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Optimum intrauterine filling pressures needed to perform outpatient diagnostic hysteroscopy
ISRCTN ISRCTN78400671
ClinicalTrials.gov identifier
Public title Optimum intrauterine filling pressures needed to perform outpatient diagnostic hysteroscopy
Scientific title Optimum intrauterine filling pressures needed to perform outpatient diagnostic hysteroscopy: a double-blind randomised trial
Acronym N/A
Serial number at source 06/0112
Study hypothesis The filling pressures used to perform outpatient diagnostic hysteroscopy can be reduced without compromising the visualisation of uterine cavity and this may reduce the pain experienced by the woman
Lay summary Lay summary under review
Ethics approval The Joint UCL/UCLH Committes on the Ethics of Human Research, 28 September 2006, ref: 06/Q0502/69
Study design Double blind randomised trial
Countries of recruitment United Kingdom
Disease/condition/study domain Hysteroscopy
Participants - inclusion criteria 1. Women who are referred for an outpatient hysteroscopy procedure at the Univesity College London Hospitals
2. Those who give informed consent to participate in the trial
Participants - exclusion criteria 1. Women who are unable to communicate in English
2. Those whoe are not suitable for an outpatient hysteroscopy (i.e active pelvic infection, possibility of pregnancy, unusually anxious women)
Anticipated start date 01/03/2007
Anticipated end date 31/03/2012
Status of trial Completed
Patient information material Not available in web format, please use the contact details below to request a patient information leaflet
Target number of participants 230 women
Interventions Women who are due to undergo an outpatient hysteroscopy procedure will be recruited after obtaining informed consent. They will be allocated to one of the three pressure groups (100mmHg, 70mmHg or 40mmHg) using computer generated random numbers sealed in an opaque envelope which is opened by the attending nurse or healthcare assistant who sets up the pressure of distension medium. The woman and the operator will be blinded to the allocated pressure. The hysteroscopy procedure will be performed by an experienced operator who will judge whether the uterine distension is adequate or inadequate. At this point the women will be asked to report her pain score between 0 to 10, using a Visual Analogue Scale. If the visualisation of the uterine cavity is inadequate, the operator will then ask the nurse/healthcare assistant to establish the pressure to 100 mmHg, which is the standard distension pressure used in the department to complete the procedure. Any additional necessary procedures such as biopsy, polyp or fibroid removal will be carried out after the assessment of the operator and the woman.
Primary outcome measure(s) Adequate visualisation of the uterine cavity assessed at the same point when the operator judges whether the visualisation is adequate or inadequate

Secondary outcome measure(s) Visual Analogue Score (VAS) pain score assessed at the same point when the operator judges whether the visualisation is adequate or inadequate

Sources of funding University College London Hospitals NHS Foundation Trust (UK)
Trial website
Publications
Contact name Dr  Ertan  Saridogan
  Address Women's Health Division
University College London Hospitals
250 Euston Road
  City/town London
  Zip/Postcode NW1 2PG
  Country United Kingdom
  Email ertan.saridogan@uclh.nhs.uk
Sponsor University College London Hospitals NHS Foundation Trust (UK)
  Address 250 Euston Road
  City/town London
  Zip/Postcode NW1 2PG
  Country United Kingdom
  Tel +44 (0)20 3456 7890
  Email ertan.saridogan@uclh.nhs.uk
  Sponsor website: http://www.uclh.org/
Date applied 02/12/2011
Last edited 19/12/2011
Date ISRCTN assigned 19/12/2011
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