Hysteroscopy
Conditions
Keywords
hysteroscopy, cervical stenosis, probing
Brief summary
This study aims to estimate if performing a small caliber office hysteroscopic cervical negotiation would succeed to bypass tight markedly stenotic cervix in comparison to blind cervical probing done under general anesthesia. Moreover, the investigators test the impact of drawing a detailed diagram after this procedure on the success of ET in participants with failed mock or actual trials of embryo transfer (ET).
Detailed description
It comprises 122 nulliprous women with failed cervical sounding on vaginal examination in the office. Participants were divided into 2 groups. Group A comprised 64 cases subjected to small-caliber office hysteroscopic cervical negotiation while 58 cases were subjected to cervical probing under general anesthesia. Main outcome measures included success to bypass primary cervical stenosis and complication rate
Interventions
PROCEDUREcervical negotiation
trial to bypass severe cervical stenosis
Sponsors
Woman's Health University Hospital, Egypt
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
FEMALE
Age
20 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
* Nulliprous women. * Failed cervical sounding on vaginal examination in the office.
Exclusion criteria
* Previous operation on the cervix. * Use of any medication to prime the cervix (primary). * Multiparity: weather delivered vaginally or by cesarean sectrion
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| How many cases of access to the endometrial cavity | 20 minutes | overcoming cervical stenosis |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| complication rate | 20 minutes | how many cases with perforation or false passage |
Countries
Egypt
Outcome results
None listed