Sterilization Procedures for Women's Health

(POPS Trial)

RJ
SS
Overseen BySunbola S Ashimi Ademola
Age: 18 - 65
Sex: Female
Trial Phase: Academic
Sponsor: The University of Texas Health Science Center, Houston
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to explore the experiences, recovery quality, and satisfaction of women after sterilization surgeries using three different methods. The treatments compared include traditional laparoscopy (surgery using small incisions and a camera), single-site laparoscopy (one incision), and V-Notes surgery (a vaginal approach). Premenopausal women planning elective sterilization without a prolapsed uterus might be suitable for this study. As an unphased trial, this study provides a unique opportunity to enhance understanding and improve sterilization procedures for future patients.

Do I need to stop taking my current medications for this trial?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

What prior data suggests that these sterilization procedures are safe for women's health?

Studies have shown that single-site laparoscopy reliably achieves sterilization, with a success rate of about 99% within one year. This method is generally effective and well-tolerated by most patients.

Research indicates that V-Notes surgery is also safe and suitable, particularly for non-cancerous gynecological issues. Complication rates for V-Notes are similar to or even lower than those of traditional methods, suggesting it is a well-tolerated option.

Overall, past research considers both single-site laparoscopy and V-Notes surgery safe, with low complication rates. These factors make them promising choices for those considering these procedures.12345

Why are researchers excited about this trial?

Researchers are excited about the trial for sterilization procedures because it explores innovative surgical options that could enhance women's health. Unlike standard multi-port laparoscopic surgeries, single site laparoscopy involves just one small incision, which might reduce recovery time and scarring. V-Notes surgery, on the other hand, is performed through natural orifices, potentially offering even less visible scarring and a quicker return to daily activities. These approaches could offer women more choices with potentially less discomfort and faster recovery compared to traditional methods.

What evidence suggests that this trial's treatments could be effective for women's health?

This trial will compare different sterilization procedures for women's health. Research has shown that single-site laparoscopy, one of the procedures participants may undergo, is highly effective for sterilization, with one study reporting a 99% success rate within a year. This makes it a reliable option, often resulting in less blood loss and quicker recovery compared to traditional methods.

Another procedure studied in this trial is V-Notes surgery. Studies have shown positive results for this technique, linking it to less postoperative pain and a shorter hospital stay. It offers similar benefits to traditional laparoscopy but with added comfort and faster recovery. Both methods have proven effective, making them good choices for those considering sterilization procedures.24678

Who Is on the Research Team?

RJ

Randa J Jalloul, MD

Principal Investigator

The University of Texas Health Science Center, Houston

Are You a Good Fit for This Trial?

The POPS Trial is for premenopausal women who are planning to have elective sterilization surgery and can give written consent. Women with a non-prolapsed uterus are eligible, but those with conditions like rectal surgery history, suspected endometriosis or malignancy, infections, virginity or pregnancy cannot participate.

Inclusion Criteria

Patients should be able to provide written consent
I am a premenopausal woman planning to have sterilization surgery.
My uterus is in its normal position.

Exclusion Criteria

I had my tubes tied right after giving birth.
I had my tubes tied during a C-section.
I cannot have vaginal procedures due to my medical history or current conditions.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants undergo laparoscopic salpingectomy via one of three surgical routes

1 day
1 visit (in-person)

Immediate Recovery

Quality of recovery assessed 24 hours after surgery using the QOR-40 questionnaire

1 day

Follow-up

Participants are monitored for outcomes such as cosmesis, pain, patient satisfaction, and sexual function

3 months

What Are the Treatments Tested in This Trial?

Interventions

  • Single site laparoscopy
  • Traditional laparoscopy
  • V-Notes surgery
Trial Overview This study compares patient experiences after laparoscopic salpingectomy (tube removal for sterilization) done through three different surgical methods: traditional laparoscopy, single-site laparoscopy, and V-Notes surgery. It aims to assess recovery quality, preferences and satisfaction.
How Is the Trial Designed?
3Treatment groups
Experimental Treatment
Active Control
Group I: Route C:V-Notes surgery"Experimental Treatment1 Intervention
Group II: Route B: Single site laparoscopyExperimental Treatment1 Intervention
Group III: Route A: Traditional laparoscopyActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

The University of Texas Health Science Center, Houston

Lead Sponsor

Trials
974
Recruited
361,000+

Citations

Reliability of Laparoscopic Compared With Hysteroscopic ...The probability of having a successful sterilization procedure within one year is 99% with laparoscopic, 95% for hysteroscopic in the operating room, and 94% ...
Comparative effectiveness of hysteroscopic and ...The cumulative pregnancy rates 5 years after sterilization were lower with hysteroscopic sterilization than with laparoscopic sterilization (6.26 vs. 7.22 per ...
The efficacy of single-incision laparoscopic surgery versus ...SILS is a feasible and effective alternative to CLS for ectopic pregnancy, offering reduced blood loss, shorter hospital stays, and quicker bowel function ...
Safety and efficacy of hysteroscopic sterilization compared ...Patients undergoing hysteroscopic sterilization have a similar risk of unintended pregnancy but a more than 10-fold higher risk of undergoing reoperation.
Permanent Birth Control Methods for Women Have Up to ...The comparative study, published April 12 in Fertility and Sterility, found that both methods had failure rates of five to six percent at 5 years post- ...
Comparison of Single-Port Laparoscopy with Other ...The 3-year disease-free survival rates of single-port laparoscopy were 92.9%, 100%, and 71.4% among patients with FIGO stage I, II, and III and ...
The feasibility, safety, and effectiveness of hysteroscopic ...Hysteroscopic sterilization was successful in 992/1085 (91.4%; 95% confidence interval, 89.6–93.0%) at the first attempt. In comparison, bilateral tubal ...
Comparative effectiveness of hysteroscopic and ...The cumulative pregnancy rates 5 years after sterilization were lower with hysteroscopic sterilization than with laparoscopic sterilization ( ...
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