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.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 20 Years to 45 Years |
| Sex | Women only |
| Enrollment | 30 (estimated) |
| Sponsor | Assiut University Academic / other |
| Locations | 1 site (Asyut, Asyut Governorate) |
| Status | Recruiting |
| Started | June 1, 2024 |
| Main results expected | January 1, 2027 |
| Study ends | March 1, 2027 |
| Registry record updated | September 19, 2025 |
| Trial ID | NCT07183501 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
- Study coordinator: Abdulrahman Rageh, Lecturer
- Email: Abdulrahmanrageh@med.aun.edu.eg
- Phone: +201005056259
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.