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Trial registered on ANZCTR
Registration number
ACTRN12611000745943
Ethics application status
Approved
Date submitted
14/07/2011
Date registered
15/07/2011
Date last updated
15/07/2011
Type of registration
Retrospectively registered
Titles & IDs
Public title
The Natural History of the Pudendal Nerve Block
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Scientific title
Natural history of Pudendal nerve block in female patients with chronic perineal pain
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Secondary ID [1]
262630
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Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Pudendal neuralgia in women
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Condition category
Condition code
Anaesthesiology
268473
268473
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0
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Anaesthetics
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Neurological
268474
268474
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0
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Other neurological disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
This injection is done by vaginal way, on both sides in the operating theatre under sedation. We inject 10ml of Ropivacaine, an amide-type local anesthetic, at a concentration 0.75% in each Alcockās canal. We observed that after the block, the different symptoms return at different times after the block.
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Intervention code [1]
266979
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Diagnosis / Prognosis
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Intervention code [2]
266987
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Treatment: Drugs
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Comparator / control treatment
Nil
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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To identify precisely how long a pudendal nerve block lasts. The questionnaire is based on the seven most commonly observed pain symptoms( rectal pain (irrespective of defaecation), perineal pain, dysuria, vaginal pain, clitoral or labial pain, pain during arousal and pain in the sitting position) in patients, scored using the standardised Visual Analogue Scale (VAS)
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Assessment method [1]
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Timepoint [1]
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Form a half hour before surgery, then 30 mins, 6 hours, 12 hours, 20 hours, 28 hours 36 hours, 44 hrs and 52 hours after block.
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Secondary outcome [1]
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To determine how the different symptoms of pudendal neuralgia presented by the patient, evolve following the pudendal nerve block. This will be done by questionnaires( Visual Analogue Scale (VAS))completed by the patients before and then at regular intervals after the block
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Assessment method [1]
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Timepoint [1]
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The questionnaires will be completed at 6hrs, 12hrs, 20 hrs and 28hrs, 36hrs 44hrs and 52 hrs after block.
If later on the patient undergoes the pudendal nerve release surgery, the same three part questionnaire will be used to observe the evolution of the symptoms after surgery. The
patient will fill in that questionnaire at different times:
1. 3 months after surgery.
2. 6 months after surgery.
3. 1 year after surgery.
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Eligibility
Key inclusion criteria
1) Sex: female.
2) Age range: 18+ years.
3) Diagnosis of Pudendal neuralgia according to the Aix-en-Provence Team criteria.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1.Significant psycho-social disorders.
2.Inability to understand the questionnaire during the first appointment.
3.History of neurologic or neuromuscular disorder.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
All eligible women in whom a pudendal nerve block is performed as a diagnostic tool for pudendal nerve entrapment
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 2
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/10/2008
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
150
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Other
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Name [1]
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Barbara Gross Research Unit
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Address [1]
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level 0, Royal Hospital for Women,
Barker street, Randwick NSW 2031
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
Royal Hospital for Women
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Address
Barker street, Rankwick NSW 2031
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
266498
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Country [1]
266498
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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the South Eastern Sydney and Illawarra Area Health Services (SESIAHS) Northern Sector Human Research Ethics Committee
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Ethics committee address [1]
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POWH, Barker street, Randwick, NSW 2031
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
269419
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Approval date [1]
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11/08/2008
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Ethics approval number [1]
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1/08/0095
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Summary
Brief summary
The firsrt aim of the study is to identify precisely how long a pudendal nerve block lasts and to find out how the different symptoms of pudendal neuralgia presented by the patient, evolve during the 52 hours following the pudendal nerve block. The second aim is to find out, for patients undergoing afterwards the pudendal nerve release surgery, if there is a correlation between the particular response to pudendal nerve block and the outcome after surgery. This will be a prospective study based on questionnaires. It will include a minimum of 50 women aged 18 or more, who had been referred to the Pudendal nerve Clinic in the Endogynaecology Department at the Royal Hospital for Women, who meet the entry criteria and who already consented to undergo a pudendal nerve block as part of their assessment. The participant will be asked to fill in a questionnaire, always the same, about her symptoms before, just after and then every 6 then 8 hours for 52 hours after the pudendal nerve block. If the patient undergoes a surgery to release the pudendal nerve entrapment, we will ask her to fill in that same questionnaire again 3, 6 and 12 months after the surgery.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
32879
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Dr Thierry Vancaillie
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Address
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Royal Hospital for Women
Barker street, Randwick
NSW 2031
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Country
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Australia
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Phone
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1300 722 206
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Fax
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+61 2 9382 6244
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Thierry Vancaillie
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Address
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Royal Hospital for Women
Barker Street, Randwick
NSW 2031
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Country
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Australia
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Phone
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1300722206
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Fax
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+61 29382 6244
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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