“…Positive answers to these 3 questions would direct the surgical team to a more conservative approach, achievable in almost 80% of cases. 18 38 From the point of view of imaging studies, there is lack of evidence to support prediction of bladder-uterus adhesive disease (question 1). However, placental implantation above/below the superior bladder reflection, the thickness of the myometrial layer, the vascularity of the myometrium/bladder interface, and the sliding sign between the bladder and the gravid uterus should be further explored in future studies and might be helpful to predict surgically challenging cases.…”