Uterine Isthmocele Repair in Los Angeles

Minimally Invasive Surgical Care That Relieves Symptoms, Restores Uterine Integrity, and Supports Future Fertility

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What is Uterine Isthmocele Repair?

A uterine isthmocele is a defect or pouch in the uterine wall that can develop after a cesarean section. This condition, sometimes called a cesarean scar defect or niche, can cause abnormal bleeding, pelvic pain, or fertility challenges. Repairing the isthmocele restores the strength and shape of the uterine wall and can improve the chances of a healthy pregnancy in the future.
Dr. Matthew Siedhoff is the best minimally invasive gynecological surgeon in Los Angeles for uterine isthmocele repair. Offering advanced care from his state-of-the-art Beverly Hills office, Dr. Siedhoff uses both conventional laparoscopic and robotic techniques to repair a uterine isthmocele with exceptional accuracy. His patient-first approach ensures every procedure restores uterine integrity, resolves symptoms, and helps women protect and achieve their reproductive and quality-of-life goals.

Types of Uterine Isthmocele Repair

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Uterine Isthmocele
Uterine isthmocele can cause abnormal bleeding, pelvic discomfort, or fertility issues; in these cases, surgical repair can restore normal uterine function. Dr. Siedhoff offers repair using robotic laparoscopy, conventional laparoscopy, or hysteroscopy, selecting the approach best suited to the size and location of the defect.
Infertility
When a uterine isthmocele interferes with embryo implantation or increases the risk of miscarriage, surgical repair can significantly improve fertility outcomes. Dr. Siedhoff uses robotic laparoscopy, conventional laparoscopy, or hysteroscopy to remove scar tissue, restore the smooth contour of the uterine wall, and optimize the uterine environment for conception. Additional procedures that can help improve infertility include a myomectomy, excision of endometriosis, salpingectomy, lysis of adhesions, and ovarian cystectomy.
Cervical Insufficiency
In cases where a uterine isthmocele weakens the lower uterine segment and contributes to cervical insufficiency, surgical repair can help restore structural support and reduce pregnancy risks. Robotic laparoscopy or conventional laparoscopy are Dr. Siedhoff’s methods of choice for minimally invasive techniques that strengthen the uterine wall and support cervical function, with the goal of improving pregnancy outcomes in the future. Additional treatments include trans-abdominal cerclage, a myomectomy, excision of endometriosis, salpingectomy, lysis of adhesions, and ovarian cystectomy.

What to Expect During Uterine Isthmocele Repair

Before Surgery

You’ll meet with Dr. Siedhoff for a detailed evaluation, including a review of your medical history, imaging results, and symptoms. He will choose and explain whether robotic laparoscopy, conventional laparoscopy, or hysteroscopy is best for your case and answer any questions you may have.

During Surgery

While you’re under general anesthesia, Dr. Siedhoff uses minimally invasive techniques to remove scar tissue and restore the normal shape and strength of the uterine wall. His meticulous approach protects healthy tissue, minimizes bleeding, and supports a smooth recovery.

After Surgery

Most patients return home within a few hours or the next day, depending on the complexity of the repair. Before going home, you’ll receive clear recovery guidelines about your follow-up care and tips on how to heal comfortably and safely.

FAQs About Uterine Isthmocele Repair

What causes a uterine isthmocele?
Does isthmocele cause infertility?
How long after isthmocele repair can you get pregnant?

Where to Find the Best Uterine Isthmocele Repair Surgeon in Los Angeles

As a board-certified and fellowship-trained gynecological surgeon, Dr. Matthew Siedhoff tailors his minimally invasive treatments to uterine isthmocele repair to restore uterine integrity, relieve symptoms, and support long-term reproductive health. Recognized as the best uterine isthmocele repair surgeon in Los Angeles, Dr. Siedhoff offers a patient-focused strategy and cutting-edge robotic, laparoscopic, and hysteroscopic technology at his Beverly Hills location. With an approach designed for comfort and confidence, he provides each patient with expert care, clear communication, and a smooth, supportive experience from consultation through recovery.

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