Could a simple surgical step make hysterectomies safer?
NCT ID NCT07774871
First seen Aug 19, 2026 · Last updated Aug 20, 2026 · Updated 1 time
Summary
This trial asks whether routinely identifying and protecting the ureters (the tubes that carry urine) during a laparoscopic hysterectomy for non-cancerous conditions is better than doing so only when needed. It compares operative time and safety between the two approaches in women aged 35-70. The goal is to see if routine ureterolysis improves surgical outcomes without adding significant risk.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Routine ureterolysis (a surgical procedure to identify and protect the ureters during hysterectomy)
- What this could lead to
- If routine ureterolysis proves safe and efficient, it could become a standard step in laparoscopic hysterectomies, potentially reducing ureter injuries.
- What could go wrong
- This is a single trial with 100 participants, so results may not apply broadly. Routine dissection could increase operative time or risk tissue damage, and the benefits over selective use are not yet proven.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 100 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Aug 2026
An estimate. Start dates often move.
- Expected to finish
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Apr 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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35 to 70 years
- Sex
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Female participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: Women aged 35-70 years Scheduled for TLH for benign indications: Symptomatic fibroids, Abnormal uterine bleeding, Adenomyosis, Endometrial hyperplasia, Pelvic organ prolapse requiring hysterectomy, Chronic pelvic pain, Uterine size ≤16 weeks Exclusion Criteria: * Previous pelvic radiation * Known ureteric abnormalities or pathology * Severe cardiopulmonary disease precluding laparoscopy * Inability to provide informed consent * Known retroperitoneal pathology * Emergency surgery * Uterine size \> 16 weeks
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Kasr Alaini gynecology and obstetrics hospital
Cairo, Cairo Governorate, 11472, Egypt
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