Asherman Syndrome: Pre-surgical Grading to Improve Gauge Prognostic Values and Improve Outcomes
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 65
- Locations
- 1
- Primary Endpoint
- Percentage Resumption of normal cavity on hystero-salpingography
Study Overview
Brief Summary
Utilising a novel pre-surgical grading system to class cases of asherman syndrome into 3 groups based on expected difficulty of surgery and potential prognostic outcomes.
Detailed Description
Using the grading system, patients are classified into Mild, Moderate and Severe Asherman Syndrome. With the mild disease having the best prognostic value and a 1 step procedure, Moderate cases having a mediocre prognosis and usually multi-step procedure and Severe cases having a poor prognosis and counseled to other options. This observational study looks at the surgical outcomes following hysteroscopy for cases graded according to the new system to identify the accuracy of the classification in predicting the surgical success and prognostic value.
Study Design
- Study Type
- Observational
- Observational Model
- Cohort
- Time Perspective
- Prospective
Eligibility Criteria
- Ages
- 20 Years to 40 Years (Adult)
- Sex
- Female
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Asherman Syndrome
- •intra-uterine synechiae
Exclusion Criteria
- •patients with a fundectomy or uterine reduction surgery.
Outcomes
Primary Outcomes
Percentage Resumption of normal cavity on hystero-salpingography
Time Frame: 1 month
assessing the improvement of the cavity of the uterus in hystero-salpingography
Secondary Outcomes
- Menses(3 months)
Investigators
Yehia Shawki
Endoscopy unit director
Ebtesama Hospital