Clinical trial Recruiting at 1 site Interventional Ages 20 to 45 Women only

Combined hysteroscopic and laparoscopic repair for cesarean scar niche

Official title: Combined Hystroscopic and Laparoscopic Repair of CS Scar Disorder

Run by Assiut University · NCT07183501 · Data updated 2026-11-12

This trial will try a combined hysteroscopic and laparoscopic surgical repair to treat women with symptomatic cesarean scar niches who have postmenstrual spotting.

More Cesarean Section Complications trials

Quick facts

Study typeInterventional
Ages20 Years to 45 Years
SexWomen only
Enrollment30 (estimated)
SponsorAssiut University
Academic / other
Locations1 site (Asyut, Asyut Governorate)
StatusRecruiting
StartedJune 1, 2024
Main results expectedJanuary 1, 2027
Study endsMarch 1, 2027
Registry record updatedSeptember 19, 2025
Trial IDNCT07183501 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Women with a symptomatic cesarean scar niche who experience postmenstrual spotting and are suitable candidates for endoscopic surgery are appropriate for this procedure.

Probably not a fit

Patients with contraindications to endoscopy, no symptomatic niche, or those not eligible for laparoscopic surgery are unlikely to benefit from this intervention.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This single-center interventional procedure enrolls women with symptomatic uterine niches presenting as postmenstrual spotting. Participants undergo a combined hysteroscopic and laparoscopic approach aimed at correcting the niche and increasing residual myometrial thickness (RMT). The procedure seeks to maximize symptom resolution while monitoring surgical safety and complications. Outcomes include reduction in bleeding symptoms, change in RMT on imaging, and procedure-related adverse events.

Why it matters

Potential benefit: If successful, the combined technique could reduce postmenstrual spotting and restore uterine wall thickness, potentially lowering future gynecologic complications.

How similar studies have gone: Prior reports show hysteroscopic or laparoscopic niche repairs can improve bleeding and RMT, but combined hysteroscopic-laparoscopic approaches are less well studied.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* symptomatic uterine Niche :postmenstrual spotting

Exclusion Criteria:

* contraindications for endoscopy

Where it's running

  • Assiut university, women health hospital
    Asyut, Asyut Governorate, Egypt
    Recruiting

Study contacts

Similar studies

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.