Enhanced Reproductive Efficiency: Shorter Time to Pregnancy After Hysteroscopic-Assisted Novel Transvaginal Repair

International Peace Maternity and Child Health Hospital120 enrolled

Overview

To investigate whether a novel hysteroscopic-assisted transvaginal repair technique results in a shorter time to pregnancy and superior fertility outcomes compared to traditional transvaginal repair.

Study Type

OBSERVATIONAL

Enrollment

120

Conditions

Uterine Caesarean Scar Defect

Eligibility

Sex: FEMALEMin age: 18 YearsMax age: 48 Years

Medical Language ↔ Plain English

Inclusion Criteria: Patients with a large niche (defined as niche with a depth of \>50% of the myometrial thickness and a residual myometrial thickness (RMT) ≤3mm) Patients have fertility requirements Patients were aged between 18 and 48 years Patients who requested transvaginal surgery (the final decision about operation method was made by the patient (shared decision making)) Exclusion Criteria: Patients with a narrow vaginal canal or any evidence of severe pelvic adhesion around the uterus Patients with post-operative biopsy-proven atypical endometrial hyperplasia and endometrial cancer

Locations (1)

International Peace Maternity and Child Health Hospital

Shanghai, Shanghai Municipality, China

Outcomes

Primary Outcomes

the median time to pregnancy following surgery

It is the time point at which half of the patients in the study who attempted to conceive after surgery had successfully become pregnant, and the other half had not

Time frame: 2 years

Data from ClinicalTrials.gov

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