The Impact of Different Filling Pressures in Operative Outpatient Hysteroscopy on the Procedure Success Rates and Associated Pain.
1 other identifier
interventional
240
1 country
1
Brief Summary
The study aims to compare different filling pressures in operative outpatient hysteroscopy. Women will be divided into 3 groups. The hysteroscope will be introduced in the uterine cavity. Saline will be used as the distension medium and the pressure will be 80mm Hg in group1, 60mm Hg in group 2 and 40mmHg in group 3.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started May 2014
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
May 1, 2014
CompletedFirst Submitted
Initial submission to the registry
May 16, 2014
CompletedFirst Posted
Study publicly available on registry
May 20, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2016
CompletedAugust 3, 2016
August 1, 2016
2.2 years
May 16, 2014
August 2, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Completing the procedure with the allocated pressure
The operator will document if he is able to complete the operative procedure with the allocated pressure. If the operator is not able to operate with the allocation pressure, he will document that the procedure cannot be completed with the current pressure and will ask for the filling pressure to be adjusted
30 minutes after starting the procedure
Secondary Outcomes (2)
Pain perception during the procedure
10 minutes after starting the procedure
Pain perception after the procedure
30 minutes after completing the procedure
Study Arms (3)
Filling pressure 80
ACTIVE COMPARATORThe hysteroscope filling pressure will be 80mm Hg
Filling pressure 60
ACTIVE COMPARATORThe hysteroscope filling pressure will be to 50mm Hg
Filling pressure 40
ACTIVE COMPARATORThe hysteroscope filling pressure will be to 40mm Hg
Interventions
The hysteroscope filling pressure will be reduced to 50mm Hg
Eligibility Criteria
You may qualify if:
- Age 18-60 years
- Indication to have an operative outpatient hysteroscopy like endometrial polyp, need for endometrial biopsy, intrauterine adhesions, intra uterine device (IUD) retrieval or intrauterine septum resection.
- Consents to participate in the study
You may not qualify if:
- Premenstrual and mid-menstrual patients.
- Patients with missed periods.
- Patients with known cardiac disease.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Cairo Universitylead
Study Sites (1)
Cairo University Hospitals
Cairo, Egypt
Related Publications (5)
Sharma JB, Aruna J, Kumar P, Roy KK, Malhotra N, Kumar S. Comparison of efficacy of oral drotaverine plus mefenamic acid with paracervical block and with intravenous sedation for pain relief during hysteroscopy and endometrial biopsy. Indian J Med Sci. 2009 Jun;63(6):244-52.
PMID: 19602758BACKGROUNDvan Dongen H, de Kroon CD, Jacobi CE, Trimbos JB, Jansen FW. Diagnostic hysteroscopy in abnormal uterine bleeding: a systematic review and meta-analysis. BJOG. 2007 Jun;114(6):664-75. doi: 10.1111/j.1471-0528.2007.01326.x.
PMID: 17516956BACKGROUNDO'Flynn H, Murphy LL, Ahmad G, Watson AJ. Pain relief in outpatient hysteroscopy: a survey of current UK clinical practice. Eur J Obstet Gynecol Reprod Biol. 2011 Jan;154(1):9-15. doi: 10.1016/j.ejogrb.2010.08.015.
PMID: 20926175BACKGROUNDShahid A, Pathak M, Gulumser C, Parker S, Palmer E, Saridogan E. Optimum uterine filling pressure for outpatient diagnostic hysteroscopy: a double-blind, randomized controlled trial. Reprod Biomed Online. 2014 Jan;28(1):86-91. doi: 10.1016/j.rbmo.2013.07.018. Epub 2013 Sep 14.
PMID: 24262433BACKGROUNDHaggag H, Hassan A, Wahba A, Joukhadar R. A randomized double-blind controlled trial of different filling pressures in operative outpatient hysteroscopy. Int J Gynaecol Obstet. 2017 Oct;139(1):55-60. doi: 10.1002/ijgo.12247. Epub 2017 Jul 25.
PMID: 28653328DERIVED
Study Officials
- PRINCIPAL INVESTIGATOR
AbdelGany MA Hassan, MRCOG, MD
Cairo University
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Lecturer
Study Record Dates
First Submitted
May 16, 2014
First Posted
May 20, 2014
Study Start
May 1, 2014
Primary Completion
July 1, 2016
Study Completion
July 1, 2016
Last Updated
August 3, 2016
Record last verified: 2016-08