Cesarean scar defect - manifestation, diagnostics, treatment.

Objective To summarize current knowledge concerning cesarean scar defects and its manifestation, diagnostics and treatment possibilities. Design Review. Setting Department of Obstetrics and Gynecology, University Hospital Hradec Kralove. Methodology Research from available literature works and studies regarding facts about cesarean scar defects. Conclusion Cesarean scar defect is one of known complication after cesarean section which has become more common in consequence of rising cesarean delivery rate. It is associated with sundry gynecological and obstetric difficulties like abnormal uterine bleeding, pelvic pain, infertility, cesarean scar defect pregnancy or uterine rupture. The most common diagnostic way is using transvaginal ultrasound, sonohysterography or hysteroscopy. Treatment choice is due to a size of cesarean scar defect and also pregnancy planning. Alternatives of treatment including hormonal contraception and various surgery such as hysteroscopy, laparoscopy, laparotomy and transvaginal procedures.