Status:
UNKNOWN
Effects of Hysteroscopy and Transvaginal Surgery on Reproductive Prognosis in Patients With Post Cesarean Scar Defect
Lead Sponsor:
First Affiliated Hospital, Sun Yat-Sen University
Conditions:
Post Cesarean Scar Defect
Hysteroscopy
Eligibility:
FEMALE
20-40 years
Brief Summary
The study is to compare hysteroscopic repair and transvaginal intervention for correcting uterine defect in patients with post cesarean scar defect (PCSD) and the reproductive prognosis.
Detailed Description
Post cesarean scar defect (PCSD), refers the lower uterine segment form a reservoir-like pouch during healing process after transverse lower uterine segment cesarean section connected with uterine cav...
Eligibility Criteria
Inclusion
- Patients had a history of transverse lower uterine segment cesarean section;
- Patients had a previous regular menstruation, while after caesarean section, they occurred prolonged postmentrual bleeding (10-20days)
- Medication failed(contraceptive pills).
- Sex hormone test is normal;
- TVU or hysteroscopy showed a triangular or U-shaped anechoic liquid dark area and on the anterior lower uterine segment in relation to cesarean section scar during menstruation of 7-12 days or hysteroscopic examination showed uterine anterior wall defect like dome changes at isthmus below internal orifice of cervix.
Exclusion
- Irregular menstrual cycle before cesarean section
- Previous placement of an intrauterine contraceptive device
- Presence of other organic uterine pathology responsible for abnormal uterine bleeding, such as endometrial hyperplasia, polyps or submucosal myomas, cervical cancer, endometrial cancer, etc
- Existence of endocrine diseases, such as dysfunction of pituitary, ovarian, adrenal gland, and thyroid;
- Coagulation dysfunction.
Key Trial Info
Start Date :
January 1 2017
Trial Type :
OBSERVATIONAL
Allocation :
ESTIMATED
End Date :
October 30 2019
Estimated Enrollment :
200 Patients enrolled
Trial Details
Trial ID
NCT04096677
Start Date
January 1 2017
End Date
October 30 2019
Last Update
September 20 2019
Active Locations (2)
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1
First affiliated hospital of SUN Yat-Sen University
Guangzhou, Guangdong, China, 510000
2
The First Affiliated Hospital of SunYetSen University
Guangzhou, Guangdong, China, 510000