- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03744143
Surgical Eradication of Deep Infiltrating Endometriosis of the Vagina (ENDO-VAG-r)
Comparison of Surgical Techniques for the Eradication of Deep Infiltrating Endometriosis of the Vagina: a Case-control Study
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Treatment of vaginal endometriosis can be successfully performed by vaginal or laparoscopic approach.
The results of the surgical treatment confirm its validity with regard to the reduction of dyspareunia in the short to medium term but show less efficacy in the long follow-up. The long-term impact of surgery on sexual function may be influenced by multiple factors, such as recurrence of symptomatic or anatomical disease, preservation of autonomic nerve fibers responsible for the arousal and genital sensitivity and residual vaginal length. These factors are potentially dependent on the surgical approach performed to treat vaginal endometriosis.
Particular importance as a surgical step assumes the closing phase of the vaginal defect that can be performed through a transverse or longitudinal suture. The longitudinal suture could guarantee, theoretically, a greater residual vaginal length and a better sexual function in the postoperative period than the vaginal closure by transversal suture, as demonstrated in previous studies about the suture techniques of vaginal cuff after hysterectomy.
Up to date, there are no studies comparing surgical, clinical and functional outcomes of the vaginal suture neither the two surgical approaches (laparoscopic or vaginal) for vaginal endometriosis eradication.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
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Roma, Italy, 00168
- Policlinico Universitario Agostino Gemelli
-
-
BO
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Bologna, BO, Italy, 40138
- Gynecology and Physiopathology of Human Reproductive Unit, University of Bologna, S. Orsola-Malpighi Hospital
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Clinical diagnosis of vaginal endometriosis
- Women undergoing surgical removal with complete endometriotic lesions involving the vagina
- Informed consent for the processing of personal data for scientific purposes
Exclusion Criteria:
- History of previous or ongoing neoplastic pathology
- Patients committed to hysterectomy
- Previous vaginal surgery
- Not complete eradicating surgery
- Vaginism-vulvodynia
- Psychiatric disorders
- Genital prolapse
- Surgical menopause or spontaneous or pharmacological menopause
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: NON_RANDOMIZED
- Interventional Model: PARALLEL
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
OTHER: Group A (vaginal technique)
Patients undergoing surgical removal of vaginal endometriotic nodule through vaginal technique
|
Surgical eradication of deep infiltrating endometriosis of the vagina using laparoscopic technique, performing 4 transperitoneal abdominal accesses and trocars from 5 to 12 mm, or vaginal technique, isolating the nodule through the vagina.
|
OTHER: Group B (laparoscopic technique)
Patients undergoing surgical removal of vaginal endometriotic nodule through laparoscopic technique.
Closure of the vagina with a transverse suture or a longitudinal suture.
|
Surgical eradication of deep infiltrating endometriosis of the vagina using laparoscopic technique, performing 4 transperitoneal abdominal accesses and trocars from 5 to 12 mm, or vaginal technique, isolating the nodule through the vagina.
Surgical eradication of deep infiltrating endometriosis of the vagina using laparoscopic technique, performing 4 transperitoneal abdominal accesses and trocars from 5 to 12 mm, and closure of the vagina with a longitudinal suture
Surgical eradication of deep infiltrating endometriosis of the vagina using laparoscopic technique, performing 4 transperitoneal abdominal accesses and trocars from 5 to 12 mm, and closure of the vagina with a transverse suture
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Operative time
Time Frame: Intraoperative
|
To compare the surgical techniques of vaginal endometriotic nodule removal considering the operative time
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Intraoperative
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Complication rate
Time Frame: Intraoperative
|
Comparison of laparoscopic and vaginal approach concerning intraoperative complication rate in patients affected by vaginal endometriosis, using Clavien-Dindo Classification.
|
Intraoperative
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Evaluation of disease recurrence rate
Time Frame: Up to 6 months after surgery; from date of surgery until the date of first clinical or trans-vaginal/abdominal ultrasound documented recurrence, assessed up to 6 months
|
Reappearance of vaginal nodule / rectum-vaginal septum in patients underwent different surgical techniques
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Up to 6 months after surgery; from date of surgery until the date of first clinical or trans-vaginal/abdominal ultrasound documented recurrence, assessed up to 6 months
|
Evaluation of dyspareunia recurrence rate
Time Frame: Up to 6 months after surgery
|
Reappearance of dyspareunia in patients underwent different surgical techniques, assessed using a visual analog score, equal to or greater than 5
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Up to 6 months after surgery
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Complication rate
Time Frame: up to 30 days after surgery; from date of surgery until the date of first documented complication, assessed up to 30 days
|
Comparison of laparoscopic and vaginal approach concerning complication rate in patients affected by vaginal endometriosis, using Clavien-Dindo Classification.
|
up to 30 days after surgery; from date of surgery until the date of first documented complication, assessed up to 30 days
|
Collaborators and Investigators
Study record dates
Study Major Dates
Study Start (ACTUAL)
Primary Completion (ACTUAL)
Study Completion (ACTUAL)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ACTUAL)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- Endo-Vag
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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