Lidocaine Spray Compared With Submucosal Injection During LEEP: a Randomized Controlled Trial

NCT ID: NCT01505920

Last Updated: 2013-01-15

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

101 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-09-30

Study Completion Date

2012-12-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

Loop Electrosurgical Excision Procedure (LEEP) is a widely used minor surgical procedure for diagnosis and treatment of cervical intraepithelial neoplasia. During the procedure, several methods have been proposed to reducing pain including submucosal block, paracervical block, and oral analgesics. Submucosal (underneath the lining of the cervix) injection of lidocaine appeared to be the most common methods used. However, from the investigators experience, there is significant pain associated with the injection itself.

Lidocaine spray is an effective measure for pain control during minor gastrointestinal and otolaryngological procedures. It is simple without pain related to application.

An objective of this study is to examine effectiveness of lidocaine spray versus lidocaine submucosal injection by comparing pain scores at various stages of the LEEP procedure.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Uterine Cervical Dysplasia

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Lidocaine spray

10% lidocaine spray 40 mg applied directly to the cervix, 3 minutes before starting cervical excision

Group Type EXPERIMENTAL

Lidocaine spray

Intervention Type PROCEDURE

10% lidocaine spray 40 mg applied directly to the cervix, 3 minutes before starting cervical excision

Lidocaine submucosal injection

2% lidocaine with 1:100,000 adrenaline 2 ml injected submucosally to the four quadrant of the cervix, 3 minutes before starting cervical excision

Group Type ACTIVE_COMPARATOR

Lidocaine submucosal injection

Intervention Type PROCEDURE

2% lidocaine with 1:100,000 adrenaline 2 ml injected submucosally into the four quadrant of the cervix, 3 minutes before starting cervical excision

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Lidocaine spray

10% lidocaine spray 40 mg applied directly to the cervix, 3 minutes before starting cervical excision

Intervention Type PROCEDURE

Lidocaine submucosal injection

2% lidocaine with 1:100,000 adrenaline 2 ml injected submucosally into the four quadrant of the cervix, 3 minutes before starting cervical excision

Intervention Type PROCEDURE

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Any degrees of cervical dysplasia detected from cervical cytology or histology
* Need to have loop electrosurgical excision procedure (LEEP) for diagnosis and/or treatment

Exclusion Criteria

* Allergy to lidocaine
* Pregnancy
* Previous history of cervical operation including conization, LEEP, laser therapy and cryotherapy
* Cardiac arrhythmia
* Neural disease with impaired sensation
* Lower urinary tract cancer
* Coagulation defect
* Drug dependence
* Lower genital tract infection
* Obvious invasive disease of the cervix
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Chiang Mai University

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Kittipat Charoenkwan, M.D.

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Kittipat Charoenkwan, M.D.

Role: PRINCIPAL_INVESTIGATOR

Chiang Mai University

Asama Vanichtantikul, M.D.

Role: PRINCIPAL_INVESTIGATOR

Chiang Mai University

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Department of OB-GYN, Faculty of Medicine, Chiang Mai University

Chiang Mai, Chiang Mai, Thailand

Site Status

Countries

Review the countries where the study has at least one active or historical site.

Thailand

References

Explore related publications, articles, or registry entries linked to this study.

Vanichtantikul A, Charoenkwan K. Lidocaine spray compared with submucosal injection for reducing pain during loop electrosurgical excision procedure: a randomized controlled trial. Obstet Gynecol. 2013 Sep;122(3):553-7. doi: 10.1097/AOG.0b013e31829d888e.

Reference Type DERIVED
PMID: 23921860 (View on PubMed)

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

OBG-11-08-15A-12

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.

Intrauterine Lidocaine for Laminaria
NCT01541293 COMPLETED PHASE1
Tenaculum Pain Control Study
NCT01421641 COMPLETED PHASE4