Development of Isthmocele Symptom Severity and Quality of Life Scale

Development of Isthmocele Symptom Severity and Quality of Life Questionnaire

Isthmocele, also known as cesarean scar defect (CSD), is the disruption of the integrity of the myometrium in the cesarean section incision and the indentation of the opening in the myometrium towards the visceral peritoneum. Residual menstrual blood accumulating in the isthmocele sac can cause chronic endometritis, anormal uterine bleeding, infertility and chronic pelvic pain.

There is currently no quality of life scale that assesses isthmocele symptoms. A scale is needed to determine the positive effect on the patient's quality of life after the surgeries are performed. This study it is aimed to develop a scale that evaluates the severity of isthmocele symptoms and the impact on quality of life due to isthmocele.

Patients with isthmocele symptoms three months after cesarean delivery will be included in the study.The study will not include findings that may be confused with isthmocele symptoms, such as uterine fibroids and endometrial polyps. Patients with acute vaginitis and pelvic inflammatory disease will not be included in the study.

Inclusion Criteria:

• Patients with isthmocele symptoms three months after cesarean delivery will be included in the study.

Exclusion Criteria:

• The study will not include findings that may be confused with isthmocele symptoms, such as uterine fibroids and endometrial polyps.
• Patients with acute vaginitis and pelvic inflammatory disease will not be included in the study.