Surgical removal versus ultrasound-guided evacuation for cesarean scar pregnancy
Surgical Excision Versus Ultrasound Guided Evacuation of Cesarean Section Scar Ectopic Pregnancy Type II: A Comparative Study
This will test whether surgical removal or ultrasound-guided evacuation works better and safer for people with type II cesarean scar pregnancy in the first trimester.
Quick facts
| Study type | Observational |
|---|---|
| Enrollment | 68 (estimated) |
| Ages | 18 Years to 45 Years |
| Sex | Female |
| Sponsor | Sohag University Academic / other |
| Locations | 1 site (Sohag) |
| Trial ID | NCT07166627 on ClinicalTrials.gov |
What this trial studies
This observational comparison enrolls people diagnosed with type II cesarean scar pregnancy in the first trimester and assigns them to either surgical excision or ultrasound-guided evacuation. The study will compare safety outcomes (such as bleeding and need for additional procedures) and measures of treatment efficacy. Patients with heavy bleeding, heterotopic pregnancy, or those beyond 14 weeks are excluded, and care is provided at a single center. Outcomes will be collected during and after the procedure to compare short-term complications and immediate treatment success.
Who should consider this trial
Good fit: People with type II cesarean scar ectopic pregnancy in the first trimester (up to 14 weeks), who are hemodynamically stable and not facing heterotopic pregnancy or planned hysterectomy/sterilization, are eligible.
Not a fit: People with type I or III cesarean scar pregnancy, pregnancies beyond 14 weeks, those presenting with massive bleeding or shock, heterotopic pregnancy, or needing immediate hysterectomy are unlikely to benefit from participation.
Why it matters
Potential benefit: If successful, the results could identify the safer, more effective approach to manage type II cesarean scar pregnancy and help preserve future fertility.
How similar studies have performed: Previous case series and small observational reports show mixed results—ultrasound-guided evacuation can succeed but has bleeding risk, while surgical excision more reliably controls bleeding but is more invasive.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * patients diagnosed with cesarean scar ectopic pregnancy Type II in the 1st trimester. Exclusion Criteria: * patients with cesarean scar pregnancy type 2 above 14 weeks. * Type I and type III cesarean section scar pregnancy. * patients presented with massive bleeding or shock. * Heterotopic pregnancy. * Simultaneous Hysterectomy or Sterilization.
Where this trial is running
Sohag
- Sohag University Hospital — Sohag, Egypt (Recruiting)
Study contacts
- Study coordinator: Ahmed M Fahmy, Msc
- Email: ahmed_mohamed_post@med.sohag.edu.eg
- Phone: +201069666104
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.