Uterine Caesarean Scar Defect
Conditions
Brief summary
To investigate whether a novel hysteroscopic-assisted transvaginal repair technique results in a shorter time to pregnancy and superior fertility outcomes compared to traditional transvaginal repair.
Interventions
None listed
Sponsors
International Peace Maternity and Child Health Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 48 Years
Inclusion criteria
Patients with a large niche (defined as niche with a depth of \>50% of the myometrial thickness and a residual myometrial thickness (RMT) ≤3mm) Patients have fertility requirements Patients were aged between 18 and 48 years Patients who requested transvaginal surgery (the final decision about operation method was made by the patient (shared decision making))
Exclusion criteria
Patients with a narrow vaginal canal or any evidence of severe pelvic adhesion around the uterus Patients with post-operative biopsy-proven atypical endometrial hyperplasia and endometrial cancer
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| the median time to pregnancy following surgery | 2 years | It is the time point at which half of the patients in the study who attempted to conceive after surgery had successfully become pregnant, and the other half had not |
Countries
China
Outcome results
None listed