Caesarian Scar Defect Specialist


Dr. Farr Nezhat’s unique, multi-disciplined approach to minimally invasive gynecological surgery incorporates world-class treatment plans for cesarian scar defects. Schedule a consultation to find out what the best cesarian scar defect specialist in New York can do for you.

What is a cesarian scar defect (niche)?

A cesarean scar defect refers to the scar tissue remaining following a c-section, or cesarean, delivery. This scar tissue is also referred to as a ‘niche’. When the cesarian scar site does not heal properly, this creates an indentation and fluid-filled pouch in some women. Women with conditions and risk factors that inhibit healing, such as diabetes or smoking, are at increased risk for cesarian scar defects. Cervical hysterectomies, uterine wall closures, and locking sutures also increase the risk, as do multiple caesarian deliveries.

If left untreated, a cesarian scar defect can delay menstruation, ultimately leading to abnormal bleeding, pelvic pain, vaginal discharge, dysmenorrhea, dyspareunia, and even infertility. Women with untreated cesarian scar defects are also at an elevated risk for cesarean scar ectopic pregnancy, which impacts the development of the embryo.

Dr. Nezhat’s cesarean scar defect treatment options

The best cesarian scar defect treatment options depend on each patient’s specific diagnosis and situation. The size of the defect and the thickness of the myometrium covering the cesarean scar defect both play significant factors.

Another major contributing factor is whether the patient intends to have children in the future. As one of the best cesarian scar defect specialists in the world, Dr. Farr Nezhat takes pride in his ability to help women relieve the pain associated with cesarian scar defects while also preserving fertility. The overwhelming majority of our patients enjoy healthy pregnancies following their procedure.

A listing of over 226 of Dr. Nezhat’s research articles can be found at the PubMed search engine, which pulls references and abstracts from the U.S. National Library of Medicine (NLM) database maintained at the National Institutes of Health (NIH).