Using a Sheathed Speculum to Visualize and Access the Cervix In Women With Excessive Vaginal Tissue
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Purpose
The main objective of the study is to assess the effectiveness of the sheathed speculum in providing adequate visualization and access to the cervix in patients with excessive vaginal tissue.
The secondary objective is to rate the patient's comfort evaluation during the sheathed speculum examination.
| Condition |
|---|
|
Vaginal Prolapse |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Official Title: | Using a Sheathed Speculum to Visualize and Access the Cervix In Women With Excessive Vaginal Tissue |
- Number of patients with adequate visualization and access to cervix or vaginal vault [ Time Frame: At time of speculum exam ] [ Designated as safety issue: No ]
| Enrollment: | 38 |
| Study Start Date: | June 2008 |
| Study Completion Date: | March 2013 |
| Primary Completion Date: | March 2013 (Final data collection date for primary outcome measure) |
This is a descriptive clinical trial designed to assess the efficacy of a sheathed speculum in providing adequate visualization and access to the cervix in women with excessive vaginal tissue. Eligible, consented subjects who fail their initial speculum examination (because their cervix is not visualized due to the collapse of loose lateral vaginal walls) will have a sheathed speculum examination instead of the standard-of-care exam whereby the clinician fabricates a solution at the bedside (condom with tip cut placed on speculum, concomitantly using an additional instrument like a lateral-wall retractor, glove with tip of thumb placed over the speculum, using the largest speculum available)
Eligibility| Ages Eligible for Study: | 18 Years to 80 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | Yes |
| Sampling Method: | Non-Probability Sample |
excessive vaginal tissue
Inclusion Criteria:
- Age 18 to 64 years
- BMI greater than 30 (or see next line)
- Collapsing vaginal tissue preventing the visualization of the cervix (meeting this criterion in the absence of a BMI >30 would also qualify the patient for the study).
- Able to provide written informed consent
Exclusion Criteria:
- Patients unwilling to participate in the study or provide consent Presence of significant acute pelvic pain syndromes (ie exacerbation of dyspareunia, chronic pelvic pain or pelvic floor dysfunction, atrophic vaginitis, interstitial cystitis, endometriosis) which, in the opinion of the examining clinician, could potentially confound the patient's responses to the questionnaire
- Presence of active genital herpes
- Presence of significant condyloma acuminata (may be an investigator decision)
- Any other patient deemed inappropriate for the study by the consenting or examining investigator.
Contacts and Locations More Information
No publications provided
| Responsible Party: | University of South Florida |
| ClinicalTrials.gov Identifier: | NCT01409902 History of Changes |
| Other Study ID Numbers: | 105827 |
| Study First Received: | August 2, 2011 |
| Last Updated: | April 22, 2013 |
| Health Authority: | United States: Institutional Review Board |
Additional relevant MeSH terms:
|
Prolapse Uterine Prolapse Pathological Conditions, Anatomical |
Uterine Diseases Genital Diseases, Female Pelvic Organ Prolapse |
ClinicalTrials.gov processed this record on May 23, 2013