Pain assessment during outpatient hysteroscopy using room temperature versus warm normal saline as distention medium.

ISRCTN ISRCTN56764412
DOI https://doi.org/10.1186/ISRCTN56764412
Secondary identifying numbers N/A
Submission date
22/06/2015
Registration date
24/07/2015
Last edited
24/07/2015
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Surgery
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
A hysteroscopy is a procedure used to examine the inside of the uterus. It is an established diagnostic tool. One of the main causes of procedure failure is patient discomfort and pain. We do not know what the best way of reducing pain is. The aim of this study is to compare a warm normal saline distension solution versus a standard room-temperature normal saline.

Who can participate?
Women referred for outpatient hysteroscopy between January 2013 and June 2015.

What does the study involve?
Participants are allocated to one of two groups: one group receiving a sterile 0.9% normal saline warmed up to 32 degrees C as distention medium or another group receiving a room temperature sterile 0.9% normal saline solution. No pre medication or anaesthetics procedure used.

What are the possible benefits and risks of participating?
Not provided at time of registration.

Where is the study run from?
Central Clinical Hospital of Ministry of the Interior in Warsaw (CSK MSW) Department Obstetrics and Gynaecology (Poland)

When is the study starting and how long is it expected to run for?
January 2015 to July 2015

Who is funding the study?
Central Clinical Hospital of Ministry of the Interior in Warsaw (CSK MSW) Department Obstetrics and Gynaecology (Poland)

Who is the main contact?
Tadeusz Issat

Contact information

Mr Tadeusz Issat
Scientific

CSK MSW, Woloska 137
Warsaw
02-507
Poland

Study information

Study designProspective randomized single center trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Scientific titleA prospective randomized study for pain assessment during outpatient hysteroscopy using room temperature versus warm normal saline as distention medium.
Study objectivesTo assess the efficacy of warm normal saline distension solution versus a standard, room-temperature normal saline as distension medium for the pain relief during outpatient hysteroscopy.
Ethics approval(s)Ethics Board and Control of Research trials on Humans and Animals in CSK MSW Warsaw, 01/07/2012, ref 73/2012
Health condition(s) or problem(s) studiedOutpatient hysteroscopy
InterventionOffice hysteroscopy with warm normal saline distension solution or a standard room temperature normal saline distension medium
Intervention typeProcedure/Surgery
Primary outcome measureVisual analogue scale (VAS) score during, 5 minutes and 15 minutes after the procedure. Median VAS scores during and directly after the anaesthesia-free hysteroscopy.
Secondary outcome measuresSide effects, complications failure rate, procedure time and the pain level during each stage of procedure.
Overall study start date01/01/2014
Completion date31/07/2015

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexFemale
Target number of participants100
Key inclusion criteriaAll patients aged over 18 years referred for hysteroscopy for diagnosis of abnormal endometrium on ultrasound, endometrial polyps and uterine bleeding were included in the study. All participants had a pelvic ultrasound examination to confirm the initial diagnosis.
Key exclusion criteriaWomen with a possible pregnancy, lower genital tract infections, gestational trophoblastic disease, presence of endocervical polyps visualized on a speculum examination, asthma, acute porphyria, hepatitis, renal failure, lactation and oversensitivity to one of the agents or their elements were excluded.
Patients with endometrial polyps measuring more than 30mm were excluded and referred for operative hysteroscopy under anesthesia.
Date of first enrolment01/01/2015
Date of final enrolment20/06/2015

Locations

Countries of recruitment

  • Poland

Study participating centre

Central Clinical Hospital of Ministry of the Interior in Warsaw (CSK MSW) Department Obs and Gyn
Warsaw
02-507
Poland

Sponsor information

Central Clinical Hospital of Ministry of the Interior in Warsaw (CSK MSW) Department Obs and Gyn
Hospital/treatment centre

Department of Obstetrics and Gynaecology
Woloska 137
Warsaw
02/507
Poland

ROR logo "ROR" https://ror.org/03b45mr48

Funders

Funder type

Hospital/treatment centre

Central Clinical Hospital of Ministry of the Interior in Warsaw (CSK MSW) Department Obs and Gyn

No information available

Results and Publications

Intention to publish date31/12/2015
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot expected to be made available
Publication and dissemination planPublication in peer reviewed journal focused on minimally invasive gynaecology. Publication of the results and conclusion after finalizing the analysis in around 2 months.
IPD sharing plan