Ultrasound Guidance of Office Hysteroscopy in Patients With History of Failure of Office Hysteroscopy Due to Cervical Stenosis.

Cairo University (CU)

Status: Enrolling

Conditions: Hysteroscopy

Treatments: Procedure: Ultrasound guided office hysteroscopy group; Procedure: Conventional office hysteroscopy group

Study type: Interventional

Funder types: Other

Identifiers

NCT06637111

Ultrasonography/hysteroscopy

Details and patient eligibility

About

The study is conducted to assess whether ultrasound guidance can facilitate the access of the office hysteroscope into the uterine cavity of patients with previous failure of office hysteroscopy due to cervical stenosis.

Enrollment: 58 estimated patients

Sex: Female

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients with history of failure of office hysteroscopy

Exclusion criteria

• Pelvic inflammatory disease
• Severe vaginal bleeding
• Pregnancy
• Allergy to lidocaine, prilocaine or diclofenac potassium

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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58 participants in 2 patient groups

Ultrasound guided office hysteroscopy group

Active Comparator group

Description:

All the procedures will be performed using the vaginoscopic technique. A rigid 2.9-mm hysteroscope with a 30° lens and a 5-mm outer sheath (Karl Storz GmbH, Tuttlingen, Germany) will be used in all procedures. A 5 Fr grasper and 5 Fr scissors will be used to widen the stenotic internal or external ostia. Transabdominal ultrasound will be used to guide the access of the hysteroscope to the uterine cavity

Treatment:

Procedure: Ultrasound guided office hysteroscopy group

Conventional office hysteroscopy group

Active Comparator group

Description:

All the procedures will be performed using the vaginoscopic technique. A rigid 2.9-mm hysteroscope with a 30° lens and a 5-mm outer sheath (Karl Storz GmbH, Tuttlingen, Germany) will be used in all procedures. A 5 Fr grasper and 5 Fr scissors will be used to widen the stenotic internal or external ostia.

Treatment:

Procedure: Conventional office hysteroscopy group