Prospective Study of the Outcomes of the Surgical Treatment of Deeply Infiltrating Endometriosis

NCT ID: NCT01105897

Last Updated: 2012-08-31

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

201 participants

Study Classification

OBSERVATIONAL

Study Start Date

2005-01-31

Study Completion Date

2014-12-31

Brief Summary

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The aim of this study is to examine the incidence of deeply infiltrating endometriotic lesions among surgically treated endometriosis patients, and examine the impact of endometriosis, and its surgical treatment, on severity of pain symptoms, quality of life, and sexual functioning.

Detailed Description

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Patients scheduled for operation on suspected endometriosis in two study hospitals specialized in the surgical treatment of endometriosis between January 2005 - December 2007 (Päijät-Häme Central Hospital) and January 2008 - December 2008 (Helsinki University Hospital) were enrolled to the study. The diagnosis of endometriosis was histologically verified for all patients. Background data was collected from patients' age, body mass index, previous deliveries, previous endometriosis surgery, and current hormonal treatment for endometriosis.

From the beginning of January 2006 patients also completed preoperative questionnaires considering visual analogue scales (VAS) for pain symptoms (dysmenorrhea, deep dyspareunia, pain with urination and defecation, chronic pelvic pain, pain with ovulation), functional bowel and urinary symptoms, and 15D Quality of Life questionnaire, McCoy sexual functioning questionnaire, EHP-5 Short Form Endometriosis Profile questionnaire. Same questionnaires will also be completed six months, one year, two years, four years, and six years after the endometriosis operation. Follow-up questionnaires also contain questions concerning complications related to surgery, endometriosis recurrence, pregnancies, and infertility treatments.

Conditions

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Endometriosis

Keywords

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endometriosis deep endometriosis surgery laparoscopy chronic pain quality of life sexual function complications recurrence

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Surgically treated endometriosis patients

Women scheduled for operation on suspected endometriosis in two study hospitals specialized in the surgical treatment of endometriosis between January 2005 - December 2007 (Päijät-Häme Central Hospital) and January 2008 - December 2008 (Helsinki University Hospital).

Endometriosis surgery

Intervention Type PROCEDURE

Complete surgical excision of all visible endometriosis by multidisciplinary approach

Interventions

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Endometriosis surgery

Complete surgical excision of all visible endometriosis by multidisciplinary approach

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Finnish speaking patients scheduled for operation on suspected endometriosis

Exclusion Criteria

* Non-Finnish speaking patients
* Previous hysterectomy.
* Previous bilateral salpingo-oophorectomy
* Any cancer
* Chronic inflammatory bowel or bladder disease
* Diabetes treated with insulin
* Rheumatoid arthritis.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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PaijatHame Central Hospital

OTHER

Sponsor Role lead

Responsible Party

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Marjaleena Setala

M.D.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Marjaleena Setälä, MD

Role: PRINCIPAL_INVESTIGATOR

Päijänne Tavastia Central Hospital

Jyrki Kössi, MD, PhD

Role: STUDY_DIRECTOR

Päijänne Tavastia Central Hospital

Juha Mäkinen, Prof.

Role: STUDY_DIRECTOR

Turku University Hospital, Turku, Finland

Locations

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Päijät-Häme Central Hospital

Lahti, Lahti, Finland

Site Status

Countries

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Finland

References

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Setälä M, Härkki P, Suvitie P, Fraser J, Jalkanen J, Kössi J, Perheentupa A, Mäkinen J. Is the presence of endometrioma always associated with more severe disease? Gynecol Surg, 2011 Jan. Epub ahead of print.

Reference Type BACKGROUND

Huhtinen K, Suvitie P, Hiissa J, Junnila J, Huvila J, Kujari H, Setala M, Harkki P, Jalkanen J, Fraser J, Makinen J, Auranen A, Poutanen M, Perheentupa A. Serum HE4 concentration differentiates malignant ovarian tumours from ovarian endometriotic cysts. Br J Cancer. 2009 Apr 21;100(8):1315-9. doi: 10.1038/sj.bjc.6605011. Epub 2009 Mar 31.

Reference Type BACKGROUND
PMID: 19337252 (View on PubMed)

Kossi J, Setala M, Enholm B, Luostarinen M. The early outcome of laparoscopic sigmoid and rectal resection for endometriosis. Colorectal Dis. 2010 Mar;12(3):232-5. doi: 10.1111/j.1463-1318.2009.01923.x. Epub 2009 Apr 27.

Reference Type RESULT
PMID: 19438891 (View on PubMed)

Setala M, Savolainen H, Kossi J, Ranta T, Makinen J. Deeply infiltrating disease in surgically treated endometriosis patients. Acta Obstet Gynecol Scand. 2011 May;90(5):468-72. doi: 10.1111/j.1600-0412.2011.01097.x. Epub 2011 Mar 29.

Reference Type RESULT
PMID: 21314818 (View on PubMed)

Setala M, Kossi J, Silventoinen S, Makinen J. The impact of deep disease on surgical treatment of endometriosis. Eur J Obstet Gynecol Reprod Biol. 2011 Oct;158(2):289-93. doi: 10.1016/j.ejogrb.2011.04.046. Epub 2011 May 31.

Reference Type RESULT
PMID: 21621895 (View on PubMed)

Kossi J, Setala M, Makinen J, Harkki P, Luostarinen M. Quality of life and sexual function 1 year after laparoscopic rectosigmoid resection for endometriosis. Colorectal Dis. 2013 Jan;15(1):102-8. doi: 10.1111/j.1463-1318.2012.03111.x.

Reference Type RESULT
PMID: 22642851 (View on PubMed)

Setala M, Harkki P, Matomaki J, Makinen J, Kossi J. Sexual functioning, quality of life and pelvic pain 12 months after endometriosis surgery including vaginal resection. Acta Obstet Gynecol Scand. 2012 Jun;91(6):692-8. doi: 10.1111/j.1600-0412.2012.01394.x. Epub 2012 Apr 30.

Reference Type RESULT
PMID: 22404128 (View on PubMed)

Other Identifiers

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ETLQ62/81

Identifier Type: -

Identifier Source: org_study_id