None listed
Conditions
Brief summary
This is a randomised controlled pilot study to examine the effect of key-hole surgery on pelvic pain in women aged 16-25 years old who present with pain with no obvious cause to the gynaecology service at the Royal Hospital for Women. Women will be randomised into either non-surgical (oral medications) or surgical (laparoscopic) management. Laparoscopy is generally performed to investigate and treat endometriosis although it is common for there to be no findings on laparoscopy, and if endometriosis is found, pain can persist despite surgery. Therefore the optimum management for pelvic pain in adolescent and young women is unknown. The objective of this study is to demonstrate the effect of laparoscopy on pre operative; immediate and long-term post-operative pelvic pain and quality of life using standardised questionnaires. Patients will be followed-up at 6 weeks, 6 months, 12 months and 24 months after initiation of treatment.
Interventions
This will be a randomised controlled pilot study looking at women aged 16-25 with chronic pelvic pain who will be seen at the Royal Hospital for Women. These women will be divided into two groups - surgical and non-surgical. Those in the surgical group will undergo a laparoscopy and those in the non-surgical group will have their pain management managed through medications. A laparoscopy is a key-hole surgery using a camera, or laparoscope, to view the internal organs. In individuals with chroni
This will be a randomised controlled pilot study looking at women aged 16-25 with chronic pelvic pain who will be seen at the Royal Hospital for Women. These women will be divided into two groups - surgical and non-surgical. Those in the surgical group will undergo a laparoscopy and those in the non-surgical group will have their pain management managed through medications. A laparoscopy is a key-hole surgery using a camera, or laparoscope, to view the internal organs. In individuals with chronic pelvic pain, the main purpose of a laparoscopy is to identify and remove any endometriosis. The duration of this procedure is dependent on the extent of endometriosis found, but is usually around 45 minutes. Both groups will have their progress tracked over 2 years to see how well they respond to treatment, how many surgeries they go on to have and what the outcomes of these surgeries are.
Sponsors
Australasian Gynaecological and Endoscopy Surgery Society
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
16 Years to 25 Years
Healthy volunteers
No
Inclusion criteria
- Any women from the ages of 16 to 25 years old presenting to gynaecological clinic with pelvic pain lasting for more than 6 months in duration at the Royal Hospital for Women with no cause found on routine investigations (pelvic ultrasound and blood tests) - Participants who are willing to participate for the duration of study and all follow ups - Participants will be considered for enrolment based on clinical findings and subject to gaining informed consent from the participant
Exclusion criteria
- Not willing to follow up for the next 2 years - Non-English speaking - Any pelvic or gynaecological malignancy - Current pregnancy
Outcome results
None listed