Quality of Life, Sexual Activity
Conditions
Keywords
Uterine Scar From Previous Cesarean Delivery, previous caesarean scar deficiency, transvaginal resection, quality of life, sexual activity
Brief summary
The aim of this study is to further demonstrate the safety , validity and quality of (sexual)life of vaginal operation for previous cesarean scar defect resection.
Detailed description
collect all the patients'clinical information,use two questionnaire (the HRQoL and FSFI)to estimate patients' general healthy and sexual function before surgery and postoperation in 1 month,3 months and 6 months
Interventions
PROCEDUREtransvaginal resection of Uterine Scar
Expose, grasp and traction the cervix. An incision was made at the anterior cervicovaginal junction, and the bladder was dissected away until the anterior peritoneal reflection was identified. The anterior drawing hook was inserted.into the vaginal incision to retract the bladder upwards. The PCSD was identified as a'fornix' located in the anterior part of the lower uterine segment. A transverse incision was made to remove the scar deficiency, and the edges of the incision were trimmed with scissors, and the myometrial and vaginal defects were closed.
Sponsors
Shu-Qin Chen
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Healthy volunteers
No
Inclusion criteria
* preoperative diagnosed as PCSD * hemodynamic stability
Exclusion criteria
* irregular menstrual cycle * using IUD * complicating other disease also causing vaginal bleeding,such as endometrial polyp,submucous myoma and functional uterine bleeding.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The safety of transvaginal resection of caesarean scar deficiency in the treatment of PCSD | one week | blood loss, hemoglobin in the first postoperative day, operation time, preoperative and postoperative complications,change to other treatment,vaginal bleeding after surgery and length of stay are collected to evaluate the safety of this procedure. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| the effectiveness of transvaginal resection of caesarean scar deficiency in the treatment of PCSD. | one year | Observation of menstruation in three months,six months and nine months after surgery is applied for evaluating the effectiveness of this procedure and transvaginal ultrasound,hysteroscopy and Gynecological Examination are performed after surgery.Situation of fertility ,(sex)quality of life after surgery also are very important indicator of this procedure effectiveness |
Other
| Measure | Time frame | Description |
|---|---|---|
| the result of transvaginal resection of caesarean scar deficiency in affecting quality of (sex)life. | one year | two questionnaires results:FSFI and HRQoL |
Countries
China
Contacts
Primary ContactChen Shu-Qin, PhD & MD
Backup ContactFan Li, M.D
Outcome results
None listed