Laparoscopic Supracervical Hysterectomy Versus Total Laparoscopic Hysterectomy
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Purpose
The purpose of this research study is to evaluate whether there is any difference in recovery time and return to normal activities following a laparoscopic supracervical hysterectomy (LSH) compared with total laparoscopic hysterectomy (TLH). Both types of hysterectomies are commonly performed at our institution.
Patients will be assigned by chance (like a coin toss) to have either a LSH or a TLH. Preoperatively, participants will complete a quality of life questionnaire (SF-36), a sexual function questionnaire (FSFI)and a 3 question questionnaire about urinary function (3IQ).
Following surgery participants will be asked to keep a diary of pain symptoms and use of narcotics. The diary will be filled out daily until patients have resumed normal activities from prior to the surgery. The SF-36 will be completed again 6 weeks following the original surgery.
6 months following surgery participants will receive a copy of the SF-36 and the FSFI in the mail. They will also be asked questions about urinary symptoms and persistent vaginal bleeding.
| Condition | Intervention | Phase |
|---|---|---|
|
Gynecologic Diseases |
Procedure: Laparoscopic supracervical hysterectomy Procedure: Total laparoscopic hysterectomy |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Single Blind (Subject) Primary Purpose: Treatment |
| Official Title: | LSH vs. TLH, A Randomized Single Blind Trial |
- Return to normal activities [ Time Frame: 3-6 weeks after surgery ] [ Designated as safety issue: No ]
- Sexual function [ Time Frame: 6 months after surgery ] [ Designated as safety issue: No ]
| Enrollment: | 0 |
| Study Start Date: | May 2008 |
| Study Completion Date: | January 2012 |
| Primary Completion Date: | January 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: 1
Laparoscopic supracervical hysterectomy (LSH)
|
Procedure: Laparoscopic supracervical hysterectomy
Patients will be randomized to LSH (retaining the cervix) and TLH (cervix removal)
|
|
Active Comparator: 2
Total Laparoscopic Hysterectomy (TLH)
|
Procedure: Total laparoscopic hysterectomy
Patients will be randomized to either removal or retention of cervix
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Candidates for laparoscopic hysterectomy for benign indications
Exclusion Criteria:
- Malignancy of the uterus, cervix or adnexa
- pre-malignant changes of the uterus, cervix or adnexa
- history of severe cervical dysplasia (CIN II or above)
Contacts and Locations| United States, Massachusetts | |
| Brigham and Women's Hospital | |
| Boston, Massachusetts, United States, 02115 | |
| Principal Investigator: | Jon I. Einarsson, MD | Brigham and Women's Hospital |
More Information
No publications provided
| Responsible Party: | Jon I. Einarsson, Chief, Division of Minimally Invasive Gynecology, Brigham and Women's Hospital |
| ClinicalTrials.gov Identifier: | NCT00734812 History of Changes |
| Other Study ID Numbers: | 2007-P-002591/1 |
| Study First Received: | August 12, 2008 |
| Last Updated: | January 23, 2013 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Brigham and Women's Hospital:
|
Hysterectomy Laparoscopic |
Additional relevant MeSH terms:
|
Genital Diseases, Female |
ClinicalTrials.gov processed this record on May 21, 2013