the uterine wall cesarean section scar. Gynecol Obstet Invest. 1996; 42 (3): 211–3.

3. Tskhay V.B., Levanovich E.V., Kelberg V.G. Endometriosis of an incompetent scar on the uterus after a cesarean section. Akusherstvo i ginekologiya [Obstetrics and Gynecology]. 2016; (8): 119–23. DOI: https://doi.org/10.18565/aig.2016.8.119-123 (in Russian)

4. Radzinsky V.E., Orazov M.R., Kostin I.N. Chronic pelvic pain in gynecological practice. Doctor.Ru. 2019; 7 (162): 30–5. DOI: https://doi.org/10.31550/1727-2378-2019-162-7-30-35 (in Russian)

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CHIEF EDITORS
CHIEF EDITOR
Sukhikh Gennadii Tikhonovich
Academician of the Russian Academy of Medical Sciences, V.I. Kulakov Obstetrics, Gynecology and Perinatology National Medical Research Center of Ministry of Healthсаre of the Russian Federation, Moscow
CHIEF EDITOR
Kurtser Mark Arkadievich
Academician of the Russian Academy of Sciences, MD, Professor, Head of the Obstetrics and Gynecology Subdepartment of the Pediatric Department, N.I. Pirogov Russian National Scientific Research Medical University, Ministry of Health of the Russian Federation
CHIEF EDITOR
Radzinsky Viktor Evseevich
Corresponding Member of the Russian Academy of Sciences, MD, Professor, Head of the Subdepartment of Obstetrics and Gynecology with a Course of Perinatology of the Medical Institute in the Russian People?s Friendship University named after P. Lumumbа
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