Impact of Laparoscopic Ovarian Drilling on Ovarian Reserve in Patients With Anovulatory Polycystic Ovarian Syndrome
1 other identifier
interventional
50
1 country
1
Brief Summary
Pneumoperitoneum is done by insertion of the verress needle at the inferior edge of the umbilicus putting into consideration the following tests:
- Laparoscopic telescope : From the inferior edge of umbilicus through trocar and sleeve which inserted by corkscrew technique then removed to allow the telescope insertion which connected to light source , camera head and color monitor.
- 2nd and 3rd punctures were done allowing another two graspers to be inserted usually at a point represent outer 1/3 of the lateral abdominal wall in an imaginary line from umbilicus to iliac bone Puncturing technique : Fixation of one ovary away from intestine by grasping the ovarian ligament with the traumatic grasper which allow good exposure of the ovary and allow drilling . Drilling needle was introduced and connected by monopolar current, held against ovarian surface for 4 seconds using a power of 40 watt, 4 puncture was done in each ovary with putting into consideration that the puncture must be not superficial and it must go deep through the main substance of the ovary. Cooling of the ovary by lactated ringer's solution, finally removal of all instruments under vision after exclusion of any complication .
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started May 2018
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
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
May 30, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 4, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
March 7, 2020
CompletedFirst Submitted
Initial submission to the registry
March 8, 2022
CompletedFirst Posted
Study publicly available on registry
April 5, 2022
CompletedFebruary 12, 2024
February 1, 2024
1.7 years
March 8, 2022
February 9, 2024
Conditions
Outcome Measures
Primary Outcomes (2)
Antral follicular count
AFC is defined as counting of all echo lucent rounded follicles measuring (2-10mm) that present in the substance of the ovary
3 months from laparoscopy
AntiMullerian hormone
Plasma samples were assayed for AMH in duplicate using a commercial enzyme-linked immunosorbant assay kit.
3 months from laparoscopy
Study Arms (1)
Ovarian drilling
EXPERIMENTALDrilling needle was introduced and connected by monopolar current, held against ovarian surface for 4 seconds using a power of 40 watt, 4 puncture was done in each ovary with putting into consideration that the puncture must be not superficial and it must go deep through the main substance of the ovary
Interventions
Drilling needle was introduced and connected by monopolar current, held against ovarian surface for 4 seconds using a power of 40 watt, 4 puncture was done in each ovary with putting into consideration that the puncture must be not superficial and it must go deep through the main substance of the ovary
Eligibility Criteria
You may qualify if:
- o Age of woman: 18 - 35 y.
- Anovulatory PCO.
- Clomiphene citrate resistant Woman:
- Full dose of Clomiphene citrate.
- Months of ovarian induction.
- Normal semen analysis and Hystrosalpingography
You may not qualify if:
- o Age below 18y or above 35.
- Ovulatory PCO.
- Responder to Clomiphene citrate.
- Obvious cause of infertility rather than PCO.
- Hyperandrogenism due to any other endocrinal disorder
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Cairo Universitylead
Study Sites (1)
Kasr Alainy medical school
Cairo, 12151, Egypt
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Ahmed Maged, MD
Cairo University
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- professor
Study Record Dates
First Submitted
March 8, 2022
First Posted
April 5, 2022
Study Start
May 30, 2018
Primary Completion
February 4, 2020
Study Completion
March 7, 2020
Last Updated
February 12, 2024
Record last verified: 2024-02