Consequences of Changing Current Standards: Endocrine Status After Routine Fallopian Tube Removal
1 other identifier
interventional
128
1 country
2
Brief Summary
Two recently published articles need to be cited to explain the rationale for our study since both studies conclude with contrary findings: The first one is "The post-reproductive Fallopian tube: better removed?" and the other is termed "Factors associated with age of onset and type of menopause in a cohort of UK women". In essence, while Dietl et al suggest to remove the Fallopian tube routinely in every hysterectomy and every sterilization procedure after 35 yrs of age, Pokoradi et al showed that pelvic surgical procedures and even simple tubal sterilization are associated with an earlier menopause. Hence, this is an important issue as early menopause leads to adverse health status.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Nov 2013
Longer than P75 for not_applicable
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
November 1, 2013
CompletedFirst Submitted
Initial submission to the registry
January 25, 2016
CompletedFirst Posted
Study publicly available on registry
February 1, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2021
CompletedSeptember 1, 2022
August 1, 2022
8.1 years
January 25, 2016
August 29, 2022
Conditions
Outcome Measures
Primary Outcomes (1)
Longitudinal changes of FSH pre- and post-operatively
Follicle-stimulating hormone (U/l)
6 weeks
Secondary Outcomes (7)
Longitudinal changes of AMH
6 weeks
Longitudinal changes of LH
6 weeks
Longitudinal changes of E2
6 weeks
Longitudinal changes of FSH
1 year
Longitudinal changes of AMH
1 year
- +2 more secondary outcomes
Study Arms (2)
Surgery with fallopian tube removal
ACTIVE COMPARATORPatients receiving routine fallopian tube removal during pelvic surgery after randomization.
Surgery without fallopian tube removal
NO INTERVENTIONFallopian tubes are not removed during pelvic surgery after randomization.
Interventions
Fallopian tubes are removed by dissection of the Mesosalpinx.
Eligibility Criteria
You may qualify if:
- benign indication for hysterectomy
- informed consent
You may not qualify if:
- Menopause
- Pregnancy
- Previous pelvic surgery (hysterectomy, salpingectomy, tubal ligation,...)
- malignancy
- hormone replacement therapy
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Insel Gruppe AG, University Hospital Bernlead
- Kantonsspital Badencollaborator
Study Sites (2)
Kantonsspital Baden
Baden, 5404, Switzerland
University Women's Hospital
Bern, 3010, Switzerland
Related Publications (2)
Dietl J, Wischhusen J, Hausler SF. The post-reproductive Fallopian tube: better removed? Hum Reprod. 2011 Nov;26(11):2918-24. doi: 10.1093/humrep/der274. Epub 2011 Aug 16.
PMID: 21849300RESULTPokoradi AJ, Iversen L, Hannaford PC. Factors associated with age of onset and type of menopause in a cohort of UK women. Am J Obstet Gynecol. 2011 Jul;205(1):34.e1-13. doi: 10.1016/j.ajog.2011.02.059. Epub 2011 Feb 27.
PMID: 21514918RESULT
Study Officials
- STUDY CHAIR
Michael D Mueller, Prof.
University Women's Hospital Bern, Switzerland
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 25, 2016
First Posted
February 1, 2016
Study Start
November 1, 2013
Primary Completion
December 1, 2021
Study Completion
December 1, 2021
Last Updated
September 1, 2022
Record last verified: 2022-08
Data Sharing
- IPD Sharing
- Will not share