Comparison Between Different Filling Pressures in Diagnostic Outpatient Hysteroscopy
NCT ID: NCT02142686
Last Updated: 2016-01-27
Study Results
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Basic Information
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COMPLETED
NA
240 participants
INTERVENTIONAL
2014-05-31
2015-04-30
Brief Summary
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Detailed Description
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Full history will be taken followed by general and local examination. The procedure will be done in the lithotomy position. Hysteroscopy will be done using a 5mm outer diameter continuous flow hysteroscope with a French working channel and a 30 degrees direction of view provided by Techno GmbH and CO. The hysteroscope will be introduced using the vaginoscopy technique, in which no speculum will be used. The cervix will be detected and the external os will be identified using the hysteroscope. The hysteroscope will be introduced in the uterine cavity. Saline will be used as the distension medium and the pressure will be set at 80mm Hg until the hysteroscope is introduced in the uterine cavity. After the hysteroscope is introduced into the uterine cavity, the filling pressure will remain at 80mm Hg in group1, will be reduced to 50mm Hg in group 2 and to 30mmHg in group 3. Randomisation will be double blind; neither the operator nor the patient will know the pressure during the procedure, a third party will set the pressure according to the computer generated random numbers.
The anterior wall, posterior wall and tubal ostea will be visualised, any polyps, adhesions septa, congenital malformations or submucous fibroids will be noted.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
SUPPORTIVE_CARE
QUADRUPLE
Study Groups
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Filling pressure 80
After the hysteroscope is introduced into the uterine cavity, the filling pressure will remain at 80mm.
Filling pressure 80
After the hysteroscope is introduced into the uterine cavity, the filling pressure will remain at 80mm Hg.
Filling pressure 50.
After the hysteroscope is introduced into the uterine cavity, the filling pressure will be reduced to 50mm Hg in this group
Filling pressure 50
After the hysteroscope is introduced into the uterine cavity, the filling pressure will be reduced to 50mm Hg.
illing pressure 30
After the hysteroscope is introduced into the uterine cavity, the filling pressure will be reduced to 30mm Hg.
Filling pressure 30
After the hysteroscope is introduced into the uterine cavity, the filling pressure will be reduced to 30mm
Interventions
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Filling pressure 80
After the hysteroscope is introduced into the uterine cavity, the filling pressure will remain at 80mm Hg.
Filling pressure 50
After the hysteroscope is introduced into the uterine cavity, the filling pressure will be reduced to 50mm Hg.
Filling pressure 30
After the hysteroscope is introduced into the uterine cavity, the filling pressure will be reduced to 30mm
Eligibility Criteria
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Inclusion Criteria
* Has a clear Indication to have an outpatient hysteroscopy
* Consent to participate in the study
Exclusion Criteria
* Patients with missed periods.
* Patients with known cardiac disease.
* Patients who need operative hysteroscopy
18 Years
60 Years
FEMALE
No
Sponsors
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Cairo University
OTHER
Responsible Party
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AbdelGany Hassan
Lecturer
Principal Investigators
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AbdelGany M A Hassan, MRCOG, MD
Role: PRINCIPAL_INVESTIGATOR
Cairo University
Locations
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Cairo University Hospitals
Cairo, , Egypt
Countries
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References
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Sharma JB, Aruna J, Kumar P, Roy KK, Malhotra N, Kumar S. Comparison of efficacy of oral drotaverine plus mefenamic acid with paracervical block and with intravenous sedation for pain relief during hysteroscopy and endometrial biopsy. Indian J Med Sci. 2009 Jun;63(6):244-52.
van Dongen H, de Kroon CD, Jacobi CE, Trimbos JB, Jansen FW. Diagnostic hysteroscopy in abnormal uterine bleeding: a systematic review and meta-analysis. BJOG. 2007 Jun;114(6):664-75. doi: 10.1111/j.1471-0528.2007.01326.x.
O'Flynn H, Murphy LL, Ahmad G, Watson AJ. Pain relief in outpatient hysteroscopy: a survey of current UK clinical practice. Eur J Obstet Gynecol Reprod Biol. 2011 Jan;154(1):9-15. doi: 10.1016/j.ejogrb.2010.08.015.
Shahid A, Pathak M, Gulumser C, Parker S, Palmer E, Saridogan E. Optimum uterine filling pressure for outpatient diagnostic hysteroscopy: a double-blind, randomized controlled trial. Reprod Biomed Online. 2014 Jan;28(1):86-91. doi: 10.1016/j.rbmo.2013.07.018. Epub 2013 Sep 14.
Other Identifiers
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Hyst 1
Identifier Type: -
Identifier Source: org_study_id
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