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Abdominal wall endometriosis in Ukraine: A multicenter study
Aidyn G Salmanov1, Volodymyr V Artyomenko2, Victor O Rud3
1UKRAINIAN CENTER OF MATERNITY AND CHILDHOOD OF THE NATIONAL ACADEMY OF MEDICAL SCIENCES OF UKRAINE, KYIV, UKRAINE; THE ZARIFA ALIYEVA INTERNATIONAL CENTER OF MEDICAL SCIENCE, KYIV, UKRAINE.
Wiadomosci Lekarskie (Warsaw, Poland : 1960)
|February 1, 2026
Summary
Abdominal wall endometriosis (AWE) affects 4.2% of women with surgical scars in Ukraine, most commonly occurring after cesarean sections. This condition presents as a palpable mass and cyclic pain, requiring histopathological confirmation for diagnosis.
Area of Science:
- Gynecology
- Surgical Pathology
- Epidemiology
Background:
- Endometriosis is a condition where tissue similar to the uterine lining grows outside the uterus.
- Abdominal wall endometriosis (AWE) is a rare form, often associated with surgical scars.
- Cesarean scar endometriosis (CSE) is a subtype of AWE.
Purpose of the Study:
- To determine the incidence of AWE in Ukraine.
- To analyze clinical, imaging, and histopathological findings of CSE patients.
Main Methods:
- A multicenter retrospective cohort study was conducted from January 2020 to December 2024.
- Data from 9,157 reproductive women with painful masses in surgical scar areas across 27 hospitals in Ukraine were analyzed.
- Endometriosis definitions followed WHO guidelines.
Main Results:
- The incidence of AWE was 4.2% (387/9,157).
- Cesarean scar endometriosis accounted for 82.2% of AWE cases.
- Main symptoms included palpable abdominal mass (100%) and cyclic pain (86.8%). The latency period from cesarean section to symptom onset was approximately 31.8 months.
Conclusions:
- Abdominal wall endometriosis is relatively uncommon in Ukraine, typically arising from obstetric or gynecologic surgical scars.
- Cesarean scar endometriosis is the most frequent form of AWE observed in this study.
- Diagnosis relies on histopathological examination.
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