C-Section Scar Repair for Niche
C-section scar repair is a procedure used to reconstruct a defect in the uterus at the site of a previous caesarean scar. The aim is to remove weak scar tissue and repair the uterine wall. Laparoscopic or robotic-assisted surgery may be suitable, depending on your symptoms, the size of the defect and plans for future pregnancy.
When the Procedure May Be Recommended
Not all scar defects cause symptoms, but when they do, common signs include:
Brown or prolonged spotting after periods
Irregular bleeding
Pelvic pain
Pain during periods
Pain during ovulation
Discomfort during intercourse
Secondary infertility
If you have ongoing symptoms after a caesarean birth, a scar niche may be worth investigating.
How a C-Section Scar Niche Can Affect Fertility
In some women, fluid collecting within the scar defect may affect the uterine environment and make implantation more difficult.
For women trying to conceive, accurate diagnosis and appropriate treatment may improve symptoms and support future pregnancy planning.
What to Expect
Consultation, assessment and planning
Your care begins with a detailed consultation with Mr Richard Flint, including a review of your symptoms, menstrual history, previous caesarean section and fertility plans. Investigations may include:
Transvaginal ultrasound
Saline infusion scan
Hysteroscopy
MRI scan in selected cases
These tests help assess the size and depth of the defect and the thickness of the remaining uterine muscle.
The operation
For symptomatic women, surgical repair of the C-section scar niche may be recommended. Mr Richard Flint offers advanced minimally invasive surgery for selected patients with C-section scar defects. Benefits of a robotic or laparoscopic approach may include:
Small abdominal incisions
Greater surgical precision
Better visualisation of scar tissue
Reduced blood loss
Less postoperative discomfort
Faster recovery compared with open surgery
C-section scar repair is usually performed under general anaesthetic using a minimally invasive technique where suitable.
Recovery
Most women recover more quickly after keyhole surgery than after open abdominal surgery.
Recovery time varies, but light activities can often be resumed within 1-2 weeks, with heavier activity avoided for longer as advised.
Frequently Asked Questions
Is C-section scar repair major surgery?
C-section scar repair is a surgical procedure carried out under general anaesthetic. When performed laparoscopically or robotically it is less invasive than open surgery.
Can C-section scar repair improve fertility?
In some women, repair of a symptomatic niche may improve the uterine environment and reduce factors that may interfere with conception. This depends on the individual case.
How long does recovery take?
Many women feel much better within 1-2 weeks, although full healing takes longer.
When can I try for pregnancy after surgery?
This depends on the extent of the repair and your individual circumstances. You will be advised when it is safe to start trying to conceive.
You should consider specialist assessment if you have:
Persistent spotting after periods following a C-section
Ongoing pelvic pain after caesarean birth
Unexplained secondary infertility
Concerns about a previous caesarean scar seen on scan
Mr Richard Flint provides expert assessment and personalised surgical care for women requiring a C-section scar repair.