A Trial for Peroperative Procedure and Postoperative Pain After Rectal Misoprostol or Rectal Hyoscine Administration

NCT ID: NCT03359655

Last Updated: 2018-12-27

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

COMPLETED

Clinical Phase

NA

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-06-11

Study Completion Date

2018-12-13

Brief Summary

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Dilatation of the cervix is necessary before operative hysteroscopic procedures. This dilatation with Hegar dilators has certain difficulties and is associated with pain. Cervical priming with various substances soften the cervix, ease the entry for the operation and decrease complications such as uterine perforation.

The investigators aimed to compare rectally administered "misoprostol" and" hyoscine butyl bromide" with sham protocol.

Detailed Description

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The study is planned as a double blind randomised controlled one centre study. It will take part at a operative gynaecological department of a university hospital. Women who apply to the university clinic who have a medical indication for hysteroscopic surgery will be recruited after informed consent.

Patients included in the study will be allocated to three groups. The intervention arms will be two arms and one sham group. The randomisation will be performed to three groups by a third party who is not involved in the surgical procedures.

Upon initial evaluation, a form evaluating age and other sociodemographic characteristics will be filled out before the scheduled hysteroscopy procedure. After completion of the initial form, rectal tablets will be administered according to the allocated group; two hours previously to the procedure. Hysteroscopy will be under general anaesthesia with a 10 mm hysteroscope during the follicular phase of the menstrual cycle.

During the procedure the duration of the cervical entry and total duration of the operation will be noted. Additionally basal dilatation will be noted.

Two hours after the procedure pain will be documented according to the Visual Analogue Scale which is a ten point scale. A value of "1" indicates "no pain". A value of "10" indicates "excruciating" pain.

Conditions

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Hysteroscopic Surgery Pain, Postoperative

Keywords

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misoprostol hyoscine butyl bromide cervical dilatation cervical ripening hysteroscopy pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Three group parallel design
Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
Double blind masking

Study Groups

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Rectal misoprostol

200 mcg of misoprostol will be administered rectally- 2 hours previously. This intervention will be performed by a third party health professional who will be blinded to the procedure.

Group Type ACTIVE_COMPARATOR

Misoprostol

Intervention Type DRUG

Rectal administration 2 jours before the procedure

Rectal hyoscine butyl bromide

10 mg hyoscine butyl bromide administered rectally- 2 hours previously. This intervention will be performed by a third party health professional who will be blinded to the procedure.

Group Type ACTIVE_COMPARATOR

Hyoscine butyl bromide

Intervention Type DRUG

Rectal administration 2 jours before the procedure

Sham administration

A rectal examination will be performed by a third party health professional who will be blinded to the procedure. No drug will be administered

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Misoprostol

Rectal administration 2 jours before the procedure

Intervention Type DRUG

Hyoscine butyl bromide

Rectal administration 2 jours before the procedure

Intervention Type DRUG

Other Intervention Names

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Cytotec Buscopan

Eligibility Criteria

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Inclusion Criteria

* Reproductive aged women
* Women who are scheduled for hysteroscopy for indications of endometrial polyp, submucous myoma or synaechiae

Exclusion Criteria

* Women who have undergone hysteroscopy previously
* women who are in menopause
Minimum Eligible Age

18 Years

Maximum Eligible Age

55 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Bezmialem Vakif University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Serdar G Aydin

Role: PRINCIPAL_INVESTIGATOR

Bezmialem Üniversitesi Tıp Fakültesi Hastanesi

Locations

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Bezmialem Vakif University

Istanbul, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Other Identifiers

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2017-6-

Identifier Type: -

Identifier Source: org_study_id