Comparing two methods for performing hysterectomy

vNOTEsHC: Hysterectomy by Transvaginal Natural Orifice Transluminal Endoscopic Surgery Versus or Laparoscopic Hysterectomy: a Randomized Controlled Trial

Not applicable Interventional Centre Hospitalier Universitaire de Saint Etienne · NCT05884658

This study is testing whether a new way of doing hysterectomy through the vagina is safer and easier for women with larger uteri compared to the traditional laparoscopic method.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment200 (estimated)
Ages18 Years and up
SexFemale
SponsorCentre Hospitalier Universitaire de Saint Etienne Academic / other
Locations6 sites (Bron and 5 other locations)
Trial IDNCT05884658 on ClinicalTrials.gov

What this trial studies

This clinical trial compares the effectiveness and safety of hysterectomy performed using the transvaginal natural orifice transluminal endoscopic surgery (vNOTES) technique versus the traditional laparoscopic approach. It focuses on women with large uteri, which pose higher risks during surgery. The study aims to determine which method results in less operating time and postoperative pain while minimizing complications. Participants will be women undergoing hysterectomy for benign conditions, and the trial will be conducted at multiple hospitals in France.

Who should consider this trial

Good fit: Ideal candidates are women over 18 years old with benign uterine conditions requiring hysterectomy and whose uteri are estimated to be large.

Not a fit: Patients who do not speak French or those who refuse to participate will not benefit from this study.

Why it matters

Potential benefit: If successful, this study could lead to improved surgical outcomes and reduced recovery times for women undergoing hysterectomy.

How similar studies have performed: Previous studies have shown promising results for the vNOTES approach, suggesting it may offer advantages over traditional laparoscopic methods.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Any woman received in preoperative consultation in the Gynecology-Obstetrics Department for a benign pathology of a uterus estimated to be large requiring a hysterectomy.
* Patient affiliated or entitled to a social security system
* Patients over 18 years of age
* Patients having given their agreement to participate and after signing the consent form

Exclusion Criteria:

* Woman refusing to participate in the study (lack of consent)
* Non-French speaking woman (unable to conduct a good quality interview of the pregnant woman)
* Participation in another interventional study.
* Patient subject to a legal protection measure or unable to express her consent

Where this trial is running

Bron and 5 other locations

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Hysterectomy, Vaginalnatural orifice transluminal endoscopy systemlarge uteri
Last reviewed 2026-06-09 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.