Dilation And Curettage Following Local Sclerotherapy For Cesarean Scar Pregnancy

This study aims to investigate the value of lauromacrogol-based sclerotherapy (ST) in the treatment of cesarean scar pregnancy. We compared the effectiveness and safety of curettage following local sclerotherapy with UAE (uterus artery embolization)-based curettage, the most recommended approach for uterine scar pregnancy at the moment. In a total of 205 USP patients received curettage, we performed UAE in 46 patients and ST in 159 patients. There were no significant differences in the recovery of menstruation and HCG reduction between two groups. However, ST-based curettage significantly decreased bleeding, attenuated pain, shortened hospital days and reduced medical costs. Therefore, lauromacrogol-based sclerotherapy is a safe, effective and economic approach in the pre-treatment of the curettage for uterine scar pregnancy.