This study is looking at whether a trans-vaginal ultrasound (an ultrasound performed through the vagina) before surgery can help doctors better choose patients for vNOTES (Vaginal Natural Orifice Transluminal Endoscopic Surgery). vNOTES is a type of minimally invasive surgery that avoids large incisions. The study aims to see if using this ultrasound to check for adhesions (scar tissue that can cause organs to stick together) between the uterus and rectum can reduce complications during vNOTES. You may be able to join if you are a woman aged 18 or older, are planning to have a hysterectomy (removal of the uterus) or surgery for an adnexal (ovary or fallopian tube) issue, and are being considered for vNOTES. You cannot join if you have a history of radiation to the pelvis, cancer, or are having other vaginal surgeries at the same time. The study will enroll 75 participants.

Study design

This is an interventional study, meaning participants will receive a specific intervention. It plans to enroll 75 women.

What's involved

Not specified in the trial record.

Compensation

Not stated in the trial record.

Follow-up

Participants will be followed from recruitment until one month after their operation to measure the rate of adhesions or complicated entry to the Douglas space during surgery.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.