Clinical Presentations and Surgical Outcome of Obstructive Müllerian Anomalies
NCT ID: NCT06110052
Last Updated: 2023-10-31
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
36 participants
OBSERVATIONAL
2022-12-01
2023-12-01
Brief Summary
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A. The main outcome is to compare preoperative and postoperative visual analog scale VAS from 0 to 10 of maximum perceived pain in ladies with OMAs.
1. description of clinical presentation and percentage of OMAs in relation to other Mullerian anomalies
2. description of different subtypes and its percentage.
3. description of the corrective procedures and their short-term outcomes.
Detailed Description
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Cases with complete obstructive Müllerian anomalies (C-OMAs) classically present with recurrent cyclic pains at puberty and their diagnosis is usually established easily. However, cases with Hemi obstructive anomalies (H-OMA) usually present with progressive dysmenorrhea and delayed diagnosis may result in pelvic adhesions, progressive hematosalpinx and endometriosis which directly threats natural future fertility. H-OMAs may results from obstructing uterine septa or unilateral cervical obstruction in a double uterus. Also, it may result from obstructing longitudinal vaginal septa in cases with double uterus, septate uterus or hybrid septate uterus .
A hybrid uterine anomaly is relatively a recent term that described the coexistence of septate and bicornuate uterus together. Pure septate uterus has a convex or flat fundus, when there is any fundal depression, it is termed hybrid septate uterus.
Pain with or without amenorrhoea is the main presentation of OMAs. Surgical correction should improve these symptoms. To the best of our knowledge there is no published prospective trials compared visual analog scale VAS in ladies with OMAs before and after surgical correction.
Conditions
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Study Design
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COHORT
PROSPECTIVE
Interventions
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prospective follow up
compare preoperative and postoperative visual analog scale VAS of maximum perceived pain in ladies with OMAs
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
FEMALE
No
Sponsors
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Assiut University
OTHER
Responsible Party
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Dina Ali Mahmoud Mohamed
Principal Investigator
Principal Investigators
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Ahmed F Amin, professor
Role: STUDY_CHAIR
Assiut medical school
Locations
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Assiut Medical School
Asyut, , Egypt
Countries
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Central Contacts
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Facility Contacts
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dina A mohamed, MBBCH
Role: primary
References
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El Saman AM. Combined retropubic balloon vaginoplasty and laparoscopic canalization: a novel blend of techniques provides a minimally invasive treatment for cervicovaginal aplasia. Am J Obstet Gynecol. 2009 Sep;201(3):333.e1-5. doi: 10.1016/j.ajog.2009.07.001.
El Saman AM. Endoscopically monitored canalization for treatment of congenital cervical atresia: the least invasive approach. Fertil Steril. 2010 Jun;94(1):313-6. doi: 10.1016/j.fertnstert.2009.02.079. Epub 2009 May 21.
Fedele L, Bianchi S, Frontino G, Berlanda N, Montefusco S, Borruto F. Laparoscopically assisted uterovestibular anastomosis in patients with uterine cervix atresia and vaginal aplasia. Fertil Steril. 2008 Jan;89(1):212-6. doi: 10.1016/j.fertnstert.2007.01.168. Epub 2007 May 4.
Li M, Zhang Z. Laparoscopically assisted biomaterial graft for reconstruction in congenital atresia of vagina and cervix. Fertil Steril. 2013 Dec;100(6):1784-7. doi: 10.1016/j.fertnstert.2013.08.046. Epub 2013 Sep 29.
El Saman AM, Shahin AY, Nasr A, Tawfik RM, Saadeldeen HS, Othman ER, Habib DM, Abdel-Aleem MA. Hybrid septate uterus, coexistence of bicornuate and septate varieties: a genuine report. J Obstet Gynaecol Res. 2012 Nov;38(11):1308-14. doi: 10.1111/j.1447-0756.2012.01866.x. Epub 2012 May 21.
El Saman AM, Nasr A, Tawfik RM, Saadeldeen HS. Mullerian duct anomalies: successful endoscopic management of a hybrid bicornuate/septate variety. J Pediatr Adolesc Gynecol. 2011 Aug;24(4):e89-92. doi: 10.1016/j.jpag.2011.02.013. Epub 2011 Apr 21.
Ozbey H, Morozov D, Morozov DA. Abdominal pain as the presentation of imperforate hymen in a teenage girl. Pediatr Int. 2022 Jan;64(1):e15168. doi: 10.1111/ped.15168. No abstract available.
Rozalska B, Sakata N, Wadstrom T. Staphylococcus aureus fibronectin-binding proteins (FnBPs). Identification of antigenic epitopes using polyclonal antibodies. APMIS. 1994 Feb;102(2):112-8.
Other Identifiers
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OMAs
Identifier Type: -
Identifier Source: org_study_id