Post-Vasectomy Pain RCT
A Randomized Controlled Trial of Post-vasectomy Pain Management
This is a prospective four-armed unblinded randomized controlled trial to assess four different potential post-operative treatment options for men who undergo a vasectomy. The aims of this study are:
- To determine whether the addition of nonsteroidal anti-inflammatory drugs (NSAIDs) to acetaminophen results in improved pain after vasectomy;
- To determine whether the addition of opioid pain medication to acetaminophen and/or NSAIDs results in improved pain after vasectomy;
- To determine whether the use of NSAIDs for post-operative pain management increases risk of hematoma after vasectomy.
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
The purpose of this study is to evaluate and compare commonly used post-vasectomy pain regimens. Eligible participants will be adult male patients who elect to undergo vasectomy with a urologist at Columbia University Medical Center with no history of kidney or liver disease, chronic pain conditions, or drug abuse. Prospectively enrolled participants will be randomized to one of four study arms, which will differ by post-operative pain regimens as follows:
- Arm 1: 975 mg acetaminophen every 6 hours for the first 48 hours to a maximum of 7 days;
- Arm 2: 975 mg acetaminophen and 600 mg ibuprofen every 6 hours for the first 48 hours to a maximum of 7 days;
- Arm 3: 975 mg acetaminophen every 6 hours for the first 48 hours to a maximum of 7 days with a prescription for 6 tablets of 5 mg oxycodone every 6 hours as needed;
- Arm 4: 975 mg acetaminophen and 600 mg ibuprofen every 6 hours for the first 48 hours to a maximum of 7 days with a prescription for 6 tablets of 5 mg oxycodone every 6 hours as needed.
Other than the differing pain regimens, all treatment and pre- and post-operative counselling will be standard of care at the discretion of the treating urologists. Participants will be contacted at 1 day and 7 days post-operatively to complete Brief Pain Inventory (BPI) questionnaires, assess how many tablets of oxycodone they have taken, and assess whether they would be comfortable returning to work. At post-operative visits, their treating urologist will assess them for the presence of hematoma. Comparisons will be made between study arms to assess for differences.
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Fase 1
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Aaron Brant, MD
- Telefonnummer: 212-305-0114
- E-mail: menshealth@cumc.columbia.edu
Studiesteder
-
-
New York
-
New York, New York, Forenede Stater, 10032
- Rekruttering
- Columbia University Medical Center/ New York Presbyterian Hospital
-
Kontakt:
- Aaron Brant, MD
- Telefonnummer: 212-305-0114
- E-mail: menshealth@cumc.columbia.edu
-
Ledende efterforsker:
- Aaron M Brant, MD
-
White Plains, New York, Forenede Stater, 10604
- Rekruttering
- New York-Presbyterian The One
-
Kontakt:
- Aaron Brant, MD
- Telefonnummer: 212-305-0114
- E-mail: menshealth@cumc.columbia.edu
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria:
- Consent for vasectomy
Exclusion Criteria:
- History of kidney or liver disease
- History of chronic pain condition
- History of drug abuse
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Støttende pleje
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: Acetaminophen only
Participants are encouraged to take only acetaminophen 975 mg every 6 hours for the first 48 hours to a maximum of 7 days after surgery.
|
Acetaminophen is a widely used, over-the-counter medication that relieves mild to moderate pain and reduces fever.
Unlike NSAIDs like ibuprofen, it does not treat inflammation or swelling.
Andre navne:
|
|
Eksperimentel: Acetaminophen + ibuprofen
Participants are encouraged to take acetaminophen 975 mg and ibuprofen 600 mg every 6 hours for the first 48 hours to a maximum 7 days after surgery.
|
Acetaminophen is a widely used, over-the-counter medication that relieves mild to moderate pain and reduces fever.
Unlike NSAIDs like ibuprofen, it does not treat inflammation or swelling.
Andre navne:
Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) used to relieve mild to moderate pain, reduce fever, and decrease inflammation.
Andre navne:
|
|
Eksperimentel: Acetaminophen + oxycodone
Participants are encouraged to take acetaminophen 975 mg every 6 hours for the first 48 hours to a maximum of 7 days after surgery, and a prescription for 6 tablets of oxycodone 5 mg will be prescribed to take every 6 hours as needed for pain.
|
Acetaminophen is a widely used, over-the-counter medication that relieves mild to moderate pain and reduces fever.
Unlike NSAIDs like ibuprofen, it does not treat inflammation or swelling.
Andre navne:
Oxycodone is a potent semi-synthetic opioid analgesic used to treat moderate to severe pain when other treatments are insufficient
Andre navne:
|
|
Eksperimentel: Acetaminophen + ibuprofen + oxycodone
Participants are encouraged to take acetaminophen 976 mg and ibuprofen 600 mg every 6 hours for the first 48 hours to a maximum of 7 days after surgery, and a prescription for 6 tablets of oxycodone 5 mg will be prescribed to take every 6 hours as needed for pain.
|
Acetaminophen is a widely used, over-the-counter medication that relieves mild to moderate pain and reduces fever.
Unlike NSAIDs like ibuprofen, it does not treat inflammation or swelling.
Andre navne:
Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) used to relieve mild to moderate pain, reduce fever, and decrease inflammation.
Andre navne:
Oxycodone is a potent semi-synthetic opioid analgesic used to treat moderate to severe pain when other treatments are insufficient
Andre navne:
|
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Brief Pain Inventory (BPI) - Total Score
Tidsramme: 1 to 7 days post operatively
|
The Brief Pain Inventory is a self-reported questionnaire to assess pain.
Final scores will be averaged.
The score range is 0 to 10, where a higher score indicates a worse outcome.
|
1 to 7 days post operatively
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Brief Pain Inventory (BPI) - Pain Interference Score
Tidsramme: 1 to 7 days post operatively
|
The Pain Interference Score ranges from 0 to 10, where a higher score indicates greater interference with daily life.
|
1 to 7 days post operatively
|
|
Brief Pain Inventory (BPI) - Pain Severity Score
Tidsramme: 1 to 7 days post operatively
|
The Pain Severity Score ranges from 0 to 10, where a higher score indicates greater severity.
|
1 to 7 days post operatively
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Ledende efterforsker: Aaron Brant, MD, Columbia University
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
- Organiske kemikalier
- Heterocykliske forbindelser
- Heterocykliske forbindelser, smeltet ring
- Carboxylsyrer
- Alkaloider
- Polycykliske aromatiske kulbrinter
- Polycykliske forbindelser
- Anilider
- Amider
- Anilinforbindelser
- Aminer
- Acetanilider
- Heterocykliske forbindelser, 4 eller flere ringe
- Syrer, carbocykliske
- Morfinans
- Opiatalkaloider
- Heterocykliske forbindelser, bro-ring
- Fenanthrener
- Morfinderivater
- Kodein
- Phenylpropionater
- Acetaminophen
- Ibuprofen
- Oxycodon
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- ACYY1239
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
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