NCT05752513

Early vs Late Bladder Dissection During CS Hysterectomy in Patients With PAS With Bladder Invasion

Early vs Late Bladder Dissection During Cesarean Hysterectomy in Patients With Placenta Accreta Spectrum With Bladder Invasion

• Status: Unknown
• Phase: N/A
• Study type: Interventional
• Enrollment: 36 (estimated)
• Sponsor: Cairo University · Academic / Other
• Sex: Female
• Age: 18 Years – 45 Years
• Healthy volunteers: Accepted

Summary

Thirty-six singleton pregnant women with PAS and bladder invasion; total anterior or anterolateral invasion, who were scheduled for cesarean hysterectomy were randomly assigned into two equal groups * Group 1: included 18 pregnant women scheduled for classical cesarean hysterectomy for placenta accreta with or without ligation of anterior division of internal iliac artery before cesarean section. * Group 2: included 18 pregnant women scheduled for bladder last cesarean hysterectomy with or without ligation of anterior division of internal iliac artery.

Conditions

• Placenta Accreta Spectrum
• Cesarean Hysterectomy

Interventions

Type	Name	Description
PROCEDURE	Late bladder dissection	The bladder dissection is reserved as the last step of the cesarean hysterectomy with excellent dissection of the ureteric course till the ureteric tunnel to reduce the incidence of inadvertent ureteric clamping during uterine vessel ligating and transection
PROCEDURE	early bladder dissection	The bladder dissection is early as in classic cesarean hysterectomy

Timeline

• Start date: 2023-02-23
• Primary completion: 2023-05-01
• Completion: 2023-05-01
• First posted: 2023-03-02
• Last updated: 2023-03-02

Locations

1 site across 1 country: Egypt