Quality of Life and Sexual Function of Vaginal Operation in The Treatment Of Previous Cesarean Scar Defect

Study Overview
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Brief Summary
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The aim of this study is to further demonstrate the safety , validity and quality of (sexual)life of vaginal operation for previous cesarean scar defect resection.

Detailed Description
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collect all the patients'clinical information,use two questionnaire (the HRQoL and FSFI)to estimate patients' general healthy and sexual function before surgery and postoperation in 1 month,3 months and 6 months

Official Title
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Safety ,Validity and Quality of (Sexual)Life of Vaginal Operation in The Treatment Of Previous Cesarean Scar Defect

Conditions
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Quality of Life, Sexual Activity

Intervention / Treatment
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* Procedure: transvaginal resection of Uterine Scar


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: preoperative diagnosed as PCSD hemodynamic stability Exclusion Criteria: irregular menstrual cycle using IUD complicating other disease also causing vaginal bleeding,such as endometrial polyp,submucous myoma and functional uterine bleeding.
Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| transvaginal resection of Uterine Scar<br>transvaginal resection of Uterine Scar From Previous Cesarean Delivery | Procedure: transvaginal resection of Uterine Scar<br>* Expose, grasp and traction the cervix. An incision was made at the anterior cervicovaginal junction, and the bladder was dissected away until the anterior peritoneal reflection was identified. The anterior drawing hook was inserted.into the vaginal incision to retract the bladder upwards. The PCSD was identified as a'fornix' located in the anterior part of the lower uterine segment. A transverse incision was made to remove the scar deficiency, and the edges of the incision were trimmed with scissors, and the myometrial and vaginal defects were closed.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The safety of transvaginal resection of caesarean scar deficiency in the treatment of PCSD | blood loss, hemoglobin in the first postoperative day, operation time, preoperative and postoperative complications,change to other treatment,vaginal bleeding after surgery and length of stay are collected to evaluate the safety of this procedure. | one week | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| the effectiveness of transvaginal resection of caesarean scar deficiency in the treatment of PCSD. | Observation of menstruation in three months,six months and nine months after surgery is applied for evaluating the effectiveness of this procedure and transvaginal ultrasound,hysteroscopy and Gynecological Examination are performed after surgery.Situation of fertility ,(sex)quality of life after surgery also are very important indicator of this procedure effectiveness | one year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Uterine Scar From Previous Cesarean Delivery, previous caesarean scar deficiency, transvaginal resection, quality of life, sexual activity