Combined hysteroscopic and laparoscopic repair for cesarean scar niche
Combined Hystroscopic and Laparoscopic Repair of CS Scar Disorder
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
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 30 (estimated) |
| Ages | 20 Years to 45 Years |
| Sex | Female |
| Sponsor | Assiut University Academic / other |
| Locations | 1 site (Asyut, Asyut Governorate) |
| Trial ID | NCT07183501 on ClinicalTrials.gov |
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.
Who should consider this trial
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.
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.
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 performed: Prior reports show hysteroscopic or laparoscopic niche repairs can improve bleeding and RMT, but combined hysteroscopic-laparoscopic approaches are less well studied.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * symptomatic uterine Niche :postmenstrual spotting Exclusion Criteria: * contraindications for endoscopy
Where this trial is running
Asyut, Asyut Governorate
- 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
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.