Surgicel® & Endometrial Ablation in the Management of Perimenpausal Heavy Menstrual Bleeding
Surgicel® Versus Endometrial Ablation in the Management of Perimenpausal Heavy Menstrual Bleeding (HMB): Randomised Controlled Trial
1 other identifier
interventional
240
1 country
1
Brief Summary
Two hundred \& forty patients aged from 40 to 50 years - complaining of heavy menstrual bleeding that is unresponsive to hormonal lines of treatment \& requesting conservative surgical approach- were randomized into 3 groups; group A (Surgicel group) in which 80 patients underwent formal curettage followed by insertion of 4 pieces of Surgicel inside the uterine cavity, group B (Thermal balloon ablation group) in which 80 patients underwent thermal balloon ablation using bipolar radiofrequency electrical energy (Novasure), group C (Endometrial resection group) in which 80 patients underwent transcervical Hysteroscopic endometrial resection.All patients were followed up over duration of 18 months following the procedure (at 3,6,12 \& 18 months). Primary outcome included amenorrhea rates
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Jun 2015
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
June 1, 2015
CompletedFirst Submitted
Initial submission to the registry
June 2, 2017
CompletedFirst Posted
Study publicly available on registry
June 6, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2018
CompletedJune 6, 2017
June 1, 2017
2.5 years
June 2, 2017
June 5, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
amenorrhea rates
absence of menstruation
18 months
Secondary Outcomes (4)
PBAC score (pictorial blood loss assessment chart score)
18 months
dysmenorrhea rates
18 months
patient satisfaction
18 months
the need for re-intervention
18 months
Study Arms (3)
Surgicel group
ACTIVE COMPARATOR80 patients underwent formal curettage followed by insertion of 4 pieces of Surgicel inside the uterine cavity
Thermal balloon ablation group
NO INTERVENTION80 patients underwent thermal balloon ablation using bipolar radiofrequency electrical energy (Novasure)
Endometrial resection group
NO INTERVENTION80 patients underwent transcervical Hysteroscopic endometrial resection
Interventions
insertion of 4 pieces of Surgicel inside the uterine cavity after formal curettage
Eligibility Criteria
You may qualify if:
- Heavy menstrual bleeding (i.e. pictorial blood loss assessment chart score \>150) that unresponsive to hormonal lines of treatment \& requesting conservative surgical approach.
- Uterine length \<12 cm.
- FSH level \> 40 IU/L
- Normal Pap smear
- Benign endometrial pathology
You may not qualify if:
- Active form of PID
- Uterine scars \& uterine malformation.
- Uterine organic lesions (e.g., fibroids, polyps \& Adenomyosis)
- Previous history of endometrial ablation.
- Patients seeking fertility preservation.
- Patients suffering coagulopathies or receiving anticoagulant treatments
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Cairo Universitylead
Study Sites (1)
kasr elaini hospital (Cairo university)
Cairo, 115431, Egypt
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
MOUTAZ ELSHERBINI, MD
Assistant professor of obstetrics and gynecology
Central Study Contacts
FADEL SHALTOUT, MD
CONTACT
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Assistant professor
Study Record Dates
First Submitted
June 2, 2017
First Posted
June 6, 2017
Study Start
June 1, 2015
Primary Completion
December 1, 2017
Study Completion
February 1, 2018
Last Updated
June 6, 2017
Record last verified: 2017-06